Arrow AutoCAT 2 Series Operating Manual page 196

Intra-aortic balloon pump iabp system
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CAUTION
(page 3-34)
CAUTION
(page 3-35)
CAUTION
(page 3-35)
CAUTION
(page 3-38)
CAUTION
(page 3-57)
CAUTION
(page 4-3)
CAUTION
(page 4-6)
9 . O p e r a t i o n a l P r e c a u t i o n s , L i m i t a t i o n s a n d H a z a r d s
9 . 2 : C a u t i o n s f o r t h e A u t o C A T
The alarm limit should be set low enough to reduce the risk
of intermittent alarms due to minor changes in the patient
condition, but not so low that serious deterioration of the
hemodynamic status is not detected.
If the AP alarm is being used primarily to monitor for AP
disconnect, the MAP should be used, as the alarm is
available when the pump is pumping and when the pump is
not pumping. The AUG alarm is only available when the
pump is pumping. This may not alert the user to
disconnection under all conditions.
Switching the AP SOURCE during an AP alarm could reset
the alarm even if a serious condition, such as a tubing
disconnection has occurred. Even if the alarm has been reset,
the user should verify that the AP source (transducer or
monitor) lines are intact and that bleeding from the source of
the AP alarm has not occurred.
If IABP volume is changed while pumping patient support
will be momentarily suspended as the volume is updated.
Insure the patient will tolerate this procedure before pressing
APPLY to initiate the volume change.
The frozen hemodynamics may not represent the actual
patient condition if there is wide variation in the heart rate
and rhythm. The user should verify that these values reflect
the actual hemodynamic condition prior to using them as the
basis of treatment decisions.
The user should continue to monitor the displayed
waveforms on the LCD, since these reflect the current
condition of the patient and may show a significant change in
patient condition which warrants clinical intervention.
Only connectors which have ARROW stamped on the
connector will be properly recognized. All 30, 40 and 50 cc
connectors with Arrow, Kontron or AVCO will be properly
recognized. DO NOT USE connectors other than the 30, 40
and 50 cc connectors with KONTRON, AVCO or ARROW
markings, these may NOT be properly recognized and may
result in an incorrect balloon volume setting.
Do not use V Pace trigger mode with A Paced rhythms,
improper timing may result.
Arterial pressure triggering may not provide consistent
support when patient hemodynamics are very unstable.
Monitor the patient carefully when AP trigger is used.
®
2 S e r i e s
Cautions for the AutoCAT
®
2 Series
9-7

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