EDECMO Podcast EDECMO 20 – The Golden Hour & the Rule of 3’s: Optimizing the Critical First Hour on Heart-Lung Bypass
6 snips
Apr 11, 2015 Delve into the critical 'golden hour' on heart-lung bypass, where pivotal decisions shape patient outcomes. Discover the intricate assembly of the ECMO circuit and the vital role nurses play in this complex setup. Learn the essential steps to ensure a safe heart-lung bypass and the need for continuous monitoring of blood oxygenation and hemodynamic status. Explore advanced techniques for managing patient perfusion, while emphasizing the importance of indicators like blood flow and gas analysis for optimal ECMO management.
AI Snips
Chapters
Transcript
Episode notes
Proper ECMO Circuit Priming
- Prime the ECMO circuit by filling it with heparinized crystalloid solution via gravity.
- Squeeze prime bags to remove air, then start the pump and de-air through the oxygenator vent.
Critical Pre-ECMO Checks
- Before initiating ECMO, heparinize the patient with 5,000 units IV.
- Ensure oxygen source is attached and no open central lines to avoid air embolism.
Post-ECMO Initiation Checks
- After starting bypass, verify arterial line has bright red blood and venous line dark red.
- Secure cannulas with sutures and close recirculation bridge before progressing.