Instructions for use: Ikus - Berlin Heart

Postoperative drive management
Start up the Ikus and set the parameters
6.3 Postoperative drive management
Precondition: The patient comes from the operating room with stable circulatory status.
Note
• Post-operative patient care after EXCOR implantation is similar to the care required after
any open heart cardiac procedure.
• Positioning of the patient is possible.
6.3.1 After transfer to the ward
If, directly after the operation, good filling and secure ejecting of the pump(s) is
observed, then adjustment of the driving and negative pressure is generally not required.
• Good filling, i.e. sufficient suction pressure
• Secure ejecting (at normal arterial blood pressures), i.e. sufficient driving pressure
Warning!
• Check at least three times a day by visual inspection over several pump cycles that the
pump(s) is/are filling and emptying completely. If a pump does not fill and/or empty
completely, then corresponding corrective action must be taken.
Note
• On the regular inspection of blood pump(s) and cannulas, see page 58.
6.3.2 After further progress
Note
• Target values and criteria for adjustment of the parameter values: see page 38.
• A driving pressure adjustment at the left is only necessary
• if the arterial blood pressure increases (e.g. after ending sedation, awakening of
the patient).
• during mobilization (upright body posture, sitting, standing – to compensate for
the additional hydrostatic pressure).
40 1000002 Rev. 4.9.1