• Critical care nurse · Apr 2019

    Review

    Nursing Care and Treatment of Ambulatory Patients With Percutaneously Placed Axillary Intra-aortic Balloon Pump Before Heart Transplant.

    • Frederick R Macapagal, Emma McClellan, Rosario O Macapagal, Lisa Green, and Nena Bonuel.
    • Frederick R. Macapagal is a registered nurse III in the cardiac intensive care unit at DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, Texas. fmacapagal@houstonmethodist.org.
    • Crit Care Nurse. 2019 Apr 1; 39 (2): 45-52.

    AbstractTransplant cardiologists in our hospital have performed the percutaneously placed axillary-subclavian intra-aortic balloon pump procedure since 2007. This procedure allows patients to mobilize and walk while they wait for a heart transplant, rather than remaining on bed rest as they would with a traditional femoral intra-aortic balloon pump. This procedure has presented challenges to the nursing staff. A 2007 literature search revealed no precedent or published nursing articles on this subject. This article reviews heart failure, medical treatments, complications of bed rest associated with the femoral intra-aortic balloon pump, the nursing challenges and unique problems of caring for patients with percutaneously placed axillary-subclavian intra-aortic balloon pumps, and our solutions for those challenges.©2019 American Association of Critical-Care Nurses.

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