Datascope Console and Unit Setup Setup from the OR / Cath Lab ...

Intra Aortic Balloon Pump Module 2:
Datascope Console and Unit Setup
• In this module we will look specifically at the
Datascope cs100, the console that we use with
our IABP.
• You need to know and feel comfortable with the
IAB and can make changes on the console when
required but remember the perfusionists are there
as expert backup.
• If you want to see a video about insertion of the
IAB click this web link
http://www.datascope.com/ca/ed_materials_video_insertion_removal.html
Setup from the OR / Cath Lab
Console
• When the patient arrives in the unit the IAB will be
triggering from either ECG leads that are
connected to the console or from the pressure
tracing.
• Once the patient is ready to be settled, the console
needs to be slaved by the use of ‘slave cables’ …
there will be two, one for the ECG and one for the
arterial tracing.
• The arterial tracing that should be monitored on
the bedside monitor and the console is the
pressure from the central lumen of the IAB.
• If you have another arterial line it can be monitored
as ‘ABP’ on the bedside monitor

Setup from the OR / Cath Lab
• That central lumen tracing is
then ‘slaved’ to the console with
cables from the monitor to the
back of the console
• You can check how the console
is set up by going to ‘ECG/AP’
… it should be on ‘External’
• Once the cables are
connected, ‘ZERO’ both
the art line to the monitor
and the console.
Triggering
• If in auto mode, the console will
choose the most appropriate
trigger.
• If in semi-auto mode, the operator
will choose the best trigger.
• Generally we choose ECG.
• If you are traveling with the IAB,
attach the arterial line transducer
to the console and trigger from
‘pressure’
Frequency
• Frequency relates to the ratio of
cardiac cycles that assisted with
counterpulsation and is referred to as a
ratio.
• The ratio is ordered by the MD.
Augmentation
• Augmentation refers to the amount of
helium that is filling the balloon and
the tubing.
• Generally for an average sized
patient it is a 40cc balloon.
• You can wean the IAB by decreasing
the amount of helium but it is unusual
to do so.
• If you did decrease augmentation,
you must never go below 5 of the
bars that light up to indicate how full
the balloon is.

Adjusting Inflation and Deflation
• Inflation and deflation is adjusted with the
directional buttons in conjunction with looking at
the arterial waveform and watching the systolic
and diastolic numbers. (see module 1 to learn
what waveforms and numbers you are looking
for).
Alarm Mute
• The console has a couple of different
alarms depending on the problem.
• The alarm mute will mute the alarm
but of course not solve the problem.
• When there is an alarm, you can press
the help button and a series of
‘suggestion’ to solve the issue will pop
up.
Menu
• The menu navigation bar allows you to scroll
through a series of tools on the console.
• Press the ‘button’ you want … say the reference
line … and then use the arrows to move the line
up and down on the screen.
• Only one ‘button’ can be activated at a time.
• The balloon interval button allows you to
see where on the arterial waveform the
console is going to inflate and deflate
the balloon. It works in standby mode.
• You can freeze the waveform display,
but the balloon will continue to
counterpulsate and the systolic and
diastole numbers will change.
• The print strip button allows you print
strips of ECG and arterial waveforms
along with the hemodynamic numbers.

The Screen
• The top line of the screen will look at the ECG …
it could be from electrodes on the patient chest if
they have just been transported or more likely
slaved from the bedside monitor.
• The trigger source will also bee indicated along
with the heart rate.
Arterial Waveform
• The next line is the arterial waveform
• This should be the arterial waveform from the
central lumen of the IAB most likely slaved from the
bedside monitor (external) but could be directly
inputted from the transducer if the patient is to
travel.
• The systolic and diastolic measurements are
provided; if the IAB is on 1:2 the unassisted and
assisted measurements will also be displayed.
Arterial Waveform
• It is important when documenting pressures and
weaning drugs that the ‘numbers’ used be the
hemodynamic values on the balloon console.
• You will recall that the blood pressure values
displayed on the bedside monitor give you the
numbers related to the highest and lowest points of
the arterial waveform.
• The problem with this is that the tallest point of the IAB
waveform is diastolic augmentation not systole, so the
‘numbers’ are not truly reflective of all that is going on.
• The values on the balloon console take diastolic
augmentation into consideration when producing
values for systole, diastole and mean arterial pressure
and are therefore more ‘clinically real’ values

Mean Arterial Pressure
• The MAP provided by the IAB console takes into
account the waveform produced by diastolic
augmentation when it is calculated so will be more
accurate than the MAP from the bedside monitor.
‘AUG’
• The ‘AUG’ on the screen stands for diastolic
augmentation and the reading provided is the highest
point on the diastolic augmentation waveform.
• Below this is the augmentation alarm, the only alarm
on the console that allows you to set an alarm for a
specific pressure. The alarm value is set using the
‘MENU’ tool.
• This alarm is handy to have on as it will alert you to
lowering augmentation which is often a sign of
decreasing overall pressure and volume status.
Helium Tank
• The little helium tank picture at the bottom of the
screen will let you know how much helium is
remaining in the tank attached to the console.
• It takes along time to deplete the tank so we only
worry when there is under a ¼ of a tank remaining.
• The tanks are kept in the perfusion office and they
or the educator can change the tank for you.
• Check the tank level on Friday before perfusion
goes home!!
The Balloon Pressure Waveform
• The balloon pressure waveform indicates how well
or not well the balloon is filling with helium …
• Normal should look something like this:
Call perfusion
if it around this
point

Balloon waveform changes you may see …
Need to read more …
• Want to read more You have a couple of options:
• The red binder in the unit has more info
• You can click on the following links to read the
Datascope information packages and see the
elearning they have available.
Abbreviated operators manual:
Datascope Elearning
Pre Inservice self study
http://www.datascope.com/ca/pdf/cs100_aog_en.pdf
http://www.datascope.com/ca/elearning_programs.html
http://www.datascope.com/ca/pdf/Pre-inservice_self_study_guide.pdf
Datascope seminar notes
http://www.datascope.com/ca/pdf/CS100_6_hour_Sem_Managing_IABP_Therapy.pdf