Intra-Aortic Balloon Pump (IABP): Placement, Waveforms, Hemodynamics, Indications, And Complications

[@drbwhit]

Intensivist here. Ive seen a million IABP lectures and manage these devices and this lecture is absolutely outstanding. Giving you a follow.

[@WhiteboardMedicine]

Really appreciate that! Thanks for the kind words!

[@drbwhit]

@@WhiteboardMedicine anytime my friend keep up the great work

[@josenborges]

This is the best video I've seen in a long time covering all aspects regarding IABP. Absolutely fantastic!

[@WhiteboardMedicine]

We love to hear that! Appreciate the kind words!

[@janetcedergren9425]

Excellent video! I'm a nurse preparing to care for patients receiving this therapy. Thank you for contributing to my learning!

[@WhiteboardMedicine]

We are so very glad that the video was helpful! It is our pleasure! Your patients are lucky to have someone caring for them that is working hard to learn about all these complex modalities! This is not intended to be an advertisement for another video, but if you guys use IABP there is a fair chance you also may be an ECMO center. We did recently put out a video on an introduction to ECMO concepts linked below only if interested! kzbin.info/www/bejne/jYHJZnxmeLWSr6c

[@leiacraig80]

We

[@bitang2276]

This is so far the best explanation of IABP on you tube. If I can only meet you, I will buy you a beer.

[@WhiteboardMedicine]

Hey we couldn't appreciate those kind words more and if we ever happen to meet than I will take you up on that beer and after that I will buy you the next round! We have been doing a ton of COVID-19 content, but hope to get back to general medical topics after the pandemic passes. Have some videos right now ready for recording on ECMO and LVADs, but just not enough hours in the day. Anyway, thanks for checking out the video and for the kind words!

[@blacksoul1088]

@@WhiteboardMedicine ❤️

[@vanessa9494]

I wish you can do a video of the waveforms. You are a natural teacher. I am fignally able to understand what seemed confusing before. All because of you. Thank you

[@WhiteboardMedicine]

Always our pleasure! Glad to hear the video helped! We will add waveforms to our list!

[@dildeepjohal]

Very nicely explained. Thank you very much for simplifying it so well. I have a class in 2 days for IABP and this video helped me prepare for it so well.

[@WhiteboardMedicine]

That’s wonderful! We are glad to hear that! We have been doing a ton of COVID-19 content to date, but hope to be diving back into general medication education content as the pandemic (fingers crossed) starts to wane

[@sunshine0satellite]

Thank you! Well done. You have a good teaching voice too.

[@WhiteboardMedicine]

Thank you very much for the kind words and for checking out the video!

[@tommelissaziegler8653]

Love the video. Do you have any videos on IABP timing errors ?

[@WhiteboardMedicine]

So glad to hear it! We don’t right now but will add it to the list of future videos!

[@dmorw9601]

Wonderful. Thank you so much for a thorough and easily understood explanation.

[@WhiteboardMedicine]

Our pleasure! Thanks for checking out the video!

[@amberbrown1700]

Video was awesome. There are renal complications If the ballon pump slides down into the aorta further

[@hasitagoda3989]

Excellent video. Really helped me understand the concept behind it . Thank you

[@WhiteboardMedicine]

That’s great! We are glad to hear it! Thanks for checking it out!

[@aymansaeyeldin4990]

what a fantastic lecture thank you very much! natural teacher

[@WhiteboardMedicine]

We really appreciate that and appreciate you checking out the video! So much COVID-19 content lately, but looking forward to getting back to general medical education after we get through this pandemic

[@avinashdubey1753]

Best explanation ❤

[@WhiteboardMedicine]

So glad to hear it was helpful! Really appreciate you checking out the video!

[@annageorge9626]

Excellent video. One question. When IABP is used, are we using the augmented mean to titrate the pressors?

[@anayathegoddess3251]

Typically no. Typically we're looking at other hemodynamics such as the patients blood pressure ti titrate medications. Typically increasing the pressor support can cause some vasoconstriction which can possibly defeat the purpose of the balloon pump (increase vasoconstriction, increase in o2 demand and less supply, increase preload and afterload, etc)

[@lahareeshbl]

Excellent explanation, Thank u

[@WhiteboardMedicine]

Absolutely! Thanks for checking it out!

[@scanman690]

Great explanation! thank you.

[@WhiteboardMedicine]

Our pleasure! Thank you for checking out the video!

[@GurpreetKaur-ow2mb]

Thank you 🙏

[@WhiteboardMedicine]

Absolutely! Thanks for checking out the video!

[@tenchoez1529]

I just wanted to ask is the what is the meaning of augment in the iabp setting.

[@jimmypradeepmehta]

Augment means to assist. We inflate the balloon during diastole and hence augment (assist/increase) pressure in the Aorta (the aortic valve is closed during diastole), in turn helping push the blood into the coronary arteries (the coronary artery ostia are located right after the Aortic valve). This helps increase coronary artery perfusion (myocardial oxygen supply) during diastole.

[@selimelsayed6842]

fantastic

[@WhiteboardMedicine]

Thank you, kindly!

[@neetikakumari4623]

Thank you

[@WhiteboardMedicine]

You’re very welcome! Thanks for checking out the video

[@home19ke]

thank you !!

[@WhiteboardMedicine]

Our pleasure! Thank you for checking out the video!

[@WhiteboardMedicine]

***Join our WhiteBoard Doctor Newsletter sent out on the 1st/15th of each month starting May 1st!!!**** Sign up at the link below: whiteboarddoctor.m-pages.com/IAdAdI/wbdr-sign-up Thanks for checking out the video! @WhiteBoardDoct1 www.patreon.com/WBDR www.buymeacoffee.com/WBDR www.paypal.com/donate?hosted_button_id=UQN2JGSYSQJEG KZbin Members  Join On HomePage! Highlight Video! Extracorporeal Membrane Oxygenation (ECMO): Principles, Types, Anatomy, Indications, Complications. kzbin.info/www/bejne/jYHJZnxmeLWSr6c