101 Intra-aortic Balloon Pump	819

Step 10: Wean off IABP

•The patient can be weaned if the following criteria are satisfied:

–Urine output is more than 40 mL/h without the use of diuretics

–Improved mentation

–Extremities are warm

–Hemodynamics appear to be getting better and stable on little or no inotropes

–No evidence of ongoing ischemia

Suggested Reading

1.Sjauw KD, Engström AE. A systematic review and meta-analysis of intra-aortic balloon pump therapy in ST-elevation myocardial infarction: should we change the guidelines? Eur Heart J. 2009;30(4):459–68.

All available observational data concerning IABP therapy in the setting of cardiogenic shock are importantly hampered by bias and confounding. There is insufficient evidence endorsing the current guideline recommendation for the use of IABP therapy in the setting of STEMI complicated by cardiogenic shock.

2.Trost JC, Hillis LD. Intra-aortic balloon counterpulsation. Am J Cardio. 2006;l97(9):1391–8.

A review article on IABP.

3.Reid MB, Cottrell D. Nursing care of patients receiving: intra-aortic balloon counterpulsation. Crit Care Nurse. 2005;25(5):40–4.