What is an Intra-Aortic Balloon Pump (IABP)?

The basics of the balloon pump explained! 📝 Free Quiz: adv.icu/2Z89i5c
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In this first lesson in this new series, we start off with the basics about what a balloon pump is, how it works, and why we use it and when we don't. I also cover a bit about the placement and positioning of the balloon as it is vital not only to functioning but preventing complications. This first lesson will serve as a foundation for the remaining lessons of this series.
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0:00 Intro
1:25 What is an IABP?
2:39 Counter Pulsation
5:49 Insertion/Placement
8:42 Indications
11:37 Contraindications
13:12 Wrap Up
#ICUAdvantage #BalloonPump #IABP

[@ICUAdvantage]

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[@jhher4116]

You got it! As an engineer for the IABP (Maquet/datascope), this is a good video.

[@ICUAdvantage]

Very cool! Thanks for stopping in and glad you liked the video!

[@morganchristian4445]

New Cath Lab RN here! Had my first balloon pump on my fifth day circulating a case haha. This video is super informative and easy to understand! Thank you! :)

[@dawnhernandez2193]

Perfect timing! Actually being trained on IABP and Impella. I wonder if maybe you can do videos on Impella/LVADs? Love the content!

[@ICUAdvantage]

Yes! I've got both on the todo list!

[@FailuretoLunch7]

@@ICUAdvantage that would be great. Impella settings always gave me confused and would love to see your video on it! Thank you

[@sehrishhussain6522]

Please do one on impellla and Lvads

[@scorpieo]

Currently learning this in-flight medic school, thank you for the clear explanation and visuals!

[@laurenhostetter7117]

Perfect timing, I’m so grateful for your videos!!!

[@ICUAdvantage]

Love it when it works out! 😊

[@PaulSmith-hc7gw]

I've been reviewing for both my CCRN and CMC certifications. Your videos have been very helpful. Thank you.

[@ICUAdvantage]

Awesome! Truly happy to be able to help!

[@sergieghalliwell8753]

Trained on IABP a few months back. I work in a 12 bed ICU and haven’t had much exposure. This lesson is a good refresher! Thank you!!

[@ICUAdvantage]

Awesome! Glad you found it helpful!

[@heather.dreamin]

Perfect timing! just being trained on IABP and I was hoping you would have a video!!!

[@ICUAdvantage]

Beautiful timing! 😊 Hope the series is helpful for you.

[@nickfireadams]

With all the lessons on art lines I had a feeling this was coming! Super excited!

[@ICUAdvantage]

Haha yes! I wanted to do IABP but figured it was best to do art lines before I got into talking about changes to that waveform with a balloon pump going 😉

[@gloriandyeno]

Very helpful! First time as an ICU nurse here and the US and this is very informative! Thank you

[@ICUAdvantage]

Great to hear! Glad you enjoyed it!

[@akrotiri6586]

thanks so much! may you live healthy for a looong time!😊

[@manuelito591]

Nice! Thanks! Great intro! Looking forward to the rest of the series on IABP!

[@ICUAdvantage]

Thanks Juan. I hope to cover a lot of good info in this series.

[@kaysonhuang5316]

VERY EDUCATIVE! THANK YOU!

[@SkyRyu]

Wonderful lesson! Cheers from Brazil

[@Flippinpinoy09]

This has been the flavor of the month on my SICU lots of STEMI’s being bridged to CABGs. Thanks brotha for the informative video!

[@ICUAdvantage]

Glad you liked it! Definitely a common use you are seeing!

[@johnjames2010]

Great Job. simple, practical and well illustrated

[@ICUAdvantage]

Thanks John. Glad to hear this.

[@farrahnasuha4315]

ICU Cardiac nurse from Malaysia here. I enjoy your explanation so much. Thank you sir

[@ICUAdvantage]

How cool! Glad you enjoyed it!

[@ayshashahnawaz8888]

Very well explained ❤

[@arseniohardrick3123]

Thank you so much, the Lesson was very easy to understand and helpful.

[@ICUAdvantage]

Really glad to hear this Arsenio!

[@Laringoskop]

Thank you! Can't wait for the next episode.

[@ICUAdvantage]

You're welcome!

[@user-er7rb5ry8w]

Many many thanks for such nice lecture ❤

[@wesleytsai4286]

medical student from Taiwan. This video helps me a lot! Thank you very much.

[@ICUAdvantage]

Very cool! Glad you liked it!

[@oleksandrgryshchuk6687]

perfect explanation

[@wildfirekunal]

Nice work!

[@katsunchung4368]

thank youuu!cant wait for next video!

[@ICUAdvantage]

You're welcome!

[@and.drew212]

Great video, as always.

[@ICUAdvantage]

Thanks Andrew, appreciate it!

[@jonathanlopez9797]

amazing video like always!!

[@ICUAdvantage]

Thanks so much!

[@zooalkj]

Thanks for the perfect explanation

[@ICUAdvantage]

Yay glad you think so!

[@icu_corey_rn_903]

Had my first iabp in a while last night here for a refresher

[@ICUAdvantage]

Nice! Hope it helped!

[@jeje4164]

Amazing illustration

[@ICUAdvantage]

Thank you!

[@drgadham]

Great teaching ❤️

[@ICUAdvantage]

Thank you!

[@mazimar3852]

Really good explanation....thank you

[@ICUAdvantage]

Thank you! I appreciate that!

[@ritathomas3353]

Thank you 👏

[@alejandrohernandez-bb7ct]

great content as always

[@ICUAdvantage]

Thanks Alejandro!

[@martinyoung9901]

Very helpful, thanks.

[@ICUAdvantage]

Awesome! Thanks Martin!

