Intra-Aortic Balloon Pump (IABP) – Mechanism, Indications & Troubleshooting | Dr. Swati Singh
Learn Anaesthesia_Dr. Swati
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Intra-Aortic Balloon Pump (IABP) – Mechanism, Indications & Troubleshooting | Dr. Swati Singh
4 851 просмотр · 1 г. назад
Learn Anaesthesia_Dr. Swati
14,6 тыс. подписчиков
4 851 просмотр · 1 г. назад
Intra-aortic balloon counterpulsation (IABP) is a mechanical circulatory support device used in critical care and cardiac settings to enhance myocardial oxygen supply and reduce the workload of the heart. It plays a crucial role in managing patients with severe cardiac dysfunction, especially in conditions like cardiogenic shock, acute heart failure, and high-risk cardiac surgeries.
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What We’ll Cover in This Video:
1. How Does Intra-Aortic Balloon Pump (IABP) Work?
The IABP consists of a helium-filled balloon positioned in the descending thoracic aorta.
The device functions through counterpulsation, meaning it inflates and deflates in synchronization with the cardiac cycle to assist the heart.
During diastole – The balloon inflates, increasing coronary artery perfusion and improving myocardial oxygen supply.
2. Indications for Intra-Aortic Balloon Pump (IABP) Therapy
Cardiogenic shock following myocardial infarction (MI)
High-risk percutaneous coronary intervention (PCI) support
Acute left ventricular failure with hemodynamic instability
Post-cardiotomy low cardiac output syndrome
3. Troubleshooting in IABP – Common Issues & Solutions
Balloon Catheter Malposition:
Signs: Diminished augmentation, limb ischemia, ineffective hemodynamic response
Solution: Repositioning under fluoroscopy or ultrasound guidance
Timing Issues (Early or Late Inflation/Deflation):
Signs: Worsened hemodynamics, inadequate support, increased myocardial oxygen demand
Solution: Adjust timing settings based on arterial pressure waveform analysis
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