Intra Aortic Balloon Pump (IABP): Past, Present and Future
Intra Aortic Balloon Pump (IABP) is the most commonly used mechanical circulatory assist device in cardiac patients. IABP can improve ventricular function by decreasing the preload and increasing systolic output with signifi-cant improvement in myocardial oxygen supply/demand ratio. Pre-operative IA...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2008-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2008;volume=52;issue=4;spage=387;epage=387;aulast=Dedhia |
| _version_ | 1829112938779115520 |
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| author | Jatin D Dedhia Kotemane R Naren Chakravarthy Aamer B Ahmed |
| author_facet | Jatin D Dedhia Kotemane R Naren Chakravarthy Aamer B Ahmed |
| author_sort | Jatin D Dedhia |
| collection | DOAJ |
| description | Intra Aortic Balloon Pump (IABP) is the most commonly used mechanical circulatory assist device in cardiac patients. IABP can improve ventricular function by decreasing the preload and increasing systolic output with signifi-cant improvement in myocardial oxygen supply/demand ratio. Pre-operative IABP therapy in ′high-risk′ coronary patients has been shown to reduce hospital mortality and shorten ICU stay significantly, compared with controls. The introduction of sheathless insertion kits has reduced the incidence of vascular complication rates. Pro-Active Counter Pulsation is a new IABP system which automatically detects the irregular pattern and result is an improvement in the haemodynamic effect of IABP during periods of arrhythmia. Today, continued improvements in IABP technology permit safer use and earlier intervention to provide haemodynamic support. These developments have made the IABP a mainstay in the management of ischemic and dysfunctional myocardium. This review article aims to provide basic concept of IABP to hospital doctors especially anaesthetists, intensivists cardiologists and cardiac surgeons. It discusses the common indications, contraindications, the physiologic aspects of IABP, the equipment needed to facilitate IABP, the use of the IABP in special situations and complications of its use. |
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| format | Article |
| id | doaj.art-f920de6804e4424abae1bba8fce15c1f |
| institution | Directory Open Access Journal |
| issn | 0019-5049 |
| language | English |
| last_indexed | 2024-12-12T15:26:12Z |
| publishDate | 2008-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-f920de6804e4424abae1bba8fce15c1f2022-12-22T00:20:15ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492008-01-01524387387Intra Aortic Balloon Pump (IABP): Past, Present and FutureJatin D DedhiaKotemane R Naren ChakravarthyAamer B AhmedIntra Aortic Balloon Pump (IABP) is the most commonly used mechanical circulatory assist device in cardiac patients. IABP can improve ventricular function by decreasing the preload and increasing systolic output with signifi-cant improvement in myocardial oxygen supply/demand ratio. Pre-operative IABP therapy in ′high-risk′ coronary patients has been shown to reduce hospital mortality and shorten ICU stay significantly, compared with controls. The introduction of sheathless insertion kits has reduced the incidence of vascular complication rates. Pro-Active Counter Pulsation is a new IABP system which automatically detects the irregular pattern and result is an improvement in the haemodynamic effect of IABP during periods of arrhythmia. Today, continued improvements in IABP technology permit safer use and earlier intervention to provide haemodynamic support. These developments have made the IABP a mainstay in the management of ischemic and dysfunctional myocardium. This review article aims to provide basic concept of IABP to hospital doctors especially anaesthetists, intensivists cardiologists and cardiac surgeons. It discusses the common indications, contraindications, the physiologic aspects of IABP, the equipment needed to facilitate IABP, the use of the IABP in special situations and complications of its use.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2008;volume=52;issue=4;spage=387;epage=387;aulast=DedhiaIntra Aortic Balloon PumpCoronary blood flowOxygen supply/demandProActive Counter PulsationConsole. |
| spellingShingle | Jatin D Dedhia Kotemane R Naren Chakravarthy Aamer B Ahmed Intra Aortic Balloon Pump (IABP): Past, Present and Future Indian Journal of Anaesthesia Intra Aortic Balloon Pump Coronary blood flow Oxygen supply/demand ProActive Counter Pulsation Console. |
| title | Intra Aortic Balloon Pump (IABP): Past, Present and Future |
| title_full | Intra Aortic Balloon Pump (IABP): Past, Present and Future |
| title_fullStr | Intra Aortic Balloon Pump (IABP): Past, Present and Future |
| title_full_unstemmed | Intra Aortic Balloon Pump (IABP): Past, Present and Future |
| title_short | Intra Aortic Balloon Pump (IABP): Past, Present and Future |
| title_sort | intra aortic balloon pump iabp past present and future |
| topic | Intra Aortic Balloon Pump Coronary blood flow Oxygen supply/demand ProActive Counter Pulsation Console. |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2008;volume=52;issue=4;spage=387;epage=387;aulast=Dedhia |
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