There’s always a good reason to review the physiology and reasons for placement of an Intra Aortic Balloon Pump (IABP). We come across these a couple of times a month in our cardiac patients. They’re a great temporary measure to stabilizing and treating the patient.
Contemporary Clinical Niche for Intra-Aortic Balloon Counterpulsation in Perioperative Cardiovascular Practice: An Evidence-Based Review for the Cardiovascular Anesthesiologist. JCVA, February 2017. Volume 31, Issue 1, Pages 309–320.
One of the best explanations that I have ever seen for the IABP is from Dr. Rishi Kumar. He’s a board certified anesthesiologist and is ICU fellowship trained and is pursuing a cardiac anesthesia fellowship as well. This lovely human is no joke. I’ve read his blog and his instagram posts, and he’s a wonderful teacher and mentor to those he reaches. Please click his link for an entry regarding IABPs on his blog.
RKMD.com: Intra-Aortic Balloon Pump, Arterial Line, and EKG Waveforms. April 2018.
TEE for placement of IABP
Anesthesia & Analgesia, July 2011. Vol 113, No. 1.
- Want the tip 1-2 cm from left subclavian artery (LSCA)
- X-plane aortic arch down to descending aorta to see the left subclavian artery
- Visible during systole when the IABP balloon is deflated
Good visualization of the LSCA
A Novel Technique for Intra-aortic Balloon Positioning in the Intensive Care Unit. J Extra Corpor Technol. 2012 Sep; 44(3): 160–162.