Lesson 1Priming procedure step-by-step: fluids, heparinization, degassing technique, bubble traps, and pressure equilibrationGives step-by-step priming process, including choice of fluids, adding heparin, removing gas, managing bubble traps, and balancing pressure to get a steady circuit without air ready for patient support.
Selection and preparation of priming fluidHeparin dosing and anticoagulation checksDegassing techniques and line manipulationBubble trap setup and monitoringFinal pressure balance and documentationLesson 2Air removal and de-airing maneuvers specific to Getinge circuits and oxygenator fillingExplains removing air from Getinge circuits, focusing on safe paths to remove air, sequence for filling oxygenator, and using vents and recirculation to stop blood clots before connecting to patient and during fixes.
Pre‑priming circuit orientation and vent pointsOxygenator filling order and flow directionUse of recirculation loops for de‑airingHandling residual microbubbles and foamVerification of air‑free circuit before useLesson 3Identification and function of console components (Cardiohelp vs Rotaflow)Describes identifying and how Cardiohelp and Rotaflow consoles work, including screen, pump control, sensor inputs, and differences that affect setup, watching, and emergency actions.
Front panel layout and key controlsPump drive unit and motor functionPressure and flow sensor interfacesIntegrated versus external display featuresSystem differences impacting workflowsLesson 4Detailed list of disposables: pump heads, oxygenators, tubing sets, connectors, cannulae interfacesReviews needed throwaway items for Getinge ECMO, like pump heads, oxygenators, tubing sets, connectors, and cannula parts, paying attention to sizes, labels, and batch numbers for tracking.
Pump head models and usage limitsOxygenator options and selection criteriaTubing set variants and circuit layoutsConnectors, Y‑pieces, and stopcocksCannula interface and fixation adaptersLesson 5Infection control and sterile field considerations during device setupFocuses on stopping infections during ECMO setup, including making sterile area, clean handling of throwaways, protecting lines, and working with infection rules for high-risk patients.
Room preparation and traffic controlSterile field setup and maintenanceAseptic handling of tubing and portsLine protection and dressing strategiesCoordination with infection control teamLesson 6Pre-use inspection: device integrity, serial numbers, expiration dates, and sterile packaging checksDescribes checking all devices and throwaways before use, confirming they are whole, serial numbers, expiry dates, and sterile packs to avoid machine failure and dirt during ECMO use.
Visual inspection for damage or defectsVerification of labels and serial numbersChecking expiration dates and IFUsSterile packaging integrity assessmentRecording lot numbers and checklistsLesson 7Ancillary equipment: priming kits, heaters, gas blender, monitors, clamps, syringes, backup powerCovers choosing and setting up priming kits, heaters, gas mixer, monitors, clamps, syringes, and backup power, stressing matching, right connections, and extras for safe ECMO help.
Priming kit components and compatibilityHeater unit setup and temperature targetsGas blender configuration and safety checksMonitor connections and display layoutBackup power and cable managementLesson 8Alarm setup and verification: alarm limits for inlet/outlet pressures, flow, RPM, FiO2, sweep, temperature, and battery/failure alertsExplains setting up and checking alarms for inlet/outlet pressures, flow, RPM, FiO2, sweep, temperature, and battery/failure warnings, making sure limits, sounds, and response plans for safe running.
Default versus patient‑specific alarm limitsInlet and outlet pressure alarm settingsFlow, RPM, and low‑flow alarmsGas, FiO2, and temperature alarmsBattery, power, and system failure alertsLesson 9Pre-connection safety checks: leak test, circuit pressure baseline, sensor calibration, gas flow verificationOutlines safety checks before connecting, like leak test, baseline circuit pressure, sensor calibration, gas flow check to confirm ready and lower risk when hooking to patient.
Static and dynamic leak test methodsBaseline pressure and flow documentationPressure and flow sensor calibration stepsGas supply, blender, and sweep checksReadiness sign‑off before cannulation
