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Sickle Cell patient and CPB

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jdnysi63 View Drop Down
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Joined: Mar 05 2009
Location: United States
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  Quote jdnysi63 Quote  Post ReplyReply bullet Topic: Sickle Cell patient and CPB
    Posted: Mar 05 2009 at 5:53pm

Greetings,

I am a perfusion student from NY.  I recently was involved in a case with a sickle cell patient. 

Upon doing research for my case, I found I had to do the following to prevent the sickling crisis from occuring.

1) keep the sweep higher (this will decrease the CO2 and make the patient more alkaline)

2) do not cool the patient (b/c lower temps can induce the sickling crisis)

3) avoid acidosis

4) plasma and platelet seperation prior to bypass

My question is......Is there anything else not listed that I should be aware of when handling the sickle cell patient??

Also.......If the sickling crisis does occur what are some early warning signs I could look for??

I would welcome any and all feedback.

TY

Joe

J.D.
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slkvsv View Drop Down
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  Quote slkvsv Quote  Post ReplyReply bullet Posted: Apr 05 2009 at 7:50am
 hi joe,
 
 other more things that you need is to do ( optional),
* prebypass itself you need to collect the patient blood in cpda blood collection