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Intra-Aortic Balloon Pump What It Is and What It Does: Don Stroup, CC/NREMT-P Poudre Valley EMS
Intra-Aortic Balloon Pump What It Is and What It Does: Don Stroup, CC/NREMT-P Poudre Valley EMS
Intra-Aortic Balloon Pump What It Is and What It Does: Don Stroup, CC/NREMT-P Poudre Valley EMS
Pump
What it is and what it
does
http://www.nhf.org.nz/images/how_your_heart_works.gif
Preload vs. Afterload
• Preload refers to the amount of stretch on the ventricular
myocardium prior to contraction. Starling’s law
described how an increase of volume in the ventricle at
the end of diastole resulted in an increase in the volume
of blood pumped out.
– Preload is often referred to as “filling pressure”.
• Afterload is the resistance to ventricular ejection which
takes several forms:
– The mass of blood that must be moved, measured by the
hematocrit
• The higher the mass, the more inertia that must be generated.
– Aortic end diastolic pressure (AEDP).
• If the AEDP is 80 mm/hg, then the left ventricle must generate 81
mm/hg in order to open the aortic valve and generate blood flow.
– Arteriole resistance
Principles of the IABP
• A flexibile catheter is
inserted into the femoral
artery and passed into the
descending aorta.
• Correct positioning is
critical in order to avoid
blocking off the
subclavian, carotid, or
renal arteries.
• When inflated, the balloon
blocks 85-90% of the
aorta. Complete
occlusion would damage http://www.fda.gov/cdrh/medicaldevicesafety/tipsarticles/balloo
the walls of the aorta, red npump.gif