Issue |
J Extra Corpor Technol
Volume 47, Number 3, September 2015
|
|
---|---|---|
Page(s) | 180 - 182 | |
DOI | https://doi.org/10.1051/ject/201547180 | |
Published online | 15 September 2015 |
Case Report
A Novel Method to Detect an Oxygenator Defect Prior to Cardiopulmonary Bypass Initiation
* Perfusion Services, Montreal Heart Institute, Montréal, Canada
† Department of Anesthesiology, Hoôpital du Sacré-Cœur de Montréal, Montréal, Canada
‡ Department of Cardiac Surgery, Montreal Heart Institute, Montréal, Canada
Address correspondence to: Armindo Fernandes, CPC,CCP, Cardiovascular Perfusion Services, Montreal Heart Institute and Université de Montréal, 5000, Rue Bé langer, Montré al (QC) H1T 1C8, Canada. E-mail: armindo_fernandes@hotmail.com
Received:
24
March
2015
Accepted:
21
August
2015
Cardiopulmonary bypass (CPB) is a common practice in our era. The medical technology used for cardiac surgery goes through rigorous testing to ensure its safety. Unfortunately, it is not fail proof. Oxygenator failures are a rare occurrence but may lead to catastrophic events. We present a case where the preparation for initiating CPB was complicated by an oxygenator defect. After thorough examination, the oxygenator was found leaking from the gas exhaust port suggesting a disruption in continuity of the fibers. This was found by the vigilance of the perfusionist and a creative method to quickly assess the integrity of the oxygenation device. We describe a simple technique to help diagnose an oxygenator leak.
Key words: cardiopulmonary bypass / equipment / oxygenator failure / safety / quality assurance
© 2015 AMSECT
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