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    Intra Aortic Balloon Pump (IABP) Basics

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    vamshidh
    The document discusses an Intra Aortic Balloon Pump (IABP), which is a circulatory assist device that supports the left ventricle. It is inserted via the femoral artery and positioned in the descending thoracic aorta. An IABP increases coronary perfusion and myocardial oxygen supply while decreasing myocardial oxygen demand and afterload through inflation and deflation timed to the cardiac cycle. Nursing considerations for IABP patients include monitoring cardiovascular, respiratory, renal and skin parameters as well as managing anticoagulation and potential complications like bleeding, infection and limb ischemia.

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    Intra Aortic Balloon Pump (IABP) Basics

    Uploaded by

    vamshidh
    484 views35 pages
    The document discusses an Intra Aortic Balloon Pump (IABP), which is a circulatory assist device that supports the left ventricle. It is inserted via the femoral artery and positioned in the descending thoracic aorta. An IABP increases coronary perfusion and myocardial oxygen supply while decreasing myocardial oxygen demand and afterload through inflation and deflation timed to the cardiac cycle. Nursing considerations for IABP patients include monitoring cardiovascular, respiratory, renal and skin parameters as well as managing anticoagulation and potential complications like bleeding, infection and limb ischemia.

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    The document discusses an Intra Aortic Balloon Pump (IABP), which is a circulatory assist device that supports the left ventricle. It is inserted via the femoral artery and positioned in the descending thoracic aorta. An IABP increases coronary perfusion and myocardial oxygen supply while decreasing myocardial oxygen demand and afterload through inflation and deflation timed to the cardiac cycle. Nursing considerations for IABP patients include monitoring cardiovascular, respiratory, renal and skin parameters as well as managing anticoagulation and potential complications like bleeding, infection and limb ischemia.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    484 views35 pages

    Intra Aortic Balloon Pump (IABP) Basics

    Uploaded by

    vamshidh
    The document discusses an Intra Aortic Balloon Pump (IABP), which is a circulatory assist device that supports the left ventricle. It is inserted via the femoral artery and positioned in the descending thoracic aorta. An IABP increases coronary perfusion and myocardial oxygen supply while decreasing myocardial oxygen demand and afterload through inflation and deflation timed to the cardiac cycle. Nursing considerations for IABP patients include monitoring cardiovascular, respiratory, renal and skin parameters as well as managing anticoagulation and potential complications like bleeding, infection and limb ischemia.

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    You are on page 1of 35
    At a glance
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    The key takeaways are that an IABP provides hemodynamic support by increasing coronary perfusion and myocardial oxygen supply while decreasing myocardial oxygen demand and workload.

    Early inflation of the IABP increases coronary perfusion.

    Early deflation (U shape) of the IABP increases myocardial workload, decreases stroke volume and cardiac output.

    Intra Aortic Balloon Pump (IABP)

    Basics & Nursing Considerations


    DR T VAMSHIDHAR
    DNB, CARDIOTHORACIC SURGERY
    Circulatory Assist device
    Supports Left Ventricle

    Indications
    Hemodynamic Support
    Stable angina
    Cardiogenic Shock
    Preop in high risk patients
    Mechanical complications post MI
    Without IABP

    With
    IABP
    Percutaneous insertion
    Femoral artery
    Positioned in descending
    thoracic aorta
    Tip distal to left
    subclavian artery
    Proximal to renal
    arteries
    Chest x ray. Tip between
    2nd rd intercostal space
    Size of IABP depends on patients height
    Inflation and deflation timed to cardiac cycle
    Gas used is helium
    IABP inflation occurs just after closure of
    aortic valve
    Without IABP

    With
    IABP
    Diastole Systole
    Increases coronary
    perfusion
    Increase myocardial oxygen
    supply
    Decreases myocardial
    oxygen demand
    Decreases myocardial work
    by reducing afterload
    Increases blood pressure
    Diastolic pressure Highest pressure
    recorded
    Balloon assisted systolic pressure lower
    than Non assisted systolic pressure
    (reduced afterload)
    Trigger
    ECG Using R wave on ECG
    Pressure arterial pressure form
    Pacer V/AV
    Pacer A
    Internal
    Contraindications
    Severe Aortic regurgitation
    Abdominal or Aortic Aneurysm
    Aorticdissection
    Severe Calcific aorto iliac disease
    Severe peripheral vascular diseases
    Complication Cause
    Limb Ischemia Femoral Artery Obstrucction, Thrombus
    Bleeding from insertion site Coagulopathy, Veessel damage, Patient
    movement
    Thrombo embolism If pump stops for long
    Thrombocytopenia Mechanical damage to platelets,
    Anticoagulation
    Balloon rupture Membrane Fatigue, Contact with calcific
    plaque
    Aortic dissection Friable aorta, Connective tissue disorders
    (Marfans)
    Compartment syndrome Limb Iscchemia

    Infection Failure to maintaain site asepsis

    Renal Failure Balloon moves distally


    Nursing Assessment
    Cardiovascular
    Respiratory
    Renal
    GastroIntestinal
    Skin
    CNS
    Cardiovascular
    Pulses, Systolic, Diastolic, MAP
    IABP wave form
    ECG leads secure/not
    ECG rhythm
    Therauptic anticoagulation
    Radial and pedal pulses hourly
    Respiratory
    Respiratory rate hourly
    Pulse oxymetry hourly
    Deep breathing exercise
    Supplemental oxygen
    Renal
    Urine output hourly
    Renal function daily (Serum Creatinine)
    GIT
    Diet and food intake
    Nutrition supplements
    Bowels Laxatives
    Skin
    Elevation 30 deg, Straight leg
    Pressure points
    IABP insertion site
    Hematoma/ Bleeding
    CNS
    Keep noise levels minimum
    Uninterrupted sleep
    Pain score
    Systole Diastole Systole

    Balloon
    Balloon deflates Balloon deflates
    Inflates

    Increases
    Coronary
    perfusion
    Assessment Question 1
    Ans : Early Inflation of IABP
    Systole Diastole Systole

    deflates Balloon Inflates Balloon deflates

    Increases Myocardial workload


    Decreases Stroke volume
    Decreases Cardiac output
    Assessment Question 2
    Ans : Early deflation (U shape)
    Systole Diastole Systole

    Balloon
    deflated deflated
    Inflated

    decreases
    Coronary
    perfusion
    Assesment Question 3
    Ans : Late Inflation
    Systole Diastole Systole

    Balloon
    Balloon deflates Balloon deflatd
    Inflated

    decreases
    Coronary
    perfusion
    Asessment Question 4
    Ans : Late deflation
    Systole Diastole Systole

    Balloon deflates Balloon Inflated deflates

    Increases afterload,
    Increases myocarial O2 consumption
    Increases cardiac workload
    Thank You

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