How long do you apply pressure when d/c a balloon pump

[faithmarie]

Hello, 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.

Thanks:)

[resumecpr]

Check 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.

[Biffbradford]

I (an RN) doesn't hold pressure when they pull out an IABP. The physician assistant or surgeon does! :cheers:

[clementinern]

In our facility manual pressure is held for at least 20 minutes, and then a femostop is applied for 1-3 hrs in most circumstances.

[sunnycalifRN]

I (an RN) doesn't hold pressure when they pull out an IABP. The physician assistant or surgeon does! :cheers:

That'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!

[TakeBack]

I (an RN) doesn't hold pressure when they pull out an IABP. The physician assistant or surgeon does! :cheers:

Probably a waste of time.

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:

http://www.sjmprofessional.com/Products/US/Hemostasis-Management/FemoStop-Gold.aspx

TakeBack, PA-C

[SLP12]

MD 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.

[mpccrn, BSN, RN]

yep, 20 minutes minimum, then groin and circ checks q15 min x4, q 30min x4, q1hr x4 then q4hrs

[Maxmatlock]

3 min per french, unless coagulopathies

[ICUenthusiast]

Haha, 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..