Berlin Heart EXCOR Pediatric VAD, Manual, Page: 166 / 250

Chapter 13 Weaning and Explantation for BTR and BTT
10 ml / 15 ml pump Weaning Sequence
Day 1
After confirmation of eligibility criteria, the following steps should be
performed sequentially under echo guidance
1
:
1. Administer UFH 75 units/kg x _____ kg = _____ mg IV x 1 [max 5000
units].
2. After 5 minutes, reduce the pump rate step-wise by from the IR
(_____ bpm) to 30 bpm in increments of 5 bpm q 5 min. After 5
minutes at 30 bpm, reassess LV size and function.
3. After a total time of 10 min at 30 bpm, stop the pump for 3 min and
reassess LV size and function. During pump stoppage, use the
manual pump to pump twice q30 seconds to minimize the risk of
thrombus formation due to blood stagnation while Ikus is
disconnected.
4. After 3-minute pump stop, reconnect pump to Ikus and resume
pumping at rate RR1 (___ bpm).
Did the patient satisfy all 5 eligibility criteria
throughout the period of weaning and pump
stoppage?
ÿ
NO -STOP
ÿ
YES ­
Proceed
MD________
Day 2
After confirmation of eligibility criteria, the following steps should be
performed under echo guidance
1
:
1. Administer UFH 75 units/kg x _____ kg = _____ mg IV x 1 [max 5000
units].
2. After 5 minutes, reduce the pump rate step-wise from RR1 (_____
bpm) to 30 bpm in increments of 5 bpm q 5 min. After 5 minutes at 30
bpm, reassess LV size and function.
3. After a total time of 20 min at 30 bpm, stop the pump for 3 min and
reassess LV size and function. During pump stoppage, use the
manual pump to pump twice q30 seconds to minimize the risk of
thrombus formation due to blood stagnation while Ikus is
disconnected.
4. After 3-minute pump stop, reconnect pump to Ikus and resume
pumping at RR2 (___ bpm).
Did the patient satisfy all 5 eligibility criteria
throughout the period of weaning and pump
stoppage?
ÿ
NO -STOP
ÿ
YES ­
Proceed
MD________
Tab. 13-3 10 ml / 15 ml pump weaning sequence
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