Arrow AutoCAT 2 Series Operating Manual page 142

Intra-aortic balloon pump iabp system
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6 . O p e r a t i n g P r o c e d u r e s
6 . 1 : O p e r a t i n g I n s t r u c t i o n s
Rhythm
Pattern
R-Wave
Criteria:
25-135msec.
NSR
*
S Brady
*
S Tachy
*
Cautery
Interference
NSR with
*
Premature Beats
(atrial)
2
NSR with
*
Pauses
PAT/SVT
*
Atrial Flutter
*
Atrial
*
3
Fibrillation
Atrial Pacing
*
demand
Ventricular
Pacing
A-V Pacing
RBBB, LBBB
Ventricular
tachycardia
CPR
Bypass-Pulsatile
flow testing
1Note: No capture beat needed for trigger. 2 Depends on type and number of premature beats. 3 For significant irregularity use Peak. 4 If Real Time Timing is desired 5
May be preferred for HR > 140 bpm
NOTE: Patients must be 100% paced to use the V PACE and A PACE trigger modes. Unless
the patient is 100% paced, you will need to use the PATTERN or PEAK or Afib mode.
For each trigger mode that is potentially appropriate for your patient, look for a
consistent white overlay on the ECG and AP trace and a flashing heart icon on
the LCD. The white overlay on the ECG should correspond with the assist ratio.
The trigger mode control key LED will also flash if the AutoCAT
detecting an adequate triggering signal.
Note the trigger modes that provide consistent triggering signals.
Select the best (most reliable) trigger mode. If PATTERN is reliable, this is
usually the best trigger mode to begin pumping.
Choosing A Trigger Mode
6-12
Recommended IABP Triggers
Peak
AFIB
Wide Complex
Varying R-R
QRS
Automatic
R-Wave deflation
*
*
4
*
*
4
*
*
5
4
*
*
(vent)
*
*
if severe
*
*
*
if irregular
*
*
*
demand
*
demand
*
demand
*
*
V-Pace
A-Pace
AP
100% Paced
100% Paced
(Consistent
BP)
*
*
*
*
*
*
*
*
100% paced
*
*
100% paced
*
*
100% paced
*
*
*
first choice
®
2 Series is
INT
Rate 80
automatic
Range 40-120
*
*

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Autocat 2Autocat 2 wave

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