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Case Scenario #2 (Scrub Nurse) During a Centrimag LVAD insertion in the operating room the perfusionist hands the primed sterile lines to the field for connection to the catheter. The surgeon asks for inflow tubing and outflow tubing, respectively. The scrub nurse accidentally hands the lines up in reverse order. After the cessation of CPB and the VAD is started, the surgeon notices the heart acutely swell and the arterial pressure plummet. The surgeon asks the perfusionist to increase the VAD flow to off- load the ventricle. The condition worsens, forcing the re- initiation of CPB support. - Table lines reversed, flow path Ao-LV.
Case Scenario #3 (Caregiver) Patient is on HMII support and is seemingly making steady progress on the telemetry floor. Discharge orders are being written by the P.A. During the interview the patient <strong>com</strong>plains of new-onset lethargy and a weakened appetite. The P.A. determines that the pump flow is less than normal and decides to increase the pump speed by 400 RPM, resulting in an much improved C.I. The P.A. leaves after the consult. Moments later, the patient de-<strong>com</strong>pensates and cardiac arrest ensues. Ventricular suck-down; quick RPM changes
Page 1 and 2: VAD’s and Simulation: Can acciden
Page 3 and 4: U.S. Airways Flight 1549
Page 5 and 6: “This is for the birds” • 1 o
Page 7 and 8: Flight Simulation
Page 9 and 10: Simulation in Training • Offered
Page 11 and 12: Medical Errors in the Hospital “T
Page 13 and 14: Medical Simulation (cont’d) • M
Page 15 and 16: The Enhancing SIMULATION Act • Es
Page 17 and 18: • > 65 and over • 348,000 in 19
Page 19 and 20: Evolution of Mechanical Assist
Page 21 and 22: In 1994…….. The Juice is Loose!
Page 23 and 24: Ventricular Assist Devices • Func
Page 25 and 26: INTERMACS ® Registry Patient Enrol
Page 27 and 28: Trends in Heart Transplants (UNOS:
Page 29 and 30: Destination Therapy
Page 31 and 32: Can We Improve Outcome?? • FDA Da
Page 33 and 34: • Expanding technology VAD Simula
Page 35 and 36: If you Build it, They will Come! #
Page 37 and 38: Modern Orchestra
Page 39 and 40: Mechanical Assist Program 1. Surgeo
Page 41: Case Scenario #1 (Surgeon) Patient
Page 45 and 46: Case Scenario #5 (Patient) A newly
Page 47: Thank You

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