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• ECMO day 12, perfusionist noted 4-5 areas of white lipid like deposits approximately 2-5 cm on the inflow of the oxygenator • There was also a rise in negative pressure, -25 mmhg to -52 mmhg • Flows had decreased d from 3.2 Lpm to 2.1 Lpm
• The residue was thought t to be propofol o deposits • Propofol was discontinued on order from attending • Clonodine was used as an alternative drug for sedation (I.V. infusion 1.3 mcg/kg hr) • Throughout h the night pt exhibited signs of wakefulness • Rapid eye movement, finger and toe movements, and slight response to verbal <strong>com</strong>mands ( squeezing fingers)
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 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: 20 FRENCH EDWARDS VENOUS CANNULA
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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