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Instructions for use: Ikus - Berlin Heart

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After the operation<br />

Implantation – Surgical procedure<br />

• Central temperature<br />

• Urinary catheter<br />

Additionally recommended monitoring procedures<br />

• Cardiac output calculation<br />

• Intraoperative transesophageal echo control (location of inflow cannula, valve function,<br />

intracardial shunts, volume status).<br />

Other monitoring procedures (e.g. neuromonitoring) are at the discretion of the<br />

anesthesiologist.<br />

8.9.1 Intraoperative anticoagulation therapy<br />

Preoperative<br />

• Per<strong>for</strong>m thrombelastography to check <strong>for</strong> hypercoagulative state.<br />

Intraoperative<br />

• While supplying the patient via HLM administration of heparin<br />

• At the end of the operation, administer protamine <strong>for</strong> the complete antagonization of the<br />

heparin effect and to achieve a normal hemostasis.<br />

8.10 After the operation<br />

<strong>Instructions</strong><br />

1. Fill out the implantation log and fax it to <strong>Berlin</strong> <strong>Heart</strong> GmbH. For an example, see page<br />

83.<br />

52 1000002 Rev. 4.9.1

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