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主动脉球囊反搏操纵及应急预案(国外英文资料)
主动脉球囊反搏操作及应急预案(国外英文资料)
Procedure and emergency plan for aortic balloon
One, boot operation
Turn on the power supply and the helium bottle
Link patient (electrocardiogram, balloon tube extension)
Boot (10 second self check) select mode, begin to assist
Connection pressure cable and sensor to zero
Verification of auxiliary alarm values (8-10mmhg)
Verify that the ac power supply is connected
Alarm processing
Flush the center cavity of the balloon every hour for no less than 15 seconds
Observe the patients blood dynamics
Two, shutdown operation
Suspend the equipment, strip off the gas circuit to extend the tube and remove the balloon
Close the helium valve
Power off switch
Save the kind electrical monitoring cables and pressure cables
Note:
Charge the battery 4-12 hours per month
2. Timely replacement of helium (it is both light and security; once the balloon gas leakage, can under the negative pressure of pump counterpulsation powerful blood pump and thus trigger the alarm equipment back to the balloon, make it stop working, and protect patients and safety equipment.)
Grasp the trigger: normally trigger IABP with ECG; When a patient has a pacemaker heart rate, a pacemaker can be triggered. When the ECG cannot be triggered effectively, it can be triggered by pressure. When ventricular fibrillation occurs, an internal trigger can be applied.
IABP ball: location anomaly: too high? Can the airbag block the opening of the left clavicular artery? Inadequate perfusion of left upper extremities; Too low? Can the airbag block the opening of the renal artery? Inadequate renal artery perfusion? Reduced the volume of urine
The inflatable and inflatable air sacs of the airbags can swell by 90% to 95% of the active vasculature or air sacs over 50% of the patients volume. Regardless of the air bag, the air balloon should be carefully checked before the operation, usually 30mL ~ 35mL. To achieve satisfactory results, the inflatable time of the airbag is important, and the inflatable
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