Cardiolegia Flashcards Preview

Perfusion Program Fall 2014 > Cardiolegia > Flashcards

Flashcards in Cardiolegia Deck (12)
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1

S: "Leave some volume in please!"

Clamp 1/2 on venous line, then infuse volume at same RPMs. Call out every 100 mL of volume.
P: That's 100, 200, 300 in.
P: CVP is X
P: How does the heart look?

2

S: " Are you ready for cross clamp?"

- Bypass is good
- Proper Solution high K+ (20 mEq/L)
- Proper Temperature (Cold)
- Primed to the field.

3

S: "Pump Down"!

RPMs down till patients ABP = 30-40 mmHg.
- Hold & wait
S: "Clamp is on"
P: Turn RPMs back up to full flow

4

S: Cardioplegia delivery prime

- Vent on at 500 (removes any air)
- Plegia on at 400 (primes plegia & recircs. trapped air)
- Vent is off (plegia is no vented out)

5

S: Antegrade delivery

- High dose K+
- 4/1 delivery on roller pump
P = 180 - 220 mmHg ALP
Q = .200 - .300 L/min
- Vent Off

6

S: Retrograde delivery

- High dose K+
- 4/1 delivery
- P = 30 -45 mmHg (pressure 2)
- Q = .250 - .400 L/min
- Vent On


7

S: Ed's Vein graft / hand held delivery

P = 150 mmHg
Q = 30 - 110 mL/Min

8

S: Maintenance delivery

P = 30 - 45 mmHg (pressure 2)
- 8/1 delivery (300 mL)

9

S: "What's the flow down this vein?"

Flow is .030 mL/m @ 50 mmHg

10

S: "How is your myocardial protection ?"

- Time (since last cardioplegia dose)
- Temp (obtained from probe on septum/ Cold)
- EKG = asystole
- PA / LVEDP
- Vent Flow = full heart = warm heart = Not Good

11

S: Bruce's Vein graft / hand held delivery

P = 200 mmHg
Q = 30 - 110 mL/Min

12

"Hot Shot"
Case is coming to an end.

- Warm the patient to 38
- Warm CLP to 38