• Function of the balloon is to provide “counterpulsation”describes the cycles of:
    • Inflation in diastole
    • Deflation in early systole 1
  • Inflates at onset of diastole:
    • Caused by delivery of a set volume of gas through pneumatic systems
    • Fills 80-90% of thoracic aortic diameter causing ‘volume displacement’ of blood both proximally and distally
    • Increases diastolic pressure, improving coronary and systolic perfusion
  • Deflates at onset of systole, prior to ejection:
    • Due to rapid removal of gas following a predetermined time interval
    • Leads to an effective vacuum effect, improving blood flow down aorta
    • Pressure in the balloon is measured and displayed as a waveform
Optimum 'dose' range of continuous renal replacement therapy