Impella CP
This is the required purge solution for Impella.
What is D5W?
100 bonus points: what are the two possible purge additives for CPs being sent to the ICU?
These are the 2 possible access locations for the RP Flex.
What is the Internal Jugular Vein and the Femoral Vein?
The recommended CVP to help prevent suction events is >_____.
What is >10 mmHg?
This hemodynamic monitoring device is recommended for all CGS patients and is useful for early identification of RV dysfunction.
What is a Swan Ganz Catheter?
The most common cause for RV failure is ______.
What is LV failure?
These are the 2 indications for Impella CP.
What are Cardiogenic Shock and Protected PCI?
This type of hemostatic suture is required prior to dilating the vein for peel away sheath.
What is a Mattress Suture or Figure 8 Suture?
All Impella pumps are _____ dependent and _____ sensitive.
What are preload and afterload.
Ensuring the ____ is removed at the end of the case and tightening the ____-____ valve will help prevent pump migration.
What is slack and Tuohy-Borst?
The recommended ACT prior to pump insertion is >____ seconds.
What is 250 seconds?
This is the recommended sheath for single-access PCI.
What is the 7Fr x 30cm Companion Sheath?
Note: 6/7F x 45cm Terumo Destination Sheath also commonly utilized.
The RP Flex is loaded onto the ______" Abiomed wire for insertion.
What is 0.027"?
100 bonus points: What is an alternative to this wire?
The recommended MAP range for Impella is ___ to ___mmHg.
What is 60 to 80mmHg?
It is recommended to take the Impella CP out of ____ mode prior to leaving the CCL to ensure expected flows are being achieved.
What is AUTO mode?
100 bonus points: How long will the CP run in AUTO mode before switching to P-level?
The RP flex is indicated for up to __ days.
What is 14 days?
Name 2 contraindications to Impella CP placement.
What are Mechanical Aortic Valve, LV Thrombus, Severe AS, or Severe PVD?
What is TRUE?
100 bonus points: Why is this recommended?
This hemodynamic equation is (PAs - PAd) / CVP and is used to assess RV function.
What is PAPi?
100 bonus points: A PAPi <___ indicates RV failure.
This is always recommended to be removed and exchanged with the reposition sheath prior to leaving the CCL.
100 bonus points: what French size is the reposition sheath?
True or false: The P-level should be reduced to P2 during CPR.
What is FALSE?
This is an old recommendation. New recommendation is to only reduce the P -level to break suction and maintain greatest P-level possible during CPR.
These are the 2 approved alternative wires for the Abiomed 0.018" wire.
What are the Bos Sci 0.018" V18 Control Wire and the Bos Sci 0.018" Platinum Plus Wire.
What is SVC, IVC, and PA (2-4cm above the PV)?
The Impella CP actively offloads the LV and reduces both the ____ and ____.
What are the LVEDP and LVEDV?
These two best practices are used to reduce groin bleeding.
What are angle matching and forward tension sutures?
This should be completely removed prior to implant to ensure the Impella doesn't become malpositioned once inserted.
What is torque?