Handsearching included the annual conference proceedings of. The intra aortic balloon pump iabp employs a balloon tipped catheter and a process called counterpulsation to temporarily support coronary and systemic perfusion in patients with severe cardiac disease e. Guidelines for management of the intraaortic balloon pump. Intraaortic balloon pump counterpulsation iabp for. Decreased urine output after the insertion of iabp can occur because of juxtarenal balloon positioning. Testing their pump on a canine aorta, the investiga tors concluded that it was possible to in crease the diastolic blood flow in the arteri al system and to reduce. Intraaortic balloon pump iabp is often used in patients who undergo high risk percutaneous coronary intervention pci. Haemolysis from mechanical damage to red blood cells can reduce the haematocrit by up to 5%. Use of intraaortic balloon pump iabp ejournal unair. The dicrotic notch on the arterial waveform indicates the point of balloon inflation.
Haemodynamic effects of the use of the intraaortic balloon pump. To outline the nursing management of patients requiring an intra aortic balloon pump iabp. Intraaortic balloon pump does not influence cerebral. An intra aortic balloon pump iabp is a type of therapeutic device. A userfriendly design, intuitive interface, and stateoftheart autopilot mode makes it incredibly simple to use. You may need it if your heart is unable to pump enough blood for your body. The catheter is typically inserted into the femoral artery, threaded. An intraaortic balloon pump iabp is a biomedical device that can assist the heart during unstable angina or after a heart attack. Intraaortic balloon pump for patients with cardiac conditions mdpi.
National research register mrtarchived 2000 to 2007. The balloon rapidly inflates during the isometric or isovolumetric relaxation phase, the onset of diastole. This aims to improve myocardial oxygenation, increase cardiac output and organ perfusion with a reduction in left ventricular workload. Intra aortic balloon counterpulsation learning package. Attached to the tip of the catheter is a long balloon. Guidelines for management of the intra aortic balloon pump purpose. The primary goal of intra aortic balloon pump iabp treatment is to increase myocardial oxygen supply and decrease myocardial oxygen demand. With a highlyadvanced software platform and proprietary suite of algorithms, the ac3 optimus intra aortic balloon pump delivers outstanding hemodynamic support across a wide range of patient conditions. Intraaortic balloon pump iabp counterpulsation is the most widely used mechanical circulatory support device because of its ease of use, low complication. Pci risiko tinggi, iabp, intraaortic counterpulsation. Intra aortic balloon pump iabp or intra aortic counterpulsation device. The ac3 optimus intraaortic balloon pump is up and running with the push of a button.
Principles of intraaortic balloon pump counterpulsation. Set up is fast and easy, guided by visual prompts on the large. Balloon inflation forces blood into the coronary arteries. This guideline will cover assessment, monitoring, and. Pdf intraaortic balloon pump rupture and entrapment. Heart decompensation heart failure iabp intraaortic balloon pumping counterpulsation assisted circulation weaning cardiac output, low. Intraaortic balloon pump overview litfl ccc equipment. Intra aortic balloon pump is used frequently to support a failing myocardium in cardiac patients.
Wed like to understand how you use our websites in order to improve them. The intraaortic balloon pump iabp, first used by kantrowitz in 1967 in a patient with cardiogenic shock, provides mechanical cardiac support via insertion of an. Intraaortic balloon pump therapy johns hopkins medicine. An intra aortic balloon pump reduces left ventricular work and increases myocardial perfusion.
Due to the invasive nature of this device, usage is accompanied by consistent risk of complications. What is involved in management of a patient with an intra. The iabp consists of a thin, flexible tube called a catheter. Usefulness of intraaortic balloon pump counterpulsation anmco. The following guidelines have been prepared to establish a quick reference guide for the safe and effective use of iabp therapy.139 588 237 442 624 1177 1081 518 1608 1411 1207 1496 736 858 497 69 1096 432 1615 423 896 1118 1349 68 1011 108 64