OVERVIEW Intra-Aortic Balloon Pump (IABP) or intra-aortic counterpulsation device
INDICATIONS IABP is used as a supportive treatment tool in a clinical context that will improve (bridging therapy) due to recovery or treatment
Intra-Aortic Balloon Pumps have also been inserted as a last-ditch measure to stop haemorrhage from the aorta or its branches (e.g. massive GI haemorrhage) CONTRAINDICATIONS
DESCRIPTION The IABP has two parts:
Features
INSERTION Preparation
Method
Confirmation of position
USE Triggering and timing
Optimising performance
Efficiency is affected by
COMPLICATIONS During insertion
During use
During or after removal
OTHER INFORMATION Catheter types
Anticoagulation
Causes of decreased augmentation
Management of helium embolus
Weaning
Extracorporeal membrane oxygenation (ECMO)
EVIDENCE IABP for myocardial infarction, cardiogenic shock and coronary revascularisation
VIDEO Introduction to the IABP by CritIQ: Timing and triggering of the IABP by CritIQ: References and LinksLITFL Journal articles and textbooks
FOAM and web resources
Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. He is also a Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. After finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education. He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health. He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE. He created the ‘Critically Ill Airway’ course and teaches on numerous courses around the world. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of litfl.com, the RAGE podcast, the Resuscitology course, and the SMACC conference. His one great achievement is being the father of three amazing children. On Twitter, he is @precordialthump. | INTENSIVE | RAGE | Resuscitology | SMACC |