Physiotherapy for a patient with an intra-aortic balloon

[hasanj]

Hi, can anyone help with information about the physiotherapy treatment for a patient with an Intra-aortic balloon pump (IABP)?

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[smilephysio]

Hi
If patient is on IABP,

Assess the hemodynamics, respiratory mechanics, LL pulse , warmth etc.

1. Supine lying or 15-20 degree head end of couch inclination is allowed.
2. UL: AROM to be encouraged
3. LL: Ankle toe movement to be
4. Routine CPT + I. spirometry
5. Don't mobilize the patient for 2-4 hours after removal of IABP.
6. Check for bleeding inthe site and hemodynamics
7. Then carry out routine PT

K Madesh and N Dhanaraj
Senior Physiotherapist (Cardiac)

[fire_ice]

hello dear,
when mobilising lower extremity make sure that hip flexion is not beyond 45 degree ..........

[fire_ice]

hello dear!!!!!!there r few more things that should be considered while handling IABP case,
1.If possible dont unnecessarily disturb the patient ,usually he will be in supine position.
2.If necessary make sure the leads are not held up or blocked before attempting to turn.
3.since IABP is controlled by ECG,manual percussion and vibrations should be avoided and if necessary make sure that one hand is placed under the patient to reduce the amount more movement/disturbances.
4.mechanical percussion and vibrators are contra indicated.
5. care should be taken while Manual hyperinflation as it effects cardiac functions.

hope this will be sufficient.