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• ECMO initiated • Flow of 2.8 LPM achieved • Fi02 1.0, sweep gas of 4.0 liters, • Arterial oxygen saturation 98% on oxysat monitor, CDI 100 • Negative pressure -56 mmhg (measured pre Rotoflow cone), with chatter noted in lines • To bring down the inlet pressure, Voluven 250 mls given , pressure dropped to – 27 mmhg • ACT drawn with results of 360 seconds • Heparin infusion started at 1600 units per hour • ACT’s remained in the 160-210 sec range with minor adjustments of heparin drip. 1500-1800 1800 units per hour • ACT’s drawn every hour
• In order to achieve a negative fluid balance of 1 liter in 24 hrs • Bolus of lasix 40 mg was given and a drip started • 100 mls per hour was taken off via hemoconcentrator • A Propofol infusion was started at 400 mg/hr, later decreased to 200 mg/hr • Voluven was needed at regular intervals to keep negative pressure less than -30 mmhg • Order by physician was to give voluven 250 mls Prn. • Negative fluid balance was never achieved
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 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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