Emergent Oxygenator Changeout Tutorial

00:06 Introduction
02:24 Removing ancillary lines from failing oxygenator
03:53 Removing the oxygenator from its holder
04:07 Shutting down the pump and clamp placement
04:40 Installing new oxygenator, manifold, and purge lines
05:16 Removing inlet line from old oxygenator, installing on new one
06:08 Removing outlet line from old oxygenator, installing on new one
06:36 Installing cardioplegia line and transferring over the gas line
07:16 Reestablishing flow through recirculation line, de-airing the circuit
08:18 Reestablish flow through arterial line filter, de-airing the circuit
08:43 Shutting down the pump, re-initiating bypass
09:18 Outro

[@anakhan7952]

Thanks for the video 😊

[@paperboy5158]

I would like to make two suggestions.
First you should always have an O2 E-tank with a regulator and gas line available in the room. Don't waste time visually inspecting the sweep gas circuit on the pump. It could be leaking for a dozen places which are not visible. Instead immediately connect the E-tank directly to the gas inflow port to determine if the sweep gas circuit on the pump is not working properly.
Secondly ALL cardiopulmonary bypass circuits should contain a PRONTO line (Parallel Replacement of the Oxygenator that is Not Transferring Oxygen). See reference below. Splice in the new oxygenator/heat exchanger in parallel to the old one using the PRONTO line without ever taking the patient off bypass.
Gary Grist RN CCP
Perfusion. 2002 Nov;17(6):447-50.
Parallel replacement of the oxygenator that is not transferring oxygen: the PRONTO procedure.
Groom RC, Forest RJ, Cormack JE, Niimi KS, Morton J.

[@aquilamarinho6233]

Great man, I’m from Brazil, tks for the class

[@josephpoulose6401]

Great...well explained.thank you.

[@sabrinat1216]

Great, ty!

[@shamlyraj3711]

Nice job

[@Insideheart281]

Thankyou

[@sojitrabhavesh6623]

what is the life span of oxygenator?......after how many surgery we need to change oxygenator? please answer if possible

[@Kalim302]

You change the oxygenator after each surgery of course. And the lifespan of this type of oxygenator that we see in this video is 6 hours referring to the manufacturer.

[@harshavlogar6552]

It's 6 to 8 hours in on bypass may bee

[@innocentboy5260]

It's Probably 6 Hours But It Can Last Long As Depending Upon The Flows And Temp 🙃✨