Crisis Scenario 1 – Pre-filter Separation
Step 1: Arterial pump off and CPG pump off if running
Comm: Line separation, we are off bypass at (note time). Please clamp the lines at the table.
Step 2: Isolate patient - Clamp arterial line and move clamp on recirc line to venous line.
Comm: I need 2 mins, I will let you know when I’m ready to go back on.
Step 3: Reconnect the separated line.
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If reservoir volume is low, drop prime sufficient to replace lost volume (estimate)
Step 4: Stop bypass timer and start an ischemic timer.
Step 5: Begin recirculating.
Comm: Is the arterial line obstructed at the field?
Step 6: Follow the circuit and confirm other connections are secure.
Step 7: Completely de-air the circuit.
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Check ALF, bypass line, oxygenator, CP line, and boot for trapped air
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If needed, re-prime the red box transducer and re-zero.
Comm: I am ready to go back on bypass, all clamps off at the field?
Step 8: Check line placement
Step 9: Reinitiate bypass.
Comm: Back up to full flow at (note time), ischemic time was _____mins.
Step 10: Restart bypass timer.
Step 11: Clean up
Comm: Circuit was contaminated, additional antibiotics may be needed.
Comm: I’ll draw another set of labs.
Make a note of additional prime used.
Supplies needed:
Tubing Clamps (6)
Alcohol swabs
Towels
Male to male luer