Description of Event or Problem · 1
PT RECEIVED A CABG BY DR AT (B)(6) 2021. HE HAD TO BE PLACED ON TO BYPASS TWICE DURING THE SURGERY AND WAS BROUGHT OUT TO THE CTICU WITH A BALLOON PUMP (IABP) AT 1400. AT 2245, THE IABP BEGAN ALARMING HELIUM LOSS. THE IABP ENGINEER AND CT SURGERY ON CALL WERE AT THE BEDSIDE AT 2249. THE BALLOON WAS PULLED OUT OF THE PATIENT AT 2300 BY DR AFTER DISCOVERING THAT THE BALLOON HAD RUPTURED. DR WAS NOTIFIED. AT 0000 ON (B)(6) 2021, IT WAS DISCOVERED THAT THE PATIENT'S PUPILS WERE SLUGGISH AND PATIENT WAS NOT RESPONDING TO DEEP DISTAL STIMULATION. DR WAS AWARE. PATIENT WENT FOR MULTIPLE CT SCANS AT 0125 AND 0540. NEUROLOGY WAS CONSULTED AFTER THE FIRST SCAN WAS CONCERNING FOR AIR EMBOLI, THROMBUS, AND STROKE. AT 0851 THE PATIENT'S PUPILS WERE NONREACTIVE. THE PATIENT'S FAMILY WAS CALLED IN AND THE PATIENT WAS MADE CMO. FDA SAFETY REPORT ID#: (B)(4).