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• She deteriorated that evening • Arterial Oxygen saturation declined to 52% on Fio2 of 1.0 • Arterial blood gas obtained, PaO2 32 mmhg, CO2 43 mmhg, hemoglobin 125 g/l • Respiratory initiated hand bagging with 100% O2 • Saturation rose to 88% • PaO2 56 mmhg
• Cardiac surgery consulted • ECMO protocol initiated • Team arrived • Surgeon prepped groins for ECMO cannulation • <strong>Perfusion</strong> arrived with primed, de-aired ECMO circuit • 3/8/3/8 inch Carmeda coated (heparin coated) tubing • 32 ml Rotoflow cone (Bioline coated) • Quadrox D oxygenator, (Bioline coated) • Biiomedicus, Minneapolis, Minesota 540 console • Biomedicus Bio Cal 370 heater cooler
Page 1: H1N1 FLU PANDEMIC THE NOVA SCOTIA E
Page 4 and 5: INCIDENCE OF H1N1 IN CANADA Cases o
Page 6 and 7: • 25 Year old female presented to
Page 8 and 9: • Chest x-ray showed bi-lateral i
Page 10: • Following initial assessment
Page 13: X-ray June 2nd
Page 20 and 21: • ECMO initiated • Flow of 2.8
Page 23: • To improve venous drainage and
Page 27 and 28: • Upon inspection of the cannula
Page 29 and 30: 20 FRENCH EDWARDS VENOUS CANNULA
Page 31 and 32: • The residue was thought t to be
Page 33 and 34: WHAT IS HIT • What is heparin ind
Page 36 and 37: • An ELISA ( enzyme-linked immuno
Page 38 and 39: Capiox SX-18 Oxygenator
Page 40 and 41: • 4.6 mls of 50 mg gp per ml of a
Page 42 and 43: • The circuit cu change out took
Page 44: • A trial run discontinuing ECMO
Page 47 and 48: • ECMO day fifteen • In the ear
Page 49 and 50: Discussion • 25 year old female w
Page 51 and 52: • Patient went on to develop a la
Page 53 and 54: • There was no algorithm availabl
Page 55 and 56: September 15 th X-ray

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