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1. Can I do CPR?
Yes, in the right clinical scenario. Chest compressions may pose
a risk of dislodgement - use clinical judgment. If compressions
are administered, conrm function and positioning of the pump.
2. Canthepatientbedefibrillatedwhileconnectedtothe
device?
Yes you can debrillate, and you do not have to disconnect
anything.
3. Canthispatientbeexternallypaced?
Yes.
4. Whattypeofalarmoccursinalowowstate?
A red heart alarm indication and steady audio alarm will sound
if less than 2.5 lpm. Can give a bolus of normal saline and
transport to a VAD center.
5. CanIchangethespeedofthedevice?
No, it is a xed speed.
6. Doesthepatienthaveapulsewiththisdevice?
Likely they will not because it is a continuous flow device,
however some patients may have a pulse.
7. Whatareacceptablevitalsignparameters?
MAP 70 - 90 mm Hg with a narrow pulse pressure.
HeartMate 3™ Left Ventricular Assist System
FAQs
lPump has “articial pulse” created
by rapid speed changes in the
pump. This can be heard when
auscultating the heart and differs
from other continuous flow devices.
lMay not be able to obtain cuff
pressure (continuous flow pump).
lPump connected to driveline
exiting patient’s abdominal area
and is attached to controller which
runs the pump.
lPump does not affect ECG.
lAll ACLS drugs may be given.
lA pair of fully charged batteries
lasts up to 17 hours.
lAny emergency mode of
transportation is ok. These
patients are permitted to fly.
lAvoid pulling, twisting, or kinking
the driveline when strapping the
patient to a stretcher.
lBe sure to bring ALL of the
patient’s equipment with them.
Figure 1
Thisguidedoesnotsupersedemanufacturerinstructions.
The HeartMate 3™ LVAD has a modular cable connection near the
exit site of the driveline (Figure 1). This allows a damaged driveline
to be quickly replaced (if damage is external).
l
When disconnecting a driveline, NEVER use the modular cable
connection.
l
If the modular cable requires replacement, it must be done at and
by the implanting center. Patients are not given a backup modular
cable.
l
If the connection is loose, a yellow line at the connection will be
showing. If the line is visible, turn the connector in the locked
direction. It will ratchet and stop turning once tight.
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