
Run a Case
9-3
Pressure Transducers
Verify that all pressure icons read CAL. Check that each transducer is at the
correct elevation. Calibrate the pressure sensors while the transducers are open to
atmospheric pressure. Verify pressure labels and the alarm and alert limits via the
Pressure subtab within the Safety tab or by touching the icon(s). Adjust the limits if
necessary.
Patient Data
Enter the patient height and weight using the Patient subtab within the Setup tab.
Verify that the correct BSA formula is being used.
Circuit
Set up and prime the extracorporeal circuit according to protocol.
Flow Sensors
Check that the flow sensor arrow points in the direction of circuit flow. Verify flow
sensor labels in the Flow subtab within the Safety tab or by touching the flow icon(s).
If the flow sensor was placed on the centrifugal pump, touching the flow icon will not
open the Safety tab.
Air Detection
Verify the labels of all air sensors in the Perfusion Screen by checking the Air subtab
within the Safety tab or by touching the air icon(s). Set up the air sensor(s). Verify
the performance of all air sensors as part of the priming procedure and leave the
sensors on.
Level Detection
Verify the selection of alert and alarm and the level detection label in the Level subtab
within the Safety tab or by touching the level icon. Set up the level detection. Verify
its performance as part of the priming procedure and leave it on.
Automatic CPG Delivery
Using the Auto Dose Setup subtab within the CPG tab, set up the required doses,
either by volume or time. Enable the Auto Dose feature in the Delivery subtab.
Servo Mode
Verify through the pump tabs that Servo mode is accessible for the desired
parameter(s).
Perfuse the Patient
Pumps
Start the pumps and adjust the pump speed. With a centrifugal pump, wait until
above minimum pump speed to unclamp arterial and venous lines. Always adjust the
centrifugal pump speed when changing to Pulse mode as the average flow rate will
decrease and the speed may be too low resulting in retrograde flow. Start arterial
pumping in Continuous mode and initiate Pulse mode when appropriate. Adjust
speeds when changing between Pulse mode and Continuous flow mode.
Gas System
Initiate gas flow when appropriate and adjust FiO2 as necessary.
Timers
Start the pump, clamp, and other timers when appropriate.
Occluder
Use the Open and Close buttons on the CCM for rapid changes in flow. Use the
Control Arrows for slow changes.
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