The intra-aortic balloon pump in heart failure management: Implications for nursing practice

Lewis, Peter; Ward, Darian A.; Courtney, Mary D.

doi:10.1016/j.aucc.2009.06.005

Cited by 12 publications

(8 citation statements)

References 23 publications

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“…The use of log rolling and foam wedges to hold the body in alignment has been suggested. 43,44 Winkelman and Peereboom 41 conducted 49 separate interviews with 33 nurses identifying barriers and facilitators to mobility of patients in and out of bed. From the 49 activity descriptions, 41 related to in-bed activity.…”

Section: Feasibility Safety and Processes Of Carementioning

confidence: 99%

“…21,22,[26][27][28][29][30][31][32] The third body of evidence is the most recent and includes studies of early mobility in critically ill patients that included data on feasibility, safety, and processes of care. [33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49] responsiveness, contributing to postural hypotension and tachycardia as a result of reductions in stroke volume and cardiac output. 8,9 Head motion alone can reduce cardiac reflex response to central stimulation of the carotid baroreceptors by 30%.…”

mentioning

confidence: 99%

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Hemodynamic Instability: Is It Really a Barrier to Turning Critically Ill Patients?

Vollman¹

2012

Critical Care Nurse

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Section: Feasibility Safety and Processes Of Carementioning

confidence: 99%

mentioning

confidence: 99%

Hemodynamic Instability: Is It Really a Barrier to Turning Critically Ill Patients?

Vollman¹

2012

Critical Care Nurse

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“…In order todevelop this instrument, a systematic search of the literature was done in order to investigate the care provided to patients with IAB (11)(12)(13)(14)16,18,19) and referring the research protocolto Research Ethics Committee of the Federal Universityde Sao Paulo with approved protocol under No. 1.484/08.…”

Section: Methodsmentioning

confidence: 99%

“…VAD has the property to recover partially or all cardiac output and, thereby, ensure systemic perfusion. So,one of the most used devices with the intention of assisting or restore coronary blood flow is the IAB (11,12,14) . However, complications from its use can be related to several factors, such as infections, limb ischemia, the balloon rupture, bleeding, paraplegia (rare) and abdominal pain that can be caused by mesenteric artery occlusion (11,15,16) .…”

Section: Introductionmentioning

confidence: 99%

Validation of a protocol to assist patients with intra-aortic balloon

Machado

Guerra²,

Branco

2012

Acta paul. enferm.

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Objective: To develop a protocol of care for patients with Intra-Aortic Balloon and validate the content of this protocol.Methods: Study of quantitative and descriptive approach. The methodology followed three steps: development of the instrument; content validity and reliability verification of the protocol for the analysis of agreement between specialists with greater experience. The study included 48 specialists, including physicians and nurses experienced in patient care in use of balloon. Items considered valid achieved at least 75% of consensus before the analysis of agreement between evaluators. Results: We evaluated 36 items, of these, 20 were considered valid. The reliability was also verified, using consistency of the responses of more experienced evaluators. Among the items submitted to new statistical analysis by these evaluators, only two were considered valid. Conclusion: Based on the content validation, a protocol with 22 items concerning patient care without the use of intra-aortic balloon was developed. Keywords: Intra-aortic balloon pumping/nursing; Protocols; Patient care; Counterpulsation; Assisted circulation; Heart failure; Validation studies; Nursing care ReSumoObjetivos: Elaborar um protocolo de cuidados a pacientes com Balão Intra Aórtico e validar o conteúdo desse protocolo. Métodos: Estudo de abordagem quantitativa, descritivo. A trajetória metodológica seguiu três etapas: elaboração do instrumento; validação do conteúdo e verificação da confiabilidade do protocolo pela análise de concordância entre peritos com maior tempo de experiência. Participaram do estudo 48 peritos, entre médicos e enfermeiros, experientes em assistência ao paciente em uso do balão. Os itens considerados válidos obtiveram consenso mínimo de 75% perante a análise de concordância entre os avaliadores. Resultados: Foram avaliados 36 itens, destes, 20 foram considerados válidos. Verificou-se também a confiabilidade, utilizando a congruência das respostas dos avaliadores mais experientes. Dos itens submetidos à nova análise estatística por esses avaliadores, apenas dois foram considerados válidos. Conclusão: Com base na validação do conteúdo, elaborou-se um protocolo com 22 itens referentes aos cuidados a paciente sem uso do Balão Intra-Aórtico. Descritores: Balão intra-aportico/enfermagem; Protocolos; Assistência ao paciente; Contrapulsação; Circulação assistida; Insuficiência cardíaca; Estudos de validação; Cuidados de enfermagem ReSumenObjetivos: Elaborar un protocolo de cuidados a pacientes con Balón Intraaórtico y validar el contenido de ese protocolo. Métodos: Estudio de abordaje cuantitativo, descriptivo. La trayectoria metodológica siguió tres etapas: elaboración del instrumento; validación del contenido y verificación de la confiabilidad del protocolo por el análisis de concordancia entre peritos con mayor tiempo de experiencia. Participaron en el estudio 48 peritos, entre médicos y enfermeros, con experiencia en asistencia al paciente en uso del balón. Los items considerados válidos obtuvieron conse...

