Intraaortic balloon pump counterpulsation and cerebral. The optimal weaning strategy for intraaortic balloon. Intraaortic balloon pump an overview sciencedirect topics. Maquet datascope cs300 service manual pdf download.
An intra aortic balloon pump, also known as an iabp, is used to help the heart to pump more blood around the body. Over 60 new safety reports filed with fda for maquet iabps. Aug 04, 2016 as early as the beginning of 1970s berger et al. Reports free fulltext intraaortic balloon pump for patients with. The intraaortic balloon pump iabp has emerged as the single most effective and widely used circulatory assist device for temporary mechanical assistance of the failing circulation. Intraaortic balloon pump overview litfl ccc equipment. The iabp inflates and deflates in the patients descending aorta allowing an increase in oxygen supply to the myocardium, decreases workload of the left ventricle and increases cardiac output and perfusion of the vital organs. Cardiogenic shock and intra aortic balloon pump by dr. Function and physiology the device is comprised of a catheter introduced via a femoral artery sheath, w. Intraaortic balloon counterpulsation getinge group. The datascope cs100 is a highly customizable balloon pump system that allows caregivers to deliver the best care in a variety of situations. The purpose of iabp is to increases the oxygen supply to allow the heart muscle to rest and improves perfusion to the coronary arteries. Theory program the program covers the historical, theoretical, and clinical considerations for patients receiving counterpulsation therapy.
Complications of heart failure type of use select one or both, as applicable prescription use part 21 cfr 801 subpart d overthecounter use 21 cfr 801 subpart c. Patient monitoring therapeutic surfaces mattresses healthcare it. Intraaortic balloon pump therapy johns hopkins medicine. Software solutions radiotherapy stereotactic radiosurgery. As a result, a second pressure wave is introduced in the. The balloon inflates during diastole, forcing blood toward the heart and increasing blood flow. Counterpulsation intraaortic balloon pump elearnings. Subclavian artery access for ambulatory balloon pump insertion. Papaioannou tg, mathioulakis ds, stamatelopoulos ks, et al. Technical knowhow of intra aortic balloon pumps used in angioplasty. Vascular complications of the intraaortic balloon pump in. What happens after intraaortic balloon pump therapy.
The basic components of the device are a catheter tipped with a balloon and a pump machine that inflates the balloon with either helium or carbon dioxide. Percutaneous placement of an intra aortic balloon pump in the left axillarysubclavian position provides safe, ambulatory longterm support as bridge to heart transplantation. Treatment with the intraaortic balloon pump iabp is the most common form of mechanical support for the failing heart. Intra aortic balloon pumps iabp are used in the intensive care setting to provide hemodynamic assistance to patients in cardiogenic shock. Javascript is required in order for our site to behave correctly. Cardiology in critical care intraaortic balloon pump iabp. The balloon inflates and deflates via counter pulsation, meaning it actively deflates in. An intra aortic balloon pump or iabp is an inflatable balloon that is surgically implanted into the aorta to help the heart pump blood to the body, and to improve blood flow to the coronary arteries. Counterpulsation and the iabp date back to 1952, when kantrowitz first described how to augment coronary blood flow using animal models 7. The ac3 optimus has a userfriendly design with an intuitive user. If you continue browsing the site, you agree to the use of cookies on this website. Intraaortic balloon pumps and ventricular assist devices. Specifically, it relies on the twin concept of diastolic augmentation and afterload reduction to facilitate the functioning of an ischemic and failing myocardium. Food and drug over 60 new safety reports filed with fda for maquet iabps turning off during use daic.
Augmentation of diastolic pressure during balloon inflation contributes to the coronary circulation and the presystolic deflation of the balloon reduces the resistance to systolic output. Intraaortic balloon counterpulsation clinical gate. Intra aortic balloon pump manufacturers in united states. Proactive counterpulsation technology featuring the unique wave algorithm. Preload refers to the amount of stretch on the ventricular myocardium prior to contraction. This allows caregivers to use the c100 to manually operate the pump, or set up the unit to offer automatic specialized therapy. Intraaortic balloon pump iabp iabp is a type of mechanical hemodynamic support and it is most widely used circulatory assist device. Percutaneous placement of an intraaortic balloon pump in the left. Impact of intraaortic balloon counterpulsation on prognosis of.
