Hatlestad Daniel C, Van Horn Julie
Inter Canyon Fire Rescue, Morrison, Colo., USA.
Air Med J. 2002 Sep-Oct;21(5):42-8.
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.
主动脉内球囊反搏泵（IABP）已发展成为一种便于运输、由计算机驱动的设备，用于有创辅助循环。本文综述了IABP在通过航空进行机构间患者转运期间的应用。依赖IABP的患者进行航空转运带来了独特的临床、后勤和技术挑战。我们综述了IABP在各种航空转运条件下的功能和临床应用。我们还识别了主动脉内球囊反搏的并发症，如出血、触发信号丢失、心脏骤停和大气压力变化，并提供了解决方案。IABP在航空转运环境中的有效临床应用不仅仅是熟悉该设备及其使用的影响；为了成功转运和取得良好的患者预后，需要快速识别问题并实施解决方案。
