Advanced Online Test PulseCath iVAC 2LPlease enable JavaScript in your browser to complete this form. - Step 1 of 3Name *FirstLastEmail *1. What is the recommended minimum ACT level during the usage of iVAC 2L in High Risk PCI procedure? *Up to 200 s200 sSelect the correct answer2.To ensure the appropriate operation of the IABP console in combination with the iVAC 2L system, it is necessary to modify certain settings on the IABP. *Set the IABP on the Semi Auto or Operator modeSet trigger mode on ECG or APDisable all applicable alarmsSet up IABP frequencySet the IABP on Automatic modeSelect all the correct answers3. iVAC 2L is compatible with various brands and models of IABP. If the setting manuals are required, where can we find it? *Pulsecath APP - Support & Service - IABP DriversI don't see the point in reading manualsPulsecath Web page - Support & Service - IABP DriversSelect all the correct answers4. In order to use Arrow IAB pump we need the following additionals: *Extra long additional extension tubeArrow Pump adaptor for 50cc IABsSelect the correct answer5. In case of persistent alarms on IABP, what do we have to do to solve the issue? *Check iVAC 2L system connectionsRemain on standby to see if the alarm deactivates on its own.Check IABP settings, helium level and disable additional alarms if applicableRestart the IABP consoleSelect all the correct answers6. How do we switch the IABP from ECG/AP trigger to INTERNAL mode? *Stop the pump, start the pumpDisconnect the ECG cable, select internal mode, start the pumpSelect the correct answer7. How do we manage the IABP in case of arythmia, bradycardia, tachycardia or cardiogenic shock? *We keep the patient on the ECG trigger and keep silencing the alarm until the procedure is completedWe setup the IABP on Internal mode after 3 alarms in a row.Select the correct answer case push What 8. Which closing techniques are appropriate for closing the access site at the end of the procedure? *Vascular surgeon close the woundLarge bore closure deviceManual pressure on the vessel till the bleeding stopsSelect all the correct answersNext9. We have case reports showing that the iVAC 2L can be introduced through multiple access points, such as the femoral artery, axillary artery, subclavian artery, or via a transaortic approach. *TrueFalseIndicate True or False10. What is the minimum size of the artery required to use iVAC 2L? *The artery needs to be ≥7 mm in diameter.At least 6 mm.Select the correct answer11. When the catheter tip is positioned in the left ventricle (LV) and the wire and stylet are withdrawn, the catheter might migrate further into the LV, potentially leading to disturbances such as arrhythmia. Therefore, it is important to ensure that the catheter is not positioned more than 2 cm into the LV *TrueFalseIndicate True or False12. After the wet-to-wet connection (membrane pump to the catheter) you notice there is a bubble inside the membrane pump. How do you proceed? *You leave the bubble inside of membrane pump and observe the membrane pump during the intervention and look for migration of the air bubble into the catheter.You disconnect membrane pump from the catheter and refill the membrane pump assuring there are no bubbles. Then repeat the wet-to-wet connection, make sure there are no bubbles and continue with the procedure.Select the correct answer13. Pulsecath experience show, that the iVAC 2L stroke volume on average is 25ml/min. When the patient heart rate is 80 bpm, the maximum additional cardiac output that iVAC 2L can create is about: *1,1L/min1,5L/min2.0L/minSelect the correct answer14. To determine the correct position of the catheter tip, you should: Check the movement of the membrane, check the helium curve on the IABP and check the position of the bidirectional valve under fluoroscopy. *TrueFalseIndicate True or False15. In case iVAC 2L is used for a longer time, how do we take care of the lower limb perfusion? *Best solution for lower limb perfusion during longer use of iVAC 2L is to do a bypass by using the _ush port from the introducer sheet to connect to the lower limb artery. 6 Fr antrograde puncture with female to female connector.We don't have to pay attention to the lower limb extremities. The occlusion will not cause any possible lower limb ischemia.Select the correct answer16. To ensure the optimal setup and use of the iVAC 2L system, what additional materials must the hospital provide that are not included in the Pulsecath set? *The additional te_on styletIABP console, 0.035'' or 0.038'' super stiff guidewire, length 260cm, heparinized saline (2500IU in 500ml Saline), closure device for large bore access.iVAC 2L catheter with insertion set, membrane pump, catheter protector, extra PTFE catheter inner tubeSelect the correct answerNext17. When preparing the iVAC 2L system, what key aspects should we pay attention to? *Flush ALL the lines with heparinized saline and make sure the stopcocks are in the OPEN position.De-air the membrane pump by filling it completely with heparinized Saline and observe that the flexible membrane moves completely to the opposite side of the membrane pump.The iVAC 2L doesn't require any preparation as it comes packed for ready to use.When replacing the inner tube with the PTFE catheter inner tube, make sure the bi-directional valve is closed and is being protected when the tube is inserted.Select all the correct answers18. Which of the following pressure wave forms would you expect to see when the IABP diver is functioning correctly? *Item 1Item 2Select the correct answer19. After positioning the iVAC 2L tip in LV and the inner stylet is removed the catheter tip might be dislocated into a supraaortic position. Is it safe to push the catheter back in the LV immediately we notice? *Yes it is safe. The catheter can be pushed in the LV any time of the procedure.No, it is permitted to push the catheter in without being on the superstif guidewire placed in the LV. There is a high risk of damaging the aortic valve.Select the correct answer20. When the iVAC 2L catheter is placed in the LV and the PTFE catheter inner tube is removed, is it safe to reintroduce the inner stylet if needed? *Yes it is 100% safe.No, the inner tube or the guidewire should not be inserted again while the catheter is still in the patient. There is the risk of damaging the bidirectional valve. Remove the catheter, flush the catheter and lines with heparinized saline, reintroduce the PTFE inner tube while protecting the closed valve and reinsert over the superstiff guidewire.Select the correct answer21. What do you do when the catheter tip migrate out of the ventricle after insertion? *Advise the doctor that the based on our experience the catheter can be effectively used in the supra aortic position loosing only up to 15-20% of unloading capacity..Advise the doctor that he can choose to remove the catheter, flush it with heparinized saline and reintroduce with the help of the PTFE innertube and super stiff guidewire into the correct position.Select all the correct answers22. When weaning the patient off the device, what are important steps to follow? *When weaning the patient of the device, setup the IABP frequency to 1:2 and observe the patients haemodynamics.Disinfect and clean the device afterwards for reuse making use of alcohol containing fluids.When the patient is hemodynamically stable and no longer requires support, STOP the pump and remove the catheter.Pull the catheter out to the sheath, under fluoroscopy guidance without any force.Select all the correct answers23. Before removing the iVAC 2L catheter, teflon stylet and guide wire should be inserted. *TrueFalseIndicate True or False24. What does sharp peaks indicate on the balloon pressure waveform? What does sharp peaks indicate on the balloon pressure waveform? *Inflow obstruction, and incorrect position or bad timing.The bi-directional valve was damaged and the bloodflow is multidirectionalIt is fine, the IABP is pumping blood, not helium and it will give a sharp peak waveformTotal$0.00Submit