Iabp is used as a supportive treatment tool in a clinical context that will. Intra aortic balloon pumps are support devices with a balloon ranging from 2. Since then it has assumed a pivotal role in the treatment of those with heart failure and myocardial ischaemia and, according to reid and cottrell, 1 is the most widely used mechanical support. The autocat2wave iabp relies on a unique combination of fiberoptix sensor technology, aortic flow timing, proprietary wave software and the autopilot mode of operation to achieve its high level of performance even in patients with severe arrhythmias. The aorta is the artery leading away from the heart. The first and most widely utilized of the percutaneously placed cardiac assist devices, the intra aortic balloon pump iabp displaces blood from the descending aorta during diastole, resulting in altered myocardial mechanics during systole. The current practice of intraaortic balloon counterpulsation. The national centre of health statistics estimated that iabp was used in 42 000 patients in the. This chapter examines at the indications, setup, operation, maintenance, and troubleshooting for these devices. The intraaortic balloon pump iabp remains the most widely used circulatory assist device in critically ill cardiac patients 1. Vascular complications of the intraaortic balloon pump in patients undergoing open heart operations. Smartdraw includes s of professional healthcare and anatomy chart templates that you can modify and make your own. Intraaortic balloon pump iabp is a form of internal counterpulsation, acting as an assisting circulatory support device. Create healthcare diagrams like this example called intra aortic balloon pump in minutes with smartdraw.
Warnings, precautions and notes please read and adhere to the following list of warnings, precautions and notes. Continuing education cardiology intraaortic balloon pump. Table 462 contraindications to intraaortic balloon pump counterpulsation therapy. Classification of intraaortic balloon pump iabp devices. This interactive program is designed for health care professionals with experience in critical care and hemodynamic monitoring, who treat patients requiring intra aortic balloon pump counterpulsation. The intraaortic balloon pump iabp is a mechanical device that increases myocardial oxygen perfusion and indirectly increases cardiac output through afterload reduction. The intra aortic balloon pump, also called the balloon pump, is a machine that helps the heart pump blood throughout the body. Decreased urine output after the insertion of iabp can occur because of juxtarenal balloon positioning. List steps to initiate intra aortic balloon pump therapy using the autocat2 series iab pump. By raising diastolic perfusion pressure, the iabp has the potential to augment coronary flow. The teleflex arrow ac3 optimus intra aortic balloon pump has a fast startup time. The primary goal of intra aortic balloon pump iabp treatment is to increase myocardial oxygen supply and decrease myocardial oxygen demand.
Intraaortic balloon pump article about intraaortic. This device is used in both intensive and coronary care units. Fluidfilled transducers used to measure the aortic waveform can be unreliable and inconsistent. Setup is easy and guided by visual prompts on a large highresolution touchscreen display. Intraaortic balloon pumps cardiovascular buyers guide. As the iabp inflates and deflates it allows an increase in oxygen. Nov 02, 2011 the transthoracic intra aortic balloon pump insertion is said to be associated with a decreased rate of vascular complications of the lower extremes. This has been used as the basis for the speculation that following a treatment with an intra aortic balloon, there is high morbidity when placing a balloon percutaneously. The balloons are manufactured in sizes between 20 and 50 cc. The most common devices used to support these patients until recovery or heart transplantation are an intra aortic balloon pump or a ventricular assist device.
The intraaortic balloon pump iabp is a form of mechanical circulatory support used in cardiogenic shock, facilitating separation from cardiopulmonary bypass, percutaneous coronary interventions, unstable angina, and in thrombolytic therapy following a. The intraaortic balloon is placed within the descending aorta. Intraaortic balloon pump aortic pressure curve youtube. Basic principles of the intraaortic balloon pump and.
