Intraaortic balloon pump

Description

Intra-aortic balloon counterpulsation is the most widely used therapy for support of  compromised left ventricle. The principles of counterpulsation were developed in the 1950s, and intra-aortic balloon pumps have been used for more than 60 years. Understanding the basic principles, physiological effects, appropriate set-up and potential complications of the IABP are essential for improving patient outcomes.Despite this long-standing clinical use, many of the timing practices have continued almost unchanged from their inception. The principles of timing are based on the physiological objectives of counterpulsation. Clinicians can be confident that the practice of inflation timing at or slightly before the dicrotic notch  is appropriate, but deflation timing must be selected on the basis of both the goals of IABP therapy and the hemodynamic results. Advances in technology, including percutaneous insertion, smaller diameter catheters, sheathless insertion techniques, and enhanced automation, have permitted the use of counterpulsation in a variety of settings, with greater efficacy and safety. This presentation  will highlight various parts of IABP,equipments used including balloon,techniques for insertion,timing of IABP and operating instructions.