Complications of intra-aortic balloon in a cohort of hospitalized patients: implications for nursing care

Assis, Renata Bacelar Silva de; Azzolin, Karina de Oliveira; Boaz, Marta Regina; Rabelo, Eneida Rejane

doi:10.1590/s0104-11692009000500010

Cited by 7 publications

(5 citation statements)

References 12 publications

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“…The complication rates when using an intra aortic balloon pump are high and may account for up to 50% according to Harvey et al [1], with an average 20-30% [2,3]. …”

Section: Introductionmentioning

confidence: 99%

Intra aortic balloon pump: literature review of risk factors related to complications of the intraaortic balloon pump

Parissis

Soo

Al-Alao

2011

J Cardiothorac Surg

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The increasing use of the intra aortic balloon pump is attributed to the relatively easy percutaneous insertion and the low threshold of use over the past few years, especially in elderly patients with multi-vessel diseases and an affected ejection fraction.Unfortunately, the clinical assessment of the complications associated to the use of this supporting device, underestimates the frequency of such complications.This report has looked at the current literature and attempt to identify incremental risk factors related to the development of adverse effects during support with an intaaortic balloon pump.The paper concludes that in contrary to early reports, newer studies have shown that complications following intraaortic balloon pump treatment, is decreasing. Moreover the literature suggests that the thrombosis and infective complications are relevant to the duration of the pump treatment, while the ischemic problems of the limbs are mostly linked to the atherosclerotic status of the common femoral artery.

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“…The complication rates when using an intra aortic balloon pump are high and may account for up to 50% according to Harvey et al [1], with an average 20-30% [2,3]. …”

Section: Introductionmentioning

confidence: 99%

Intra aortic balloon pump: literature review of risk factors related to complications of the intraaortic balloon pump

Parissis

Soo

Al-Alao

2011

J Cardiothorac Surg

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“…A study evaluating the relationship of the duration of the complications presented by the use of IAB showed a lower rate of complications in a group of patients with shorter duration of therapy. The group with longer period, despite the low incidence of complications, presented limb ischemia as the most observed and also with increased risk among women and the elderly (16) . The relevance of using heparin SC (enoxoparin) as preventing complications, showed high rate of agreement between evaluators, especially the presence and movement of the catheter in the intimal layer of the artery with the endothelium that may favor thrombosis or laceration (12,24) .…”

Section: Discussionmentioning

confidence: 90%

“…The limb ischemia is considered the most frequent complication in patients using the IAB (19) . The main reasons are distal thrombusof arterial injury during catheter insertion and venous thromboembolism (VTE) (16,18,24) . Doppler ultrasound examination will determine the presence or absence of distal pulses difficult to be palpated, especially the tibial and dorsalispedis (18) .…”

Section: Discussionmentioning

confidence: 99%

“…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%

“…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) . In this context, the extensive knowledge of the patient allows planning therapeutic interventions to provide quality care.…”

Section: Introductionmentioning

confidence: 99%

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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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Intra-aortic balloon pump counterpulsation (IABP) for myocardial infarction complicated by cardiogenic shock

Unverzagt¹,

Machemer²,

Solms³

et al. 2011

Cochrane Database of Systematic Reviews

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Complications of intra-aortic balloon in a cohort of hospitalized patients: implications for nursing care

Abstract: Article extracted from specialization course conclusion monograph; 2 Specialist in Cardiology Nursing,

Cited by 7 publications

References 12 publications

Intra aortic balloon pump: literature review of risk factors related to complications of the intraaortic balloon pump

Intra aortic balloon pump: literature review of risk factors related to complications of the intraaortic balloon pump

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

Intra-aortic balloon pump counterpulsation (IABP) for myocardial infarction complicated by cardiogenic shock

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