The patient was admitted approximately one month ago and stayed in hospital for seven days.The plan was to transfer her to another hospital for intervention.Per md notes prior to transfer: status postintra-aortic balloon pump ppd 1.Status post left hear catheterization with mid left anterior descending 70% stenosis ppd1.Secondary pulmonary hypertension group 2 (mitral valve) and group 3 (copd) with pulmonary edema 2/2 severe mitral regurgitation; pulmonary artery systolic pressure (pasp) 80mmhg.Possible infective endocarditis vs fat pad seen on transesophageal echocardiography (tee).Cardiogenic shock 2/2 severe mitral regurgitation; tte with ejection fraction (ef) 60-65% status post cardiac arrest, epinephrine x 1 with return of spontaneous circulation (rosc).Ventilator-dependent respiratory failure status post arrest.Copd.Approximately three weeks ago patient was transported to another hospital.Balloon pump shut down during transport as team was walking through er to patient room.Per report: no battery life at all.Pump was continuously plugged in prior to transport.Patient was not affected & bp remained stable.Team was able to hook up patient to receiving hospital's iabp.Manufacturer response for intra-aortic balloon pump, (brand not provided) (per site reporter): clinical engineering waiting for parts from manufacturer.
|