With changes in heart rate and mean aortic pressure, an intraaortic ba
lloon (IAB) works with incomplete inflation. The effects of initial pe
ak positive pressure and plateau holding positive pressure on IAB volu
me were investigated and minimum pressures necessary to inflate an IAB
to a desired volume were established with a standard IAB catheter (Da
tascope type, 9.5 Fr, 40 ml). Initial peak pressure greater than 200 m
m Hg was adequate to attain the desired volume of the IAB. Plateau pos
itive pressure should be altered in accordance with hemodynamic change
s.