Emergent Oxygenator Changeout Tutorial
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- čas přidán 29. 08. 2024
- 00:06 Introduction
02:24 Removing ancillary lines from failing oxygenator
03:53 Removing the oxygenator from its holder
04:07 Shutting down the pump and clamp placement
04:40 Installing new oxygenator, manifold, and purge lines
05:16 Removing inlet line from old oxygenator, installing on new one
06:08 Removing outlet line from old oxygenator, installing on new one
06:36 Installing cardioplegia line and transferring over the gas line
07:16 Reestablishing flow through recirculation line, de-airing the circuit
08:18 Reestablish flow through arterial line filter, de-airing the circuit
08:43 Shutting down the pump, re-initiating bypass
09:18 Outro
I would like to make two suggestions.
First you should always have an O2 E-tank with a regulator and gas line available in the room. Don't waste time visually inspecting the sweep gas circuit on the pump. It could be leaking for a dozen places which are not visible. Instead immediately connect the E-tank directly to the gas inflow port to determine if the sweep gas circuit on the pump is not working properly.
Secondly ALL cardiopulmonary bypass circuits should contain a PRONTO line (Parallel Replacement of the Oxygenator that is Not Transferring Oxygen). See reference below. Splice in the new oxygenator/heat exchanger in parallel to the old one using the PRONTO line without ever taking the patient off bypass.
Gary Grist RN CCP
Perfusion. 2002 Nov;17(6):447-50.
Parallel replacement of the oxygenator that is not transferring oxygen: the PRONTO procedure.
Groom RC, Forest RJ, Cormack JE, Niimi KS, Morton J.
Thanks for the video 😊
Great man, I’m from Brazil, tks for the class
Great...well explained.thank you.
Great, ty!
Nice job
Thankyou
what is the life span of oxygenator?......after how many surgery we need to change oxygenator? please answer if possible
You change the oxygenator after each surgery of course. And the lifespan of this type of oxygenator that we see in this video is 6 hours referring to the manufacturer.
It's 6 to 8 hours in on bypass may bee
It's Probably 6 Hours But It Can Last Long As Depending Upon The Flows And Temp 🙃✨