What is IABP counterpulsation?
Overview. Intra-aortic balloon counterpulsation is a method of temporary mechanical circulatory support that attempts to create more favorable balance of myocardial oxygen supply and demand by using the concepts of systolic unloading and diastolic augmentation.
How does intra-aortic balloon pump work?
The IABP is placed inside your aorta, the artery that takes blood from the heart to the rest of the body. The balloon on the end of the catheter inflates and deflates with the rhythm of your heart. This helps your heart pump blood to the body.
How long can an intra-aortic balloon pump stay in?
The catheter connects to a computer that controls the rate of inflation and deflation. While most patients only use the IABP for a few days, it can stay in place for up to a month.
What is the most common insertion site for IABP?
The femoral artery, axillary artery, and subclavian artery are the main approaches to IABP catheter placement.
How do you remove IABP balloons?
The pump’s balloon is deflated by aspiration using a 20ml syringe, which is attached to the balloon’s inflation port. Surgeons will let the access area (the artery where the catheter is inserted) bleed to remove any blood clots that have developed during the procedure.
How do you flush an IABP?
The IABP may be flushed using pigtail on the transducer or power flushed only when pump is on standby. decrease augmentation to 50%. Do Not turn off the pump. The balloon will inflate and deflate in sync with compressions.
How do I install IABP?
An IABP is attached to a tube called a catheter. Your doctor will put the catheter and balloon into an artery in one of your legs and use an X-ray camera to move it up to your aorta. The device is hooked up to a machine that tells the balloon when to get bigger and when to get smaller.
Does IABP increase blood pressure?
The IABP increases diastolic blood pressure, decreases afterload, decreases myocardial oxygen consumption, increases coronary artery perfusion, and modestly enhances cardiac output. The IABP also provides modest ventricular unloading while also increasing mean arterial pressure and coronary blood flow.
How is an IABP removed?
How do you install a balloon pump?
The balloon is inserted into your aorta. The aorta is the very large artery leaving your heart. In many cases, this procedure is done through a small cut on the inside of your upper leg. Your healthcare provider will insert the balloon pump catheter into an artery in your leg.
How is a balloon pump removed?
The pump’s balloon is deflated by aspiration using a 20ml syringe, which is attached to the balloon’s inflation port. Surgeons will let the access area (the artery where the catheter is inserted) bleed to remove any blood clots that have developed during the procedure. Pulse is observed to make sure that it is stable.
How do I check my IABP placement?
The balloon should be located in the proximal descending aorta, just below the origin of the left subclavian artery. On a chest radiograph, it should be at the level of the AP window. This ideally results in the balloon terminating just above the splanchnic vessels 3.
Can you draw blood from IABP?
Never power flush or draw blood from the IABP arterial line.
How is a heart pump inserted?
The main pump is inserted into the tip of the heart. The blood is pumped out through a flexible plastic tube to the body’s main artery (aorta). The aorta sends blood to the rest of the body. A cord inserted through the skin connects the mechanical pump to a control unit (controller) and battery pack outside your body.
How should I prepare for IABP?
Preparing the IABP Aspirate 30cc to ensure IABP is collapsed- DO NOT remove one-way valve! Place stopcock on luer port and flush with 3-5 cc NSS. DO NOT allow air to enter!
How do I monitor IABP?
Assessment and Monitoring: the IABP console hourly. Use MAP on IABP to titrate drips. Print the EKG strip from the IABP and mount on the back of the flowsheet Q12 hours. refill) Q15minutes x 1 hr, then hourly.
How is an intra aortic balloon pump removed?
How do I install an IABP?
In many cases, this procedure is done through a small cut on the inside of your upper leg. Your healthcare provider will insert the balloon pump catheter into an artery in your leg. He or she will then guide it to your aorta. From there, the IABP can start to do its work.
What is intra aortic balloon?
Heart failure
What is an intra aortic balloon pump used for?
An intra-aortic balloon pump is a short-term catheter solution to help the heart pump blood. IABPs are used to increase blood flow through the coronary arteries and reduce the heart’s workload by decreasing the afterload.
What does intra-aortic balloon pumping mean?
An intra-aortic balloon pump (IABP) is a type of therapeutic device. It helps your heart pump more blood. You may need it if your heart is unable to pump enough blood for your body. The IABP consists of a thin, flexible tube called a catheter. Attached to the tip of the catheter is a long balloon. This is called an intra-aortic balloon, or IAB.
When does the intra- aortic balloon pump inflate?
Intra-Aortic Balloon Pump (IABP) or intra-aortic counterpulsation device. the balloon is inflated during diastole to increase coronary perfusion and then deflated during systole to decrease afterload. This aims to improve myocardial oxygenation, increase cardiac output and organ perfusion with a reduction in left ventricular workload.