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“…prognostic factors for in-hospital mortality in the CABG patients requiring IABP (7)(8)(9)(10)(11). However, a few papers have referred to weaning protocols and withdrawal indications of IABP (12)(13)(14). We believe that prolonged balloon support is an important issue and early weaning the individuals who need longer support is of great importance, as well.…”

Section: Weaning From Iabp After Cabg Surgery: Impact Of Serum Lactatmentioning

confidence: 99%

Weaning from IABP after CABG Surgery: Impact of Serum Lactate Levels as an Early Predictor

Ladan¹,

Javidi²,

Vahdani

et al. 2016

Int Cardiovasc Res J

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Background: Impaired cardiac performance is a frequent presentation after Coronary Artery Bypass Graft (CABG) surgery. Intra-Aortic Balloon Pump (IABP), as a mechanical support, is lifesaving in many cases of low cardiac output state. IABP is needed to be in place from a few hours to a few days. Weaning is usually done according to patients' hemodynamic response. Up to now, many studies have addressed the withdrawal methods, but few are related to predict the support time. Objectives: This study aimed to evaluate whether high serum lactate levels are early predictors of IABP dependency after CABG surgery. Patients and Methods: This prospective cohort study was performed on 843 patients who underwent CABG surgery from April 2009 to January 2014 in Pars hospital. Among these patients, 47 ones required IABP support and were all entered into our study. Arterial blood samples were collected by 2-hour intervals during the first 12 hours after the operation. Serum lactate levels were compared according to IABP dependency. The data were analyzed using chi-square, t-test, and correlation coefficient and α = 0.05 was considered to be the significance level. Results: Based on the results, 97.8% of the patients (n = 46) were successfully weaned from IABP support and 95.7% (n = 45) survived to discharge from the hospital. Two patients with persistent serum lactate levels > 15 mmol/L in the first 12 hours of IABP support had the worst prognosis. A significant association was found between the mean serum lactate levels ≥ 6 mmol/L in the first 12 hours after the surgery and ≥ 48 hours dependency on IABP (P = 0.030). Conclusions: Prediction of IABP dependency may be possible by measuring serum lactate levels in the first 12 hours after CABG surgery.

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The intra-aortic balloon pump in heart failure management: Implications for nursing practice

Cited by 12 publications

References 23 publications

Hemodynamic Instability: Is It Really a Barrier to Turning Critically Ill Patients?

Hemodynamic Instability: Is It Really a Barrier to Turning Critically Ill Patients?

Validation of a protocol to assist patients with intra-aortic balloon

Weaning from IABP after CABG Surgery: Impact of Serum Lactate Levels as an Early Predictor

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