{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T19:34:47Z","timestamp":1760297687408},"reference-count":40,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2006,10,19]],"date-time":"2006-10-19T00:00:00Z","timestamp":1161216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2006,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Intra\u2010aortic balloon counterpulsation (IABC) is widely used to support the failing myocardium, particularly in patients with a background of acute myocardial infarction (AMI) complicated by cardiogenic shock (CS). CS is primarily due to left ventricular failure and is the most serious complication of AMI. Using Driscoll\u2019s \u2018What?\u2019 reflective model to guide critical thinking, an incident involving a patient who required IABC following AMI is explored. There are various complications associated with IABC, limb ischaemia being very common. Risk factors, which predispose patients to the development of limb ischaemia following intra\u2010aortic balloon pump insertion, are discussed as are the issues surrounding their care. Nurses are in an ideal position to detect any complications that may occur. They should be familiar with the patient\u2019s medical history, including any risk factors, which could predispose them to the development of limb ischaemia. Consideration of these factors and the adjunctive treatment the patient may require can be used to plan care accordingly. Anecdotal evidence suggests that more patients are requiring haemodynamic support from IABC. Nurses and health care professionals who have the responsibility of caring for these patients need to be adequately trained in order to maintain a high standard of care. However, there appears to be a lack of evidence\u2010based guidelines determining the optimum frequency of limb observations to assess for limb ischaemia. Further evidence as to the timing of limb observations is required in order that protocols can be written to guide the practice.<\/jats:p>","DOI":"10.1111\/j.1478-5153.2006.00187.x","type":"journal-article","created":{"date-parts":[[2006,10,19]],"date-time":"2006-10-19T17:23:07Z","timestamp":1161278587000},"page":"297-304","source":"Crossref","is-referenced-by-count":3,"title":["Intra\u2010aortic balloon counterpulsation complicated by limb ischaemia: a reflective commentary"],"prefix":"10.1111","volume":"11","author":[{"given":"Anna","family":"Sice","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,10,19]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"Critical Care Nursing. Science and Practice","author":"Adam SK","year":"2005"},{"key":"e_1_2_5_3_1","volume-title":"Counterpulsation applied \u2013 an introduction to intra\u2010aortic balloon pumping","author":"Arrow International","year":"2002"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2003.04.007"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhj.2001.115295"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000085068.59734.E4"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8703(00)90237-0"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0147-9563(99)70059-2"},{"key":"e_1_2_5_9_1","first-page":"137","article-title":"Intra\u2010aortic balloon pump: indications and complications","volume":"90","author":"Davidson J","year":"1998","journal-title":"Journal of the National Medical Association"},{"key":"e_1_2_5_10_1","volume-title":"Practising Clinical Supervision: A Reflective Approach","author":"Driscoll J","year":"2000"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(01)01553-4"},{"key":"e_1_2_5_12_1","first-page":"542","article-title":"Lower limb ischaemia related to the use of the intraaortic balloon pump","volume":"18","author":"Funk M","year":"1989","journal-title":"Heart & Lung"},{"key":"e_1_2_5_13_1","doi-asserted-by":"crossref","first-page":"54","DOI":"10.4037\/ccn1996.16.2.54","article-title":"From counterpulsation to paralysis: a case presentation","volume":"16","author":"Goran SF","year":"1996","journal-title":"Critical Care Nurse"},{"key":"e_1_2_5_14_1","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1016\/S0899-5885(18)30314-9","article-title":"Current intra\u2010aortic balloon pump practice issues. Survey results","volume":"8","author":"Gould KA","year":"1996","journal-title":"Critical Care Nursing Clinics of North America"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02640-4"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.91.3.873"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(00)00879-2"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003465-200211000-00003"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-131-1-199907060-00010"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1078-5884(05)80051-6"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0889-7204.2002.00617.x"},{"key":"e_1_2_5_22_1","first-page":"313","article-title":"An appraisal of models of reflection and clinical supervision","volume":"9","author":"Kitchen S","year":"1999","journal-title":"British Journal of Theatre Nursing"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2003.02921.x"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-5273(99)00057-1"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(03)00401-7"},{"key":"e_1_2_5_26_1","first-page":"17","article-title":"Morbidity and mortality from intra\u2010aortic balloon pumps. Risk analysis","volume":"43","author":"Meco M","year":"2002","journal-title":"Journal of Cardiovascular Surgery"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(02)00034-9"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1136\/heart.88.5.531"},{"key":"e_1_2_5_29_1","first-page":"56","article-title":"IABP therapy: Getting patients treatment fast","volume":"66","author":"Metules T","year":"2003","journal-title":"Registered Nurse"},{"key":"e_1_2_5_30_1","doi-asserted-by":"crossref","first-page":"300","DOI":"10.4037\/ajcc1998.7.4.300","article-title":"Intra\u2010aortic balloon pump: nursing implications for patients with an iliac artery approach","volume":"7","author":"Molnar HM","year":"1998","journal-title":"American Journal of Critical Care"},{"key":"e_1_2_5_31_1","volume-title":"Supporting Nurses and Midwives Through Lifelong Learning","author":"Nursing and Midwifery Council","year":"2002"},{"key":"e_1_2_5_32_1","first-page":"12","article-title":"Acute lower limb ischaemia: a case study","volume":"10","author":"Ronayne R","year":"1992","journal-title":"Journal of Vascular Nursing"},{"key":"e_1_2_5_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(00)00875-5"},{"key":"e_1_2_5_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.hco.0000142064.30214.1c"},{"key":"e_1_2_5_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/014572179702300605"},{"key":"e_1_2_5_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0967-2109(99)00087-3"},{"key":"e_1_2_5_37_1","first-page":"38","article-title":"Getting to the heart of IABP therapy","volume":"60","author":"Stamatis SJ","year":"1997","journal-title":"Registered Nurse"},{"key":"e_1_2_5_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0899-5885(18)30307-1"},{"key":"e_1_2_5_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(03)00400-5"},{"key":"e_1_2_5_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(98)00128-4"},{"key":"e_1_2_5_41_1","first-page":"424","article-title":"Intra\u2010aortic balloon counterpulsation: which patients will benefit?","volume":"12","author":"Zaacks SM","year":"1997","journal-title":"The Journal of Critical Illness"}],"container-title":["Nursing in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1478-5153.2006.00187.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1478-5153.2006.00187.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T16:48:19Z","timestamp":1697302099000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1478-5153.2006.00187.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,10,19]]},"references-count":40,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2006,11]]}},"alternative-id":["10.1111\/j.1478-5153.2006.00187.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1478-5153.2006.00187.x","archive":["Portico"],"relation":{},"ISSN":["1362-1017","1478-5153"],"issn-type":[{"value":"1362-1017","type":"print"},{"value":"1478-5153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,10,19]]}}}