When Should deflation of an intra-aortic balloon pump be timed?
Deflation should be set to occur near the end of diastole during isovolumetric contraction immediately before systole (4). Such determination of proper deflation timing is done by evaluating the assisted aortic end diastolic pressure to ensure that it is less than the unassisted aortic end diastolic pressure.
What does inflation of IABP do?
This inflation helps increase blood flow to the heart and the rest of the body. As your left ventricle is about to pump out blood, the balloon deflates. This deflation creates extra space in the aorta, allowing the heart to pump out more blood.
Does IABP increase afterload?
The IABP increases diastolic blood pressure, decreases afterload, decreases myocardial oxygen consumption, increases coronary artery perfusion, and modestly enhances cardiac output.
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.
Why Helium is used in IABP machine?
Helium is used to inflate the balloon as it is low density means there is little turbulent flow, so the balloon can inflate fast and deflate slowly. It is also relatively benign and eliminated quickly if there is a leak or rupture in the balloon.
Why is IABP contraindicated in aortic regurgitation?
Significant aortic regurgitation is considered a contraindication for the usage of an IABP, because inflation of the balloon during diastole increases the amount of blood regurgitating into the left ventricle.
Why is helium used in balloon pumps?
How does an intra aortic balloon pump reduce afterload?
The intra-aortic balloon, by inflating during diastole, displaces blood volume from the thoracic aorta. In systole, as the balloon rapidly deflates, this creates a dead space, effectively reducing afterload for myocardial ejection and improving forward flow from the left ventricle.
How do I verify my IABP placement?
In the operating room, we have to rely on anatomical landmarks for the proper positioning of the IABP catheter and this later is confirmed by doing a chest x-ray (CXR) or by transesophageal echocardiography (TEE).
Can you walk with an intra aortic balloon pump?
You will not be able to stand or walk around while the IABP is in place. Your healthcare provider will monitor you. He or she may turn the pump off for a short time to see how your heart responds.
How long can you live on a balloon pump?