IABP and CPR - page 3

Ok some may say this is a dumb question, but we got into a heated debate the other day about this. IF a pt on IABP codes, do you turn it off? I obviously said yes but a fellow worker tried to say you... Read More

  1. Visit  OptimusPrime profile page
    0
    Well, it is a pretty simple explanation, it was a misunderstanding on my part.

    They were saying that on the newer models, there is no need to manually switch from EKG to pressure triggering, the IABP will do that automatically, if in the auto mode.

    Hence, just leave it in EKG trigger mode during a full arresst b/c it's going to switch for ya.

  2. Visit  ghillbert profile page
    0
    The newer, fiber optic-capable consoles (either Datascope or Arrow) will automatically choose the best trigger if in the "auto/pilot" mode. If in "manual/operator" mode, you'll still have to select the AP trigger.
  3. Visit  Tornadochaser profile page
    0
    thanks guys, i go to an inservice on iabp next month, i'll question them too
  4. Visit  NoviceToExpert profile page
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    I did a little research on this... I think ghillbert beat me to the punch... but the pump will default to the best trigger source...
  5. Visit  KrisICU profile page
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    Hi!

    I JUST left an IABP class with the new company who bought datascope (can't remember their name, but they manufacture the CS100s and CS300s for example)...

    The new guideleines are that you do not have to do ANYTHING when the pt codes. Let me explain...

    On the old machines, you would have to switch to pressure trigger to match up the balloon inflation with compressions. Now, it does so automatically. Just start CPR.

    However, when you defibrillate, it is important to stay away from the IABP machine.

    That's the update!
  6. Visit  JF808Rn profile page
    0
    We've been using a lot of IABPs on our post OHS patients lately and yes, they've been meeting some hard times also and have been coding: bad heart pre-op will most likely be a worse heart post-op.

    Anyways, my unit CNS, manager, and IABP rep that we work with advises to place the IABP in semi-auto and on AP. From there, the IABP will go off the pressure generated from compressions and try and work that way.

    But if this code is looking to be a long one, the balloon can only remain uninflated for 30 minutes. After that, it has to go... Hope this helps!
  7. Visit  MatthewRN profile page
    0
    Quote from KrisICU
    Hi!

    I JUST left an IABP class with the new company who bought datascope (can't remember their name, but they manufacture the CS100s and CS300s for example)...

    The new guideleines are that you do not have to do ANYTHING when the pt codes. Let me explain...

    On the old machines, you would have to switch to pressure trigger to match up the balloon inflation with compressions. Now, it does so automatically. Just start CPR.

    However, when you defibrillate, it is important to stay away from the IABP machine.

    That's the update!
    I believe Maquet is the company you were trying to think of.
  8. Visit  hellonurse36 profile page
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    I can only speak for Datascope (now Maquet) as that is the one I use. If a pt codes you DON'T CHANGE ANYTHING with the machine...focus on the pt. As soon as the machine no longer senses an EGK to use as a trigger for inflation/deflation it will AUTOMATICALLY switch to pressure trigger. Once you start compressions the machine will pick up the pressure changes from the compressions and will time the IABP appropriately. Changing to pressure mode is not wrong, but there is no need as the machine already does it. Key is to focus on the pt....same if you need to defibrillate...ignore the machine.
  9. Visit  clementinern profile page
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    Definitely don't need to shut off the IABP during a code. Generally we put it in pressure mode, as others have said. The only possible rationale I can think of to leave it in EKG mode is that the newer IABP's switch between modes automatically; perhaps this is why?
  10. Visit  RNTwin profile page
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    i was taught to put the datascope on "pressure" when coding a pt.
  11. Visit  CCURN85 profile page
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    Per the standards at my institution and per Datascope, we place the IABP on pressure for the pump to correlate with the compressions.
  12. Visit  eCCU profile page
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    For any institution that uses Datascope CS300. Always have it on Auto inflation the only classification that uses semi-auto is pedi pts. When your pt is in Auto it automatically changes to pressure trigger during a code, as a matter of fact sometimes it changes to pressure if your pt is constantly getting arrhythmias as wa my case the other day!.
    If it is getting so confusing for your co-workers perhaps you should have your Clinical educator ask the Datascope representative to come back and give your unit a refresher every 6months they are always very helpful. Good luck.
  13. Visit  ghillbert profile page
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    Again just be aware that you can only do nothing and leave the pump to switch to the most accurate trigger in an automatic mode. If you have, say, an Arrow in "operator" mode, you'll have to switch for yourself (because that mode overrides the automatic trigger selection).


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