Instructions for use: Ikus - Berlin Heart

are adjusted gradually (see page 36).
8.7 Remove the de-airing needle
Remove the de-airing needle
Note
• Only remove the de-airing needle if the blood pump is running and the parameters have
been adjusted (see page 36).
Warning!
• On removing the de-airing needle, never pull on the de-airing tube, but rather on the
de-airing needle itself.
Instructions
1. Loosen the fixation of the de-airing needle on the de-airing nipple [1]. Important: The
ligature itself remains on the de-airing nipple [2]!
2. Pull the de-airing needle out of the de-airing nipple.
Loosen the fixation of the de-airing needle
8.8 Secure the connections
If the patient has been weaned from the HLM and the system is running stably:
Instructions
1. Keep the tube attachment set to hand.
2. Secure the following points with 2 cable tie straps each (position the locking heads
staggered): Inflow cannula on the connector, outflow cannula on the connector, driving
tube to the driving tube connector.
3. Tighten the connections with cable tie pliers.
8.9 Anesthesia
• Sufficient quantities of crossed blood products, fresh frozen plasma and thrombocyte
concentrates should be available at short notice.
• The number of transfusions of foreign blood products should be kept to an absolute
minimum.
• Devices for autotransfusion (e.g. Cellsaver) should be available in the operating room.
• Medication for reducing right ventricular afterload (nitric oxide NO, phosphodiesterase
inhibitor, prostaglandin, etc.) should be available in the operating room.
Monitoring procedure
Intraoperative monitoring corresponds to the usual monitoring for major cardiosurgical
interventions:
• CVL
• Sheath and pulmonary arterial catheter
• Arterial catheter
• ECG
• Pulse oxymetry
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