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• There were many interesting issues and opportunities for learning with this case • The pt. had increased bleeding which was remedied by placement of a larger cannula • The goal of achieving a negative fluid balance was never achieved • Large volumes of fluid had to be added to provide ECMO support
• Patient went on to develop a late stage heparin induced thrombocytopenia (Hit) • The entire circuit had to be converted to synthetic coated • The re<strong>com</strong>mended length of use for the SX-18 oxygenator was 6 hours (manufacturer) • It performed very well for several days without incident
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 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: Discussion • 25 year old female w
Page 53 and 54: • There was no algorithm availabl
Page 55 and 56: September 15 th X-ray

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