Khalid Samad, Fauzia Anis Khan.
The role of prophylactic Intra-Aortic Balloon Pump Counterpulsation (IABP) in emergency non-cardiac surgery.
J Pak Med Assoc Jan ;56(1):42-3.

Patients with recent myocardial infarction (MI), congestive heart failure, severe angina, or uncorrected multivessel coronary artery disease are at increased risk of cardiac complications after urgent major non-cardiac surgery. Although invasive hemodynamic monitoring and preoperative optimization of cardiac status may lead to some reduction in the rate of perioperative cardiac events, the mortality from such events still remains high. The use of an intra-aortic balloon pump (IABP) may play a role in such patients by improving the function of the injured heart. We report our experience with the use of perioperative IABP in a patient with unstable angina and recent MI who underwent urgent cholecystectomy. There were no perioperative cardiac events while the IABP was in place. The anaesthetic concerns, intraoperative and postoperative monitoring and care and usefulness of IABP will be discussed.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com