Intraaortic balloon pump iabp technology offers these patients and the cardiac team an easily accessible, costeffective, mechanical assist device. Teleflex arrow ac3 optimus iabp intraaortic balloon pump. Counterpulsation intra aortic balloon pump elearnings. Intra aortic balloon counterpulsation learning package. Learning objectivesmethods of certification the nurse must obtain the theoretical background necessary to care for a patient with an iabp through a variety of mechanisms. The intra aortic balloon pump needs to protect against disconnection and catheter displacement during transport. Getting in sync with intraaortic balloon pump therapy article. It consists of a cylindrical polyurethane balloon that sits in the aorta, approximately 2 centimeters from the left subclavian artery. The group of patients in whom iabp is deemed beneficial following unsuccessful separation off the cardiopulmonary bypass. New aspects on the role of blood pressure and arterial stiffness on mechanical assistance by intra aortic balloon pump. Learn vocabulary, terms, and more with flashcards, games, and other study tools.
Beattobeat effects of intra aortic balloon pump timing on left ventricular performance in patients with low ejection fraction. Basic principles of the intraaortic balloon pump and mechani. Air transport of the iabpdependent patient creates unique clinical, logistical, and technical challenges. Jan 11, 2012 introduction to the intra aortic balloom pump and its associated aortic pressure curve.
The iabp consists of a thin, flexible tube called a catheter. I ntraaortic balloon pump iabp counterpulsation has emerged as one of the most effective and most frequently employed methods of mechanical circulatory support. When intraaortic counterpulsation therapy is being considered, the risks and benefits of this modality must be individually assessed for each patient table 462. Intraaortic balloon pump iabp therapy was first introduced in the 1960s for the treatment of cardiogenic shock. This registry provides a useful tool for monitoring the evolving practice of iabp. Epi info version 6 software center for disease control and prevention, atlanta, ga and world health organi. Find out information about intra aortic balloon pump. The intraaortic balloon pump is a mechanical device that increases myocardial oxygen perfusion and indirectly increases cardiac output through afterload reduction. It is a device used to increase the blood to the heart. An intraaortic balloon pump, or iabp, is a long, skinny balloon that controls the flow of blood through your largest blood vessel, the aorta.
Haemolysis from mechanical damage to red blood cells can reduce the haematocrit by up to 5%. It also improves the delivery of oxygen to the heart. Inaccurate co measurements can be caused by intra aortic balloon pumps iabp. An intra aortic balloon pump, or iabp, is a long, skinny balloon that controls the flow of blood through your largest blood vessel, the aorta. An intraaortic balloon pump iabp is a type of therapeutic device. Intra aortic balloon pump iabp technology offers these patients and the cardiac team an easily accessible, costeffective, mechanical assist device. Intraaortic balloon pump counterpulsation anesthesia key. Treatment with intraaortic balloon counterpulsation has been used for more than 30 years. A slender polyurethane balloon mounted on a catheter is placed in the descending thoracic aorta with tip just distal to origin of left subclavian artery. Diastolic augmentation during inflation potentially contributes to coronary, cerebral, and systemic circulation. The flotrac system is dependent upon good intra arterial pressure monitoring practices. The program covers the historical, theoretical, and clinical considerations for patients receiving counterpulsation therapy.
May 28, 2017 the intra aortic balloon pump iabp is a form of mechanical circulatory support used in cardiogenic shock, facilitating separation from cardiopulmonary bypass, percutaneous coronary interventions, unstable angina, and in thrombolytic therapy following a myocardial infarction. Management of intraaortic balloon pumps christopher a. You may need it if your heart is unable to pump enough blood for your body. Also the different various medical equipment like patient monitors, pulse oximeters, sphygmomanometers, electroencephalography, electromyography, electrocardiography along with machinery like ct, pet and mri, ventilators. Continuing education cardiology intraaortic balloon. The intraaortic balloon pump, also called the balloon pump, is a machine that helps the heart pump blood throughout the body.
It should be strong enough to handle mechanical shocks it may encounter during transport. An intra aortic balloon pump iabp is a type of therapeutic device. Fiberoptic intraaortic balloon therapy and its role. Automatic and manual timing adjustments should be offered by the intra aortic balloon pump.
