List the risks vs. benefits of use of this device in a patient.
What are alternatives to this device?
You are called for a patient who is agitated & having a desaturative event > you see the following as you enter the room :
The Intensivist meets you at the patient bedside to discuss the patient. His SBAR report :
S – Situation : Patient agitated & demonstrating oxymetric desaturation to 69%.
B – Background : Cardiogenic shock > Post-op day #3 ; Hospital day #4.
A – Assessment : Patient agitated but looks comfortable.
P – Plan : Increase FiO2 from 35% to 50%.
Do you concur?
The patient was on the following ventilator parameters in the CTICU : SIMV-VCV, RR(set)=8, Vt(set)=700, FiO2=50%, PEEP=5.
The patient will be in the MRI suite for the next 75 minutes.
a) what will the settings be on this ventilator ?
b) how do you set patient trigger ?
c) how do you set Vt(set) on this ventilator (the “cheat sheet” was ripped off of the side of this ventilator).
d) if you use the vent with the settings that are currently dialed in, what will the ventilators translate to in standard ventilator parameters.
The IABP is a common device seen often in the CTICU, CCU, or not so frequently in other ICUs.
Above, the balloon that is in inflated vs. deflated position.
It resides in the Descending Aorta (proper positioning to be discussed later).
Above : the IABP console.
Above : the IABP control.
IABP inserted percutaneously via femoral artery and residing in the descending Aorta.