Caso clínico: a propósito de un balón de contrapulsación intraaórtico

Resumo

The intra-aortic counterpulsation balloon (IACPB) is one of the short-term ventricular assist devices (VADs) most commonly used nowadays due to its easy handling and operation. The balloon inflates during diastole and deflates during systole, thereby synchronizing itself with the cardiac cycle, increasing coronary perfusion during diastole and decreasing afterload during systole, thus decreasing cardiac work and myocardial oxygen consumption, so as to improve coronary and peripheral perfusion. We present the case of a 67-year-old woman who is admitted to the coronary intensive care unit due to cardiogenic shock, to whom an IACPB is inserted and for whom inclusion in emergency 1 for cardiac transplantation is decided. During her admission, important complications associated with the insertion of this device and an important level of anxiety arose. An individualized care plan was developed by assessing the 14 needs according to the Virginia Henderson‘s model, the following nursing diagnoses standing out: anxiety, activity intolerance and impaired resilience. She was able to improve her level of anxiety, her mobility and her motor strength, all of which helped her to face in a more positive way the situation she was living until her heart transplantation. The work of the nursing team when monitoring the complications arisen, and the emotional support to the patient and her environment, were key so that her prolonged hospitalization was as bearable as possible.