Aralin 1Hakbang-hakbang na pamamaraan sa priming: fluids, heparinization, degassing technique, bubble traps, at pressure equilibrationNagbibigay ng hakbang-hakbang na pamamaraan sa priming, na sumasaklaw sa pagpili ng fluid, heparinization, mga teknik sa degassing, pamamahala ng bubble trap, at pressure equilibration upang makamit ang matatag at walang hangin na circuit na handa na para sa suporta.
Selection and preparation of priming fluidHeparin dosing and anticoagulation checksDegassing techniques and line manipulationBubble trap setup and monitoringFinal pressure balance and documentationAralin 2Pag-alis ng hangin at de-airing maneuvers na tiyak sa mga circuit ng Getinge at oxygenator fillingIpinaliwanag ang pag-alis ng hangin sa circuit ng Getinge, na nakatuon sa ligtas na mga landas ng de-airing, sequence ng oxygenator filling, at paggamit ng vents at recirculation loops upang maiwasan ang emboli bago ikabit sa pasyente at sa panahon ng troubleshooting.
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 useAralin 3Pagkilala at function ng mga bahagi ng console (Cardiohelp vs Rotaflow)Tinalakay ang pagkilala at function ng mga console na Cardiohelp at Rotaflow, kabilang ang user interface, pump control, sensor inputs, at mga pagkakaiba ng system na nakakaapekto sa setup, monitoring, at emergency responses.
Front panel layout and key controlsPump drive unit and motor functionPressure and flow sensor interfacesIntegrated versus external display featuresSystem differences impacting workflowsAralin 4Detalyadong listahan ng disposables: pump heads, oxygenators, tubing sets, connectors, cannulae interfacesSinuri ang mga kinakailangang disposables para sa Getinge ECMO, kabilang ang pump heads, oxygenators, tubing sets, connectors, at cannula interfaces, na may pansin sa sizing, labeling, at lot tracking para sa traceability.
Pump head models and usage limitsOxygenator options and selection criteriaTubing set variants and circuit layoutsConnectors, Y‑pieces, and stopcocksCannula interface and fixation adaptersAralin 5Kontrol ng impeksyon at sterile field considerations sa panahon ng device setupNakatuon sa pagpigil ng impeksyon sa panahon ng ECMO setup, kabilang ang paglikha ng sterile field, aseptic handling ng disposables, proteksyon ng lines, at koordinasyon sa mga patakaran ng infection control sa mga high-risk na pasyente.
Room preparation and traffic controlSterile field setup and maintenanceAseptic handling of tubing and portsLine protection and dressing strategiesCoordination with infection control teamAralin 6Pre-use inspection: device integrity, serial numbers, expiration dates, at sterile packaging checksInilarawan ang pre-use inspection ng lahat ng devices at disposables, na nagve-verify ng integrity, serial numbers, expiration dates, at sterile packaging upang maiwasan ang equipment failure at contamination sa panahon ng ECMO runs.
Visual inspection for damage or defectsVerification of labels and serial numbersChecking expiration dates and IFUsSterile packaging integrity assessmentRecording lot numbers and checklistsAralin 7Ancillary equipment: priming kits, heaters, gas blender, monitors, clamps, syringes, backup powerSumasaklaw sa pagpili at setup ng priming kits, heaters, gas blender, monitors, clamps, syringes, at backup power, na nagbibigay-diin sa compatibility, correct connections, at redundancy upang mapanatili ang ligtas na ECMO support.
Priming kit components and compatibilityHeater unit setup and temperature targetsGas blender configuration and safety checksMonitor connections and display layoutBackup power and cable managementAralin 8Alarm setup at verification: alarm limits para sa inlet/outlet pressures, flow, RPM, FiO2, sweep, temperature, at battery/failure alertsIpinaliwanag ang configuration at verification ng mga alarma para sa pressures, flow, RPM, FiO2, sweep, temperature, at power, na tinitiyak ang appropriate limits, audible alerts, at response protocols para sa ligtas na ECMO operation.
Default versus patient‑specific alarm limitsInlet and outlet pressure alarm settingsFlow, RPM, and low‑flow alarmsGas, FiO2, and temperature alarmsBattery, power, and system failure alertsAralin 9Pre-connection safety checks: leak test, circuit pressure baseline, sensor calibration, gas flow verificationInilalahad ang pre-connection safety checks, kabilang ang leak testing, pagtatag ng baseline circuit pressures, sensor calibration, at gas flow verification upang kumpirmahin ang readiness at mabawasan ang risk sa patient hookup.
Static and dynamic leak test methodsBaseline pressure and flow documentationPressure and flow sensor calibration stepsGas supply, blender, and sweep checksReadiness sign‑off before cannulation
