How is the IABP inserted?

How is the IABP inserted?

This device is inserted into the aorta, the body’s largest artery. It is a long, thin tube called a catheter with a balloon on the end of it. If you are hospitalized, your doctor may insert an IABP. Your doctor will numb an area of your leg and thread the IABP through the femoral artery in your leg into your aorta.

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.

Where should IABP be placed?

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.

When should I wean my IABP?

The weaning protocol was started when the cardiac index was greater than 2.5 L/min/m2, the central venous pressure was 12 mm Hg or less, the blood lactate was less than 2.5 mmol/L, the mean arterial pressure was greater than 65 mm Hg, and the preserved urine output (≥1 mL/kg/hr) lasted for at least 5 consecutive hours …

Why Helium is used in IABP?

Helium is used to inflate the balloon as its low density means there is little turbulent flow, so the balloon can inflate quickly and deflate slowly. It is also relatively benign and eliminated quickly if there is a leak or rupture in the balloon.

What should augmentation be on balloon pump?

Diastolic augmentation should be greater than the unassisted systole. IABP deflation occurs immediately before the aortic valve opens reducing both the assisted end-diastolic pressure and assisted systolic pressure. Assisted systolic pressure should be less than the unassisted systolic pressure.

Can you do CPR with an IABP?

IABP during CPR: The IABP does not need to be disconnected during defibrillation (but staff should be clear of the IABP and console). Set the IABP to pressure trigger as an arterial waveform should be generated during CPR.

What does IABP 1 1 mean?

The amount of aid a balloon pump provides can be quantified as a ratio of native beats to assisted beats. Full support is at a ratio of 1:1; that is, every beat is augmented by the IABP.

How long does it take to put in a balloon pump?

How long does this procedure take? The placement of the IABP takes about 30 minutes. The catheter and IABP are then left in place until no longer needed – usually a few days.

How do you calculate augmentation pressure?

The augmentation index is calculated as the difference between P2 and P1 (ΔP), expressed as a percentage of the pulse pressure (PP). Ejection duration was calculated as the time between the foot of the wave (TF) and the incisura, and TR is defined as the time between TF and the inflection point.

Can you draw blood from IABP?

Never power flush or draw blood from the IABP arterial line. If this is absolutely necessary, obtain an order from the provider. Always place the pump on standby while blood is drawn and line is flushed.

How much does IABP increase cardiac output?

The increase in cardiac output detected with intraaortic balloon treatment is between 0.5 and 1.0 l per minute.

What is the IABP class room in Arrow?

ARROW® IABP Class Room. This learning section provides a comprehensive overview of counterpulsation therapy and related equipment for clinicians who are new to Intra-aortic balloon pumping or those who desire a detailed overview. This track includes sections on indications for use, contraindications and complications associated with IABP therapy.

Where can I find more information about the IABP’s?

This section details preperation and insertion of the IABP- more information is available at the manufacturer’s website: A shout-out to Bill and Kim – who are in the lead role at this institution (in terms of managing the IABP’s as well as in-servicing the CCL staff).

What is included in the care of the IABP patient module?

This track includes sections on indications for use, contraindications and complications associated with IABP therapy. The Care of the IAB Patient module includes sections on nursing care, as well as timing and assessing timing of the IABP console. This opens in a new window.

What are the physiologic effects of IABP therapy?

The physiologic effects of IABP therapy are reviewed as related to correct and incorrect timing states. The three basic rules of correct timing are discussed based on the desired hemodynamic effects and the relationship with regular and irregular heart rhythms. Exercises are provided to practice timing assessment.