Cases/

Case 27 — Overnight clamp change

V-AVintermediate00:00Score 100
V-AV-ECMOintermediate6 min

Case 27 — Overnight clamp change

Handover

Hybrid circuit, both return limbs balanced last night with a flow probe on each. Overnight someone tightened the venous-return gate. Qven 0.3 L, Qart 4.2 L. Right-hand sat is sliding and the venous limb looks dark and sluggish.

Uncorrected hypoxemia, shock, or a dead circuit progresses to pre-arrest, then a code.

Goals

  • · Qven ≥ 1.0 L
  • · Upper SpO₂ ≥ 86%
  • · Qart still ≥ 1.8 L