Lewis Peter A, Ward Darian A, Courtney Mary D
Queensland University of Technology, Brisbane, Queensland, Australia.
Aust Crit Care. 2009 Aug;22(3):125-31. doi: 10.1016/j.aucc.2009.06.005. Epub 2009 Jul 22.
Management of acute heart failure is an important consideration in critical care. Mechanical support of the failing heart is crucial for improving health outcomes. The most common Australasian application of intra-aortic balloon counterpulsation (IABP) is in the setting of cardiogenic shock. High end users of IABP (>37/annum) demonstrate significantly lower mortality for cardiogenic shock managed with IABP (p<0.001) in contrast to hospitals which employ limited IABP (<4/annum). This underscores the importance of proficiency in managing the patient receiving IABP support. Nurses play a crucial role in caring for patients with acute heart failure. This paper summarises care considerations for management of the IABP.
急性心力衰竭的管理是重症监护中的一个重要考量因素。对衰竭心脏进行机械支持对于改善健康结局至关重要。主动脉内球囊反搏（IABP）在澳大利亚和新西兰最常见的应用场景是心源性休克。与每年使用IABP次数有限（<4次/年）的医院相比，IABP的高端用户（>37次/年）在使用IABP治疗的心源性休克患者中死亡率显著更低（p<0.001）。这凸显了熟练管理接受IABP支持患者的重要性。护士在照顾急性心力衰竭患者方面发挥着关键作用。本文总结了IABP管理中的护理注意事项。
