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• An ELISA ( enzyme-linked immunoabsorbant) assay was sent which later came back positive for Hit • Heparin-induced induced serotonin release assay done • Considered the gold standard in Dx of HIT • Did not receive result until 4 days later, also positive
• Decision was made to use an alternative anticoagulant and to change the ECMO circuit to a synthetic coated circuit • The Capiox SX 18 (Terumo) oxygenator was chosen (X-coated) • Assembled along with 3/8 phospholocholine (synthetic) coated AV loop • A Biomedicus Bio cone (Carmeda coated) was used due to the fact that t we have no non heparin Bio cones available • The circuit was primed with Normosol-R, deaired and warmed • The crystalloid was then chased with one unit of packed red blood cells and tubing connected to existing cannulas
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 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 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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