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• 5000 unit bolus of heparin (hepalean) ea given to patient, prior to initating ECMO • Cannulation of right internal jugular via seldinger technique, with an uncoated 17 French DLP venous cannula (Medtronic) • Left groin cannulated with an uncoated 17 French DLP arterial cannula (Medtronic) • Could not pass a venous cannula • Cannulas clamped distally connected to crystalloid (Normosol-R) primed circuit
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 and 14: X-ray June 2nd
Page 15: • Cardiac surgery consulted • E
Page 21: • In order to achieve a negative
Page 26 and 27: • ECMO day 7, platelets decreased
Page 28 and 29: • The eca cannula ua was asca cla
Page 30 and 31: • ECMO day 12, perfusionist noted
Page 32 and 33: • During morning rounds heparin i
Page 34: • Immune mediated HIT causes much
Page 37 and 38: • Decision was made to use an alt
Page 39 and 40: • Heparin was discontinued • An
Page 41 and 42: • ECMO was restarted • The init
Page 43 and 44: • ECMO day 14 ( day two with non
Page 46 and 47: • Ventilator setting • Fi02 0.8
Page 48 and 49: Outcome • The patient remained in
Page 50 and 51: • There were many interesting iss
Page 52 and 53: • Alternative anticoagulation ( A
Page 54 and 55: • This case documents a positive
Page 56: Alternative Treatments Discussed

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