Air transport of the IABP patient. Intra-Aortic Balloon Pump.
The intra-aortic balloon pump (IABP) has evolved into an easily transported, computer-driven device for invasively assisting circulation. This article reviews the use of the IABP during interfacility patient transport by air. Air transport of the IABP-dependent patient creates unique clinical, logistical, and technical challenges. We review the function and clinical application of IABP in various air transport conditions. We also identify the complications of intra-aortic balloon pumping, such as hemorrhage, loss of trigger signals, cardiac arrest, and atmospheric pressure changes, and offer solutions. The effective clinical use of IABP in the air transport environment involves more than familiarity with the device and implications for its use; rapid identification of problems and implementation of solutions are required for successful transport and patient outcomes.
Hatlestad
Daniel C
DC
Inter Canyon Fire Rescue, Morrison, Colo., USA. prioritymed@mindspring.com
Van Horn
Julie
J
D017732:Air Ambulances / Q000592:standards; D001783:Blood Flow Velocity; D001794:Blood Pressure / Q000502:physiology; D003326:Coronary Circulation; D003422:Critical Care / Q000379:methods* / Q000592:standards; D004562:Electrocardiography; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D008991:Monitoring, Physiologic; D013997:Time Factors; D014187:Transportation of Patients / Q000379:methods* / Q000592:standards; D014481:United States