Impella® Patient Management

January 2, 2020

Questions to Ask When Caring for an Impella® Patient

Jason Richard, an advanced Impella® trainer at Abiomed, reviews questions to ask when taking over care of a patient with an Impella heart pump. Knowing the answers to these questions can make the transition of care safer and smoother for your patients.

  • Which Impella device was implanted?
  • Where is the Impella access site and is there any bleeding or oozing?
  • What is the centimeter marking on the Impella catheter and has the Tuohy-Borst been tightened?
  • Is a Swan-Ganz catheter in place? If so, what is the PA pressure? If not, why?
  • Volume status: Is the CVP adequate?
  • At what P-level is the Impella pump currently set and are flows within expected range?
  • When was the last ACT and what was the result? (ACT between 160 and 180 seconds is recommended while patient is on Impella support)
  • Is the Impella delivered heparin via the purge solution being included in the calculation with the systemic IV heparin rate to determine the total heparin delivered to the patient?

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To learn more about the Impella® platform of heart pumps, including important risk and safety information associated with the use of the devices, please visit: