Assessing and Maintaining the Impella® Access Site | 合法醫療器材資訊網

2020年3月9日—FrequentlyassessingtheImpellaaccesssiteandperformingthesuggestedinterventionscanhelppreventcomplicationsandimprovepatient ...

Jo Kajewski, advanced Impella trainer, describes how to assess the Impella access site and help prevent access site bleeding. Frequently assessing the Impella access site and performing the suggested interventions can help prevent complications and improve patient outcomes.

First, evaluate which device has been placed and make sure that the peel-away sheath has been removed. It is a best practice to remove the peel-away sheath before the patient is taken to the ICU. If the peel-away sheath is left in place, the patient may experience an increased risk of bleeding, damage to the arteriotomy if the sheath cracks or breaks, limb ischemia, or clots may form within the peel-away sheath.

When assessing the femoral access site, ensure that the angle of entry was maintained. This may require placing folded gauze under the repositioning sheath hub to prevent tenting of the arteriotomy site. If there...