Show Menu
Cheatography

Impella Safety Checklist Cheat Sheet (DRAFT) by

OR and ICU Checklist Best Practices for Impella 5.5 with SmartAssist

This is a draft cheat sheet. It is a work in progress and is not finished yet.

PRE-IN­SERTION

CALL THE CLINICAL SUPPORT CENTER (CSC) OR YOUR LOCAL ABIOMED REPRES­ENT­ATIVE

PRIOR TO INSERTION
ASSESS THE SIZE AND CONDITION OF THE AXILLARY ARTERY WITH ULTRASOUND OR CTA PRIOR TO OPENING THE IMPELLA 5.5 WITH SMARTA­SSIST KIT
PLACE THE SIDEARM RETAINER ON THE PURGE SIDEARM OF THE IMPELLA 5.5 WITH SMARTA­SSIST TO SUPPORT THE SIDEARM
DURING AND AFTER THE PROCEDURE
STRAIGHTEN THE ENTIRE IMPELLA 5.5 WITH SMARTA­SSIST CATHETER PRIOR TO INSERTION

ENSURE THE PUMP IS PRIMED WITH HEPARI­NIZED D5W (25 U/ML RECOMM­ENDED)
PRIME THE IMPELLA 5.5 WITH SMARTA­SSIST WITH THE MOTOR AND CANNULA IN A VERTICAL POSITION
CONFIRM PURGE FLUID EXITS THE MOTOR/­OUTFLOW WHILE VERTICAL
CONTINUE TO PRIME THE PUMP FOR A MINIMUM OF 20 MINUTES PRIOR TO INSERTION IF POSSIBLE
 

INSERTION

TORQUE THE PUMP 180 DEGREES CLOCKWISE (HOLDING THE CATHETER, NOT THE RED IMPELLA PLUG) AFTER THE INFLOW CROSSES THE AORTIC VALVE INTO THE LVOT CONTINUE ADVANCING INTO THE MID LV CAVITY OR ALONG THE SEPTAL WALL UNTIL THE MID-INLET IS APPROX­¬≠IM­ATELY 5 CM FROM THE AORTIC VALVE ANNULUS