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• 4.6 mls of 50 mg gp per ml of angiomax was injected into a 100 cc bag of normal saline • Giving a concentration of 2.3 mg/ml • 30 mls was drawn and given as a bolus through the cordis • Bolus dose was 69 miligrams • A 25 mg bolus was injected into the circuit • Attending ordered the infusion to be decreased by 30% if ACT greater than 225 second and to bolus 50 mg (0.6 ml if ACT less than 225 seconds
• ECMO was restarted • The initial ACT immediately following attaining a flow of 2 Lpm was 240 seconds • Angimax infusion was at 35 mls per hour
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 36 and 37: • An ELISA ( enzyme-linked immuno
Page 38 and 39: Capiox SX-18 Oxygenator
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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