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  • Va Algorithm

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    The VA ECLS algorithm provides guidance for managing patients on extracorporeal life support (ECLS) based on measurements of oxygen saturation (SvO2), blood pressure (BP), hematocrit, and oxygen levels (PaO2). It instructs users to assess SvO2, BP, hematocrit, and PaO2, then take appropriate actions such as increasing or decreasing ECLS flow, giving transfusions, diuresis, analgesia, or checking for issues like cannula obstruction or tamponade. The goal is to optimize the patient's condition through adjustments to the ECLS system and other treatments.

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    The VA ECLS algorithm provides guidance for managing patients on extracorporeal life support (ECLS) based on measurements of oxygen saturation (SvO2), blood pressure (BP), hematocrit, and oxygen levels (PaO2). It instructs users to assess SvO2, BP, hematocrit, and PaO2, then take appropriate actions such as increasing or decreasing ECLS flow, giving transfusions, diuresis, analgesia, or checking for issues like cannula obstruction or tamponade. The goal is to optimize the patient's condition through adjustments to the ECLS system and other treatments.

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    18 views1 page

    Va Algorithm

    Uploaded by

    api-302708069
    The VA ECLS algorithm provides guidance for managing patients on extracorporeal life support (ECLS) based on measurements of oxygen saturation (SvO2), blood pressure (BP), hematocrit, and oxygen levels (PaO2). It instructs users to assess SvO2, BP, hematocrit, and PaO2, then take appropriate actions such as increasing or decreasing ECLS flow, giving transfusions, diuresis, analgesia, or checking for issues like cannula obstruction or tamponade. The goal is to optimize the patient's condition through adjustments to the ECLS system and other treatments.

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    © All Rights Reserved
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    of 1

    VA ECLS ALGORITHM

    SvO2 < 65-70

    ASSESS SvO2
    SvO2 65-75

    Increase ECMO flow

    Decrease ECMO flow

    SvO2 > 80

    Unable to
    Increase flow
    Exclude :
    Venous cannula obstruction
    Pain/anxiety/increased consumption

    ASSESS BP
    low

    Reposition patient
    Raise bed (roller)

    high

    normal
    fluid overload diuresis
    pain / anxiety.analgesia/sedation
    idiopathic
    vasodilator

    ? HYPOVOLEMIA

    yes

    BP / CVP
    Pulse pressure
    Perfusion
    Urine output
    Tachycardia

    ASSESS HAEMATOCRIT

    < 25 %

    > 25 %

    Transfuse
    Packed rbcs

    IF EUVOLEMIC
    ? TAMPONADE / TENSION
    -Freq cut-out (roller)
    -Hign negative access P (Biomedicus)
    -High PaO2
    -Falling circuit flow
    -Flat pulse pressure, poor perfusion
    ? VENOUS CANNULA OBSTRUCTION
    -Freq cut-out (roller)
    -High negative access P (Biomedicus)
    -low PaO2
    -high pulse pressure

    no action required
    platelets
    fresh frozen plasma
    albumin
    crystalloid

    ASSESS Patient PaO 2

    high ( PaO2 > 140 )

    ? Improving lung disease

    low ( PaO2 < 50 -60 )

    ? fluid overload

    VA ECLS MANAGEMENT ALGORITHM

    Policy #

    BCCH Child & Youth Health Policy and Procedure Manual

    Page 1 of 1

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