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Management process of the extracorchoreal circuit

CARDIOVASCULAR
What does the perfusion professional do
GROUP # 2

Introduction

Blood from the cavas enters through the CEC


circuit. It is propelled by a pump and passes
through a heat exchanger that allows
hypothermia to be induced and the blood to be
warmed before exiting the ECC.

Subsequently, the flow passes through a


membrane or bubble oxygenator, returning to
the patient through a cannula located in the
aorta and occasionally in the femoral artery.

Extracorporeal
circuit process

Hepartin is applied to the patient and they


wait 20 minutes for coagulation, then comes
the placement of the purse strings in the
aorta, right atrium or in the root of the aorta.

When active coagulation time was


already given, the cannulation was
performed, the arterial cannula
first, followed by the venous
cannula and the third cardioplegia
cannula.

After placing the arterial cannula,


the arterial line is connected, after
placing the venous cannula, the
venous line is connected, the
cardioplegia cannula is connected,
and the line following it.

the patient enters extracorporeal


circulation, but the lung and heart
continue to function. The aorta is
occluded and cardioplegia is started.

venous blood will drain from the right


atrium directly to the venous reservoir,
then the blood enters the roller pump or
centrifugal pump, these help mobilize the
blood and send it to the oxygenator.

The emotec cools the blood and is located


in the lower part of the oxygenator, then
the oxygenated blood goes to the filter
and filters all the blood from clots and
impurities.

from the filter it goes to the arterial


cannula and from there to the circulation
as such.

End

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