Progressive volume deflation followed by rate reduction in weaning intra-aortic balloon pump
10.7507/1007-4848.201702001
- VernacularTitle:容量减少结合频率降低方法在主动脉内球囊反搏撤机中的应用
- Author:
LIU Hao
1
;
HE Yi
1
;
YANG Qi
1
;
JIANG Xueyan
1
;
TANG Min
1
;
MEI Ju
1
Author Information
1. Department of Cardiothoracic Surgery, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, 200082, P.R.China
- Publication Type:Journal Article
- Keywords:
Intra-aortic balloon pump;
wean;
volume deflation;
rate reduction;
low cardiac output syndrome
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2018;25(3):188-192
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the changes of hemodynamics in patients weaning intra-aortic balloon pump (IABP) by using progressive volume deflation followed by rate reduction. Methods We retrospectively analyzed the clinical data of 36 patients aged 68.9±4.7 years, 22 males and 14 females, who underwent progressive volume deflation followed by rate reduction for IABP weaning in Xinhua Hospital between September 2006 and January 2016. Progressive volume deflation followed by rate reduction was used to wean IABP and collect hemodynamics parameters of each time point. Results All the patients successfully weaned IABP. One patient got re-IABP assistant 36 hours after the first successful weaning. One early death and three patients (8%) with postoperative IABP-related complications were embolization of the toe artery. One was in ipsilateral limb, and two of contralateral limb. One patient with acute hepatic insufficiency and one patient with acute renal insufficiency cured after treatment. Conclusion Intra-aortic balloon pump weaning is successful by using volume deflation followed by rate reduction which allowed better hemodynamic parameters.