Schreuder was formerly a paid consultant of the study sponsor. Starlings law increase of volume in the ventricle at the end of d. There are software algorithms that can regulate the pump, which means that less staff time is required to supervise its use. Intraaortic balloon pump iabp iabp manufactoring companies. What is the definition of intraaortic balloon pump assist. The intra aortic balloon pump iabp is a mechanical device that increases myocardial oxygen perfusion and indirectly increases cardiac output through afterload reduction. It consists of a cylindrical polyurethane balloon that sits in the aorta, approximately 2 centimeters 0. A flexible catheter with one lumen that allows for either distal aspirationflushing or pressure monitoring and a second that permits the periodic delivery and removal of helium gas to a closed balloon. Intraaortic balloon pump definition of intraaortic. Iabp a mechanical aid to the circulatory function of the heart that acts to provide internal counterpulsation. When the heart is at rest diastole, the balloon inflates, helping the blood to flow through the coronary arteries to the heart muscle. Principles of intraaortic balloon pump counterpulsation. Intraaortic balloon counterpulsation therapy has been the firstline strategy for. The ac3 optimus can easily deliver advanced iabp support to even the most compromised patients.
Intra aortic balloon pumpp, ecmo details with pictures. Intraaortic balloon pump iabp or intraaortic counterpulsation. Iabp therapy is frequently referred to as counterpulsation because the balloon inflation occurs during diastole and balloon deflation occurs during systole. Intraaortic balloon counterpulsation iabp is the main circulatory assist device used in highrisk pci. The intraaortic balloon pump iabp is widely used to provide circulatory. Evaluating clinical data and economic impact of cardiac. The autocat2wave iabp relies on a unique combination of fiberoptix. Prepared for the december 5, 2012 meeting of the circulatory system devices panel. Mansi bhardwaj associate senior executive info edge. Diagnostic and interventional cardiology daic,baxter international inc,ceremed, inc. Principles of intra aortic balloon pump counterpulsation murli krishna mbbs frca ffpmrca kai zacharowski md phd frca intra aortic balloon pump iabp remains the most widely used circulatory assist device in critically ill patients with cardiac disease. Principles of intraaortic balloon pump counterpulsation murli krishna mbbs frca ffpmrca kai zacharowski md phd frca intra aortic balloon pump iabp remains the most widely used circulatory assist device in critically ill patients with cardiac disease. Timing and triggering of the intra aortic balloon pump iabp duration.
Mar 09, 2008 this presentation provides a brief overview of the intra aortic balloon pump. Counterpulsation intraaortic balloon pump elearnings intraaortic balloon counterpulsation therapy. Beattobeat effects of intraaortic balloon pump timing on left ventricular performance in patients with low ejection fraction. The ac3 series iabp intraaortic balloon pump system is clinically indicated for the following conditions. November 19, 2019 since maquetdatascope first recalled all of its intra aortic balloon pumps iabp due to reports of the batteries failing in november 2018, a year later the u. Intraaortic balloon pump counterpulsation iabp is one type of mechanical hemodynamic support, and it has emerged as the single most widely used circulatory as it seems to us that you have your javascript disabled on your browser. This interactive program is designed for health care professionals with experience in critical care and hemodynamic monitoring, who treat patients requiring intraaortic balloon pump counterpulsation. Foreword introduction foreword this manual is intended to provide information required to properly service the datascope cs300 intra aortic balloon pump. Products jnc international limited medical equipment. This presentation provides a brief overview of the intraaortic balloon pump. Fiberoptic intraaortic balloon therapy and its role within. Intraaortic balloon pump i ohio state medical center.
Promote physical comfort a administer analgesics and sedatives as needed b position for comfort. The intra aortic balloon pump iabp has evolved into an easily transported, computerdriven device for invasively assisting circulation. Intraaortic balloon pumps iabps continue to be the most widely used cardiac support devices with an annual estimate of 200 000 iabps. Survival flight balloon pump basics part 1 youtube. Invitro data and their application in clinical practice. The balloon was connected to a datascope system 97 console maquetdatascope corp, fair. Intraaortic balloon pump radiology reference article. This pushes blood through the arteries and supplies the heart muscle with more oxygen and blood. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. An intraaortic balloon pump is one of the most valuable tools in the cardiac. Cerebral blood flow was measured using transcranial doppler, in a convenience sample of twenty patients requiring balloon counterpulsation for refractory cardiogenic shock n 7 or a single inotrope to maintain mean arterial pressure following an elective placement of an intra aortic balloon pump for cardiac surgery n. Intra aortic balloon pumps iabp aim to provide transient support of left ventricular function in cases of failure during an ischemic or nonischemic insult.