The balloon is set to inflate when the heart relaxes. Patients with end-stage cardiac disease should not be considered for IABP unless as a bridge to ventricular assist device or cardiac transplantation.
From there, the IABP can start to do its work. Patient position is an important consideration if the IABP is to be effective. Patel ND, Gruberg L.Intra-aortic Balloon Pumps: A Review for Healthcare Professionals
Executive Summary and Recommendations: High diastolic augmentation pressure is one of the indicators of effective IABP function. If you smoke, you should try to stop before your procedure.
It is contraindicated in patients with aortic regurgitation because it worsens the magnitude of regurgitation. The balloon deflates at the onset of LV systole and this corresponds to the peak of the R-wave.
One final consideration before initiating IABP therapy is the inclusion of an end point for therapy. The outer lumen of the catheter is used for delivery of gas to the balloon and the inner lumen can be used for monitoring systemic arterial pressure.
The head of your bed should be slightly elevated. Quaal S. Before your procedure, talk with your healthcare provider about all your concerns.
The IABP is effective because of the unique anatomy of the aortic valve cusps and their relationship to the origin of the two coronary arteries. All modern IABP consoles have gas leak detection capability, and the sudden loss of balloon pressure will trigger an automatic alarm and discontinue the pumping cycle. We provide high quality, individualized care for patients of all ages where you feel most comfortable — your home or community.
The catheter comes in three sizes 34cc, 40cc, 50cc and is selected according to the height of the patient.
Change of dressing is as per clinical need and hospital guidelines, aseptic technique must be employed to minimise the risk of infection.
Percutaneous femoral IABP device insertion is contraindicated in the presence of bilateral femoral—popliteal bypass grafts. Haemodynamic Monitoring: Early deflation: Apply for Admission M.
This is life-threatening complication of acute myocardial infarction, is characterized by low cardiac output, hypotension unresponsive to fluid administration, elevated filling pressures and tissue hypoperfusion leading to oliguria, hyperlactaemia, and altered mental status.
The second is the pump itself. Obtain a prescription for a daily chest X-ray.