Abstract:

Objective To apply intra-aortic balloon pump (IABP) in perioperative nursing for patients with severe coronary heart diseases. Methods The clinical data of 54 patients with severe coronary heart diseases undergoing perioperative IABP support were collected. The catheterization process of IABP and nursing procedures were retrospectively analysed, and the guideline for nursing was summarized on the basis of literature review. Results IABP was applied to 2 patients with severe postoperative low cardiac output syndrome after unsuccessful treatment with high dose of vasoactive drugs, and the other patients received IABP catheterization before anesthesia induction. The time of IABP application was 48 h to 120 h, with the median time of 62 h. Forty-eight patients (88.9%) survived, and 6 (11.1%) died, with no IABP associated complications. Conclusion IABP application is an effective perioperative treatment for patients with severe coronary heart diseases. Intensive and proper nursing is important to improve the clinical outcomes of IABP application, promote recovery and facilitate rescue.

Key words: intra-aortic balloon pump, perioperative, nursing, coronary artery disease, severe