Ambulation with Femoral IABP, Pumped and Moving!

Ramsey, S.; Lucas, Jason; Rattray, Katie; Barrett, Peter; Krishnamoorthy, Arun; Hrobowski, Tara; McCants, Kelly C.; Dean, David A.; Yehya, Amin

doi:10.1016/j.cardfail.2017.07.325

Cited by 2 publications

(1 citation statement)

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“…More recently, protocols to ambulate patients with femoral arterial access have been successfully conducted with promising results. 11 , 12 Our institutional protocol was developed in reference to the Ramsey protocol as created by Ramsey et al 11 Our case is unique in that ultra-long duration support was achieved safely while continuing to successfully rehabilitate the patient. In fact, he was able to progress in terms of nutrition and lower extremity strength and stability while on support.…”

Section: Discussionmentioning

confidence: 99%

A case of ultra-prolonged intra-aortic balloon pump support via sheathless femoral access

Al-Ani,

Snipes,

Parker

et al. 2023

European Heart Journal - Case Reports

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Background Intra-aortic balloon pump (IABP) is a mechanical circulatory support platform with a relatively low complication rate. Axillary access is increasingly utilized to allow rehabilitation. Case Summary We present a case of femoral IABP inserted into the femoral artery percutaneously via a sheathless technique that allowed the patient to ambulate and physically rehabilitate over 102 days until cardiac transplantation. The patient was able to progress with protocolized rehabilitation program to up 3500 feet walking distance. The IABP was removed at the time of transplantation without any vascular complications. Discussion While axillary IABP offers opportunity to rehabilitate, it has an unacceptably high complication rate, often resulting in vascular injury that adds morbidity to an acutely ill cohort. In this case, we found that the sheathless femoral IABP access offered stability for prolonged time while avoiding pain, bleeding, infection, and vascular injury. We hypothesize that this is due to less indwelling prosthetic material usage and also the device flexibility allowing conformation to the natural course of the femoral artery. We are encouraged by this case to use sheathless access approach for patients expected to require prolonged IABP support.

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Section: Discussionmentioning

confidence: 99%

A case of ultra-prolonged intra-aortic balloon pump support via sheathless femoral access

Al-Ani,

Snipes,

Parker

et al. 2023

European Heart Journal - Case Reports

View full text Add to dashboard Cite

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Survey of Physiotherapy Practice in Ontario Cardiac Surgery Intensive Care Units

Newman

Kho

Harris

et al. 2022

Physiotherapy Canada

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Purpose: This article describes current physiotherapy practice for critically ill adult patients requiring prolonged stays in critical care (> 3 d) after complicated cardiac surgery in Ontario. Method: We distributed an electronic, self-administered 52-item survey to 35 critical care physiotherapists who treat adult cardiac surgery patients at 11 cardiac surgical sites. Pilot testing and clinical sensibility testing were conducted beforehand. Participants were sent four email reminders. Results: The response rate was 80% (28/35). The median (inter-quartile range) reported number of cardiac surgeries performed per week was 30 (10), with a median number of 14.5 (4) cardiac surgery beds per site. Typical reported caseloads ranged from 6 to 10 patients per day pe therapist, and 93% reported that they had initiated physiotherapy with patients once they were clinically stable in the intensive care unit. Of 28 treatments, range of motion exercises (27; 96.4%), airway clearance techniques (26; 92.9%), and sitting at the edge of the bed (25; 89.3%) were the most common. Intra-aortic balloon pump and extracorporeal membrane oxygenation appeared to limit physiotherapy practice. Use of outcome measures was limited. Conclusions: Physiotherapists provide a variety of interventions with critically ill cardiac surgery patients. Further evaluation of the limited use of outcome measures in the cardiac surgical intensive care unit is warranted.

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Ambulation with Femoral IABP, Pumped and Moving!

Cited by 2 publications

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A case of ultra-prolonged intra-aortic balloon pump support via sheathless femoral access

A case of ultra-prolonged intra-aortic balloon pump support via sheathless femoral access

Survey of Physiotherapy Practice in Ontario Cardiac Surgery Intensive Care Units

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