INTRA-AORTIC

BALLOON PUMP
REFRESHER
COURSE
Jill Getchell LCP, CCP
Licensed Clinical Perfusionist
Certified Clinical Perfusionist
Introduction:

 Practicing perfusion for 19 years, extensive use of the intra-aortic balloon pump

 Have used a variety of models of the device

 Watched the development of the device advance significantly

 Please keep my number for any questions 24/7, I am on call for the facility

 Maquet.com
Purpose for the refresher course:

 Improve patient safety

 Increase your comfort level with the device

 Answer questions and address concerns that staff have

 Complete CEU for nursing license

 Provide support for the hospital staff

 Educate staff on the new model with new features

Content outline:

 Past experience?
 Why do we use the IABP device?
 When would the device be contraindicated?
 Sterile technique insertion
 Powering up the machine and which materials do we receive from the sterile field
 Touch screen monitor for operation of the device
 Which triggers are identified by the device
 What to chart in the patients’ medical record
 Transport of the patient
 Daily care and possible complications
Content outline:

 Hands on, most of the training will be demonstration

 Each staff member will get to experience the device

 Practice different scenarios

 Encourage all staff to ask questions/concerns

Past Experience:

 Who has used the devices

 Which devices

 How frequently have you used the device

 Fears of the device

 Questions
Why do we use the Intra-aortic Balloon Pump:

 Decreases the workload of the heart

 Improves oxygenated blood flow to coronary arteries

 Improves oxygenated blood flow to the periphery

 Increases patient survivability

 Questions
Contraindications:

 Aortic aneurysm or dissection

 Occlusive peripheral vascular disease

 Recent Aortic valve replacement

 Femoral artery dissection

Demonstration portion :

 Break into 2 groups

 2 devices with 2 disposables to practice with

Sterile Technique

Step Step Step Step

1 2 3 IABP advanced over
4 Verify connections
sizing
guide wire to doctor secure
Insertion kit: needle,
guide wire, sheath

Assist with advancing

Secure the IABP to the
Open to sterile field IABP catheter and
patients thigh
withdrawing guidewire

Simultaneously pass off

to non sterile nurse:
2 sterile packages gas line, pressure line
and fiber optic cable

Slowly peel back outer

wrapping to allow
sterile scrub to firmly
grasp each sterile
portion
IABP Machine:

Step Step Step Step

1 Locations of
2 3 Verify screen is
recognizing EKG
4 Verify
Connect the 3 connections
devices lines and pressure
secure
triggers

Verify machine is Notify doctor

Plug in/Power No zeroing req in 1:1 and machine is ready
button with the new fiber augmentation at to start upon his
optic device 100% orders

1 min start up Flush pressure

cycle line to the sterile
field

Receive the gas

line, pressure
tubing and fiber
optic cable
Touch screen monitor :

 Initially unlocked

 Drop down menus for :

 Trigger
 Augmentation
 Assisted beat timing
 Pressure
 Manual timing of assisted beats

 Screen will auto lock after 5 min of inactivity

 Identify:
 Alarms
 Silence
 Help menu
Triggers machine identifies :

 EKG

 Pressure

 Pacemaker

 Internal mode
What do I record in the medical record :

 Record every 15 minutes first four hours, then every hour thereafter
 Mean arterial pressure
 Source of the balloon pump trigger
 Augmented patient mean arterial pressure
 Timing
 Percent of augmentation
 Pedal pulses
 Description of the femoral site
Transporting the patient :

 Check helium tank for adequate level during transport

 Check battery life levels
 Secure gas line, pressure line and fiber optic cable
 Maintain stability of the leg that has the IABP inserted
 Work together with nurse to slowly wheel the machine and bed simultaneously
 Upon arrival to patients critical care room, plug in the IABP immediately
 Slowly work in cohesion to transfer patient to bed with slide board
 Lock machine wheels and secure lines to patients critical care bed
Daily care and possible complications :

 Leg MUST remain straight

 Have Doctor order leg restraint or knee immobilizer device if patient is
uncooperative.

 Keep femoral site clean and dry

 Looks for redness or significant drainage, notify doctor

 Verify pedal pulses with Doppler

 Provide emotional support to patient and family members

Questions?
Concerns?

Questions?

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