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R
P
T
Q S
C D
DEFLATION
Physiologic Effects:
Sub-optimal coronary artery perfusion
Aortic Valve
Closes Dicrotic Notch
INCORRECT IABP TIMING
Premature deflation of the IAB during the
EARLY DEFLATION
diastolic phase
Diastolic Augmentation
Waveform Characteristics:
Deflation of IAB is seen as a sharp drop
following diastolic augmentation Assisted Systole
Sub-optimal diastolic augmentation
Assisted aortic end diastolic pressure may
be equal to or less than the unassisted aortic
end diastolic pressure
Assisted systolic pressure may rise
Physiologic Effects:
Sub-optimal coronary perfusion
Potential for retrograde coronary and carotid
blood flow
Sub-optimal afterload reduction Unassisted End Assisted End
Diastolic Pressure Diastolic Pressure
Increased MV02 demand
Waveform Characteristics: LATE DEFLATION
Assisted aortic end diastolic pressure may
be equal to the unassisted aortic end
diastolic pressure Diastolic
Augmentation
Rate of rise of assisted systole is prolonged
Diastolic augmentation may appear widened
Physiologic Effects:
Afterload reduction is essentially absent
Increased MV02 consumption due to the
left ventricle ejecting against a greater
resistance and a prolonged isovolumetric Assisted
contraction phase End Diastolic Pressure
IAB may impede left ventricular ejection and
Unassisted End Diastolic Pressure
increase the afterload
ARTERIAL PRESSURE MONITORING
THROUGH THE IAB INNER LUMEN
Transducer Setup
Inner Lumen Care
Transducer Setup
≤ 5' Preferred
8' Maximum
A Minimize length of pressure tubing C Do not use a damping D Use gravity fill to minimize
device (e.g. R.O.S.E. air bubbles
B Use only high stiffness pressure
resonance overshoot E Elevate flush bag above
tubing (as provided by MAQUET)
eliminator) transducer
Inner Lumen Care
B A
3cc/hour continuous C If the central lumen becomes damped: D D
o not
flow through the inner aspirate & discard 3cc of blood sample blood
lumen is recommended ≤ 5'the
fast flush to clear Preferred
pressure tubing from the inner
continue flushing for at least 15 seconds lumen
8' Maximum
CLINICAL REFERENCE SIZING CHART NEW
cc
50cc
50
25cc 34cc 40cc
Approx. Height: ≥ 5'4" MEGA 50cc
(≥ 162cm) Approx. ht: < 5'0" Approx. ht: 5'0" to 5'4" Approx. ht: 5'4" to 6'0" Approx. ht: ≥ 5'4"
(< 152cm) (152cm - 162cm) (162cm - 183cm) (≥ 162cm)
cc
40