Steps for Placement of an Intra-Aortic Balloon Pump (IABP)
Calls to make: Respiratory therapist/pump tech
Equipment to collect: Balloon Pump Kit(40mL or 50mL), Console(Respiratory therapist will bring this), Micropuncture kit, 9fr sheath, Ultrasound
Assistant: Open IABP kit, and Micropuncture kit
Balloon Pump Kit
Micropuncture Kit
Obtain Femoral Access
Assistant: Pass micro puncture kit, IABP guide wire, 9fr sheath, 11blade, guide wire from IABP Kit (pink tip) – may need to use Lunderquist guide wire
Surgeon: Obtain femoral access with Micropuncture kit, inserts sheath, long guidewire, Balloon Pump Catheter, if stiffer long guide wire needed – use a Lunderquist (get size)
Prepare IABP
Steps for removal of the Balloon Catheter from the tray are listed and displayed in picture below.
A. Connect syringe to One-way-valve and aspirate
B. Detach syringe from One-way-valve, leave One-way-valve connected to IABP catheter.
One-Way-Valve Aspiration
Assistant: Place One-way-Valve (already on the syringe), onto Balloon Catheter aspirate the syringe removing any trapped air
Disconnect Syringe
Assistant: Disconnect the syringe from the One-Way-Valve, leaving One-Way-Valve on the Balloon pump white connector (arrow).
Remove Device from Tray
Assistant: Remove Balloon Catheter from tray, leaving Blue Sheath on Balloon, and One-Way-Valve connected
need Picture of IABP with Blue Sheath removed
Assistant: Remove balloon portion of the catheter from blue holder by pulling blue plastic cover off.
Surgeon: Inserts Balloon Catheter, keeping One-Way-Valve connected during insertion.
Once inserted, remove One-Way-Valve and connect to the tubing in second tray. Pass to the Respiratory Therapist, the tubing and the orange cable and connect to Console.
Orange Cable
Secure Balloon Catheter to the skin with silk sutures.