Dr A Ruthven – Version 1.2 – November 2021
Page 1 of 2
For the initial set-up of the ambIT PIB-PCA pump. For pump management see the
ambIT WARD guide.
For pump assistance contact the pain team (bleep 5247 RIE / 3934 SJH) or on-call anaesthetist (bleep 2140
RIE / 3948 SJH) out of hours.
See NHS Lothian Clinical Companion App (RIE Anaesthesia – Department Guidelines – Regional) for:
•
Video tutorials demonstrating pump setup and operation (very useful if pump if unfamiliar with pump).
•
PDF versions of this guide and the ward guide.
•
Link to manufacturer’s manual.
The ambIT app (search app store for ‘ambIT Pump Training’) is also useful for learning pump setup.
YOU NEED
1. ambIT pump
2. 2 x new AA batteries
3. ambIT cassette (giving set)
4. Black carry bag
5. A bag of local anaesthetic, at least 200ml in volume:
a. First choice 200ml 0.125% levobupivacaine
b. Second choice 250ml 0.125% bupivacaine
6. Prescription chart, depending on type of catheter (
peripheral nerve
or
fascial plane / wound
)
PRIMING THE CASSETTE
1. Remove orange protective cover from bottom of cassette & keep to one side.
2. Spike bag of local anaesthetic with cassette tubing and check clamp open.
Spiking requires sustained force & twisting motion – ensure spike inserted to the hilt (see figure 1).
3. To remove air and prime the system, invert bag of local anaesthetic so tubing is uppermost and manually
squeeze bag to force air then fluid through to end of tubing (see figure 2).
If air cannot be squeezed through tubing, the spike is not inserted far enough into the bag (see figure 1).
4. Push the cassette disc down on all sides so it clicks (see figure 3).
5. Snap off wings from orange protective cover & use it to wind cassette disc anti-clockwise until the silver
dot makes one full revolution (see figure 4). Now discard the protective cover.
Note the orange cover has a large hole and a small hole – engage the small hole with the cassette pin.
6. Attach the cassette to the top of the pump by snapping it into place – it will only fit one way.
FIGURE
1
silver dot
wind orange cover
anticlockwise until dot
makes 1 full revolution
FIGURE
4
FIGURE
3
orange
protective
cover
cassette disc
FIGURE
2
ambIT
SET-UP
guide
RIE / SJH
