AIR
Circuit Emergency
Initiation/Management
Weaning/Trialing Off
100
The most common reason for air entering the circuit
What is: User Error
100
The 1st thing to do when you see air BELOW the bladder
What is : Clamp the Arterial Line
100
Supplies needed for Initiation
What is; ECMO circuit; cannula box/cart; connector box; ECMO cart; (2) ACT cartridges; priming meds
100
Why C-Clamp is used.
What is : Required for weaning off to maintain circuit flow to patient and circuit?
200
Method to remove AIR in Cone on Centrifugal
What is: Use "Big Air" Method and come off ECMO
200
Never to be used on "Little Air" Technique
What is: The Secondary Set.... Never use a SECONDARY SET with this Method!!!!!! WHY!!!
200
The most important pieces of ECMO code page information
What is : The unit phone# & patient weight
200
Flow meter is moved below the bridge on arterial side of circuit.
What is : Placement of flowmeter on ECMO circuit during trial off.
300
Procedure for removing "little air" (in bladder)
What is: Get 60ml syringe(add maxi plus) ; 2nd ECMO RN to assist; stopcock at upper-most point; Circuit stopped for 15sec; Air removed; back on after 15sec. May repeat process as needed
300
How would you react if your Centrifugal Control panel reads "E78"
What is: Hand Crank while someone goes to the ECMO room and obtains a new motor and control panel. Where is this equipment located in the ECMO room?
300
Motor failure; AC power failure; pump flow sensor failure; pump head disengagement
What is: Causes of Mechanical Failure on a Centrifugal Pump
300
Increased SVR during "FLASH"
What is :What is: Why may you not be able to have "Forward Flow" on the Centrifugal during "Flash"? How do you overcome this?
400
The sequence for an Air Emergency ( Big Air)
What is: Clamp arterial line; VBA; remove gas; remove yellow cap; hang secondary set; remove air; flow at goal to check all nook & crannies; double clamp at cannula prior to ABV; Remove secondary set prior to going back on.
400
Managing a clot in the cone.
What is: VBAG + C; handcrank; check circuit; if able to flow place cone back on motor; attempt to flow circuit; go back on until another circuit available.
400
Causes of Access Problems
What is : Kinked cannula/lines; poor cannula position; excessive pump suction for a given cannula diameter; high negative pressure; decreased intravascular volume
400
Absolute way to verify how much flow you are giving during the "Flash Procedure".
What is : Placing a transonic flow probe on the arterial cannula and watching it during "Flash"
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