How long do you apply pressure when d/c a balloon pumpRegister Today!
This is a discussion on How long do you apply pressure when d/c a balloon pump in CCU Nursing / Coronary / Cardiac, part of Critical Care Nursing ... Hello, Im in my critical care rotation, and I had a patient with a femoral balloon pump post CABG....by faithmarie Mar 27, '11Hello, Im in my critical care rotation, and I had a patient with a femoral balloon pump post CABG. I didnt get to see it d/c but was wondering if you hold pressure longer then you would for an art line (5 min right?) bc the femoral artery is larger, and the pump itself is large.
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- Mar 30, '11 by resumecprCheck with the manufacturer's handbook, as well as hospital policy. Where I work, it's at least 20 minutes, above the insertion site, with 2 fingers.
- Mar 30, '11 by BiffbradfordI (an RN) doesn't hold pressure when they pull out an IABP. The physician assistant or surgeon does!
- Apr 3, '11 by clementinernIn our facility manual pressure is held for at least 20 minutes, and then a femostop is applied for 1-3 hrs in most circumstances.
- Apr 3, '11 by sunnycalifRNQuote from BiffbradfordThat's our policy, too. Usually, the intern gets to hold pressure, for a minimum of 30 minutes. It used to be 20 but then we had a huge hematoma . . . so now, it's 30!I (an RN) doesn't hold pressure when they pull out an IABP. The physician assistant or surgeon does!
- Apr 9, '11 by TakeBackQuote from BiffbradfordProbably a waste of time.I (an RN) doesn't hold pressure when they pull out an IABP. The physician assistant or surgeon does!
At my place I pull the sheath and put the femostop on directly, then the RNs manage the device.
There is a good illustration of the pressure-directed compression protocol in the femostop insert.
Also available worldwide on the interwebs:
- Apr 24, '11 by SLP12MD pulls the balloon and sheath and applies pressure and the nurse takes over and holds in for at least 30 minutes. At our facility we need an MD order to use the femstop or anything aside from manual pressure.
- May 19, '11 by mpccrnyep, 20 minutes minimum, then groin and circ checks q15 min x4, q 30min x4, q1hr x4 then q4hrs
- May 25, '11 by Maxmatlock3 min per french, unless coagulopathies
- May 26, '11 by ICUenthusiastHaha, we're rarely even allowed to use femstops at my hospital anymore. The surgeons always order MANUAL pressure only because it truly is the only gold standard.
Sucks for us, good for the patient.
Times to hold are 20 for anything arterial including IABP's minimum. And we have to use our discretion to decide if we need to hold more. Then we have to check the site within 10 minutes to make sure all is holding etc, then the pretty standard CMS checks..