[@drntombela880]

Thank you

[@ICUAdvantage]

You're welcome

[@suzannemh9350]

Love this! Can you please do a less on the nurse in CTICU/CVICU? for example - cabg, AAA, transvenous/transcutaneous pacemakers, pulmonary artery catheter?

[@ICUAdvantage]

Glad you liked it Gabriela! I do plan to cover those topics, although I do already have a whole series on Temporary Pacers. kzbin.info/www/bejne/oXXEgJuHhNSMr5I

[@DjKenboi]

Awesome vid! I just took my hospital balloon pump class yesterday so your videos are a great memory retainer! Do you think you can also make a video about LVADs? In particular the Impella? Thanks!

[@ICUAdvantage]

Glad to hear it Ken! And yes I do have both of those on the todo list for the future sometime.

[@kateb3941]

Thank you for doing these videos! I work in cvicu and your videos have help tremendously. Can you do one on Impella?

[@ICUAdvantage]

So glad to hear they’ve been helpful for you Kate. And yes I do have impellas and more on the todo list!

[@abryswehavethemeats]

could you cover impella’s and lvad’s? i use them a lot in my icu and more information and different perspectives are always helpful. i really enjoy your videos thanks for making them!

[@edmundpolicarpio]

Thank you!

[@ICUAdvantage]

Youre welcome Edmund

[@skidy12]

Thank you! Still hoping for an Impella video🤞🏾🤞🏾🤞🏾🤞🏾🤞🏾🤞🏾

[@user-uy6jj6mr7k]

Thank you ❤️

[@ICUAdvantage]

You’re welcome 😊

[@shawnnardone1508]

Thanks!

[@ICUAdvantage]

Thank you so much for this Shawn!!!

[@kanikrishnan6478]

Very useful thank u

[@ICUAdvantage]

Glad to hear it!!

[@Malik-mk6mw]

thanks!

[@ICUAdvantage]

Welcome!

[@anniestv2498]

Thank you for this video! Can you also make an impella video. Thanks

[@ICUAdvantage]

Yes! It's on the todo this! Glad you liked it.

[@jegbefumen5401]

Good job

[@ICUAdvantage]

Thank you!

[@micheletorrisi3148]

Grazie.

[@drgandihgheir6069]

I have a question, as you said one of the indication is: MI which I am assuming a MI with hypotension, what is the different between MI with hypotension and Cariogenic shock ?? Thank You

[@himanshusinghal6195]

Is ecg necessary before inserting iabp?

[@bridgettestample528]

Will you be doing lessons on the Impella?

[@karenli7990]

can you also cover impella? thanks!

[@ICUAdvantage]

Yup! On the todo list!

[@user-nq8hz7hx5y]

Thank you, Eddie! Can you say me please why we inflate the balloon with helium? Not CO2, or O2 please

[@ICUAdvantage]

Thanks and I just answered that for you on another comment :)

[@laurenaddy9708]

So do the renal arteries get perfused on diastole or systole?

[@bmistry5923]

Hi @ICU Advantage great explanation! I see 5 electrodes(7 Lead ECG) is used normally. Why not 12 lead ECG is used? Over specs, will cause interference with balloon/pressure sensing or something else?

[@ICUAdvantage]

We only use 12-lead when deeper anaylis. It can be done without issue though. Typically a 5-lead is all that we use for routine monitoring.

[@leinaddf]

Subbed

[@ICUAdvantage]

Awesome! Welcome!

[@jenniferklawun9593]

any evidence that supports, if a patient has a left ventricle thrombosis, when the pump is removed, could that cause a stroke to occur?

[@Flippinpinoy09]

Will you cover Impellas sometime?

[@ICUAdvantage]

Yup! I've got it on the todo list

[@mohsinrasheed7811]

Salute

[@chamgurl2096]

So IABP is to decrease after load cardiac 02 demand while increasing coronary perfusion? Is that a why to sum it up ?

[@ICUAdvantage]

Exactly!

[@someshsomesh3976]

i have purchased membership wants to know how to download copy of notes

[@ICUAdvantage]

Hey Somesh! Thanks so much for your support. To access the notes go to the community tab from the mail ICU Advantage KZbin page. There you will see the members only posts and look for the most recent post with the link to the Dropbox and current password.

[@amandaquella8046]

The x-ray where you say it is in the correct position does not have the tip of the catheter anywhere close to the 2nd&3rd intercostal space so how is that correct?

[@ICUAdvantage]

Make sure you are looking at the anterior rib shadows and not the more prominent posterior coming off the spine... 😉

[@amandaquella8046]

@@ICUAdvantage Ohhh man that is a mind trip - it still appears lower than what I'm used to seeing but I see what you're saying! Thanks for the response.

[@mazzestark3961]

Why is Helium used and no other gas like O2?

[@ICUAdvantage]

I think because of how light it is, its very easy to quickly inflate and deflate.

[@jesanderson28]

Im dying when you drew the balloon and carina... I didn't see a thing. lol I cant read x-rays. IM TERRIBLE!

[@ICUAdvantage]

lol, comes with practice! Keep looking at them and having someone show you things. Its obviously not as clear on here, but even just rewind a bit and see where I drew then look right before my drawing starts to try and see what I'm looking at.

[@brendankelly1517]

[@ICUAdvantage]

?

[@marthaleenehealey1976]

Thank you! Looking forward to the rest of this series. We very rarely have IABP in the unit and trying to relearn the in’s and outs for that one time a year you have one is daunting

[@ICUAdvantage]

Yes, it is tough to feel confident when you don't see something often. I hope the series will be helpful for you!

[@mgvillacin2636]

Thank you

[@ICUAdvantage]

You're welcome