• IABP
    • Haemodynamic effects
      • Aorta
        • Lower SBP, increased DBP
      • LV
        • Low SP, low EDP, low volume, low wall tension
      • Heart
        • Reduced afterload, low preload, increased co
      • Coronary flow
        • Low/N coronary blood flow
    • Placed in the descending thoracic. Tip 2cm distal to left subclavian
    • Indications
      • Acute MI with valvular complications
      • Cardiogenic shock
      • Unstable angina
      • High risk PCI
      • Weaning from bypass
      • Bridge to cardiac transplant
      • Cardiac surgery
    • Renal blood flow should increase and if not should lead to a suspicion that it is in the wrong position
    • Generally weaned over 6-12 hrs
    • Complications
      • Bleeding
      • Thrombosis
      • Limb ischaemia
      • Dissection
      • Infection
      • Balloon rupture leading to gas embolus
      • Tamponade
      • Haemolysis
    • CI
      • Absolute
        • Aortic regurgitation
        • Dissection
        • Aortic stents
        • Chronic/end stage cardiac disease
        • Patient refusal
      • Relative
        • AAA
        • Tachyarrhythmias
        • Severe PVD
        • Major arterial reconstruction
    • CEACCP
      Link:ceaccp.oxfordjournals.org/content/9/1/24.full.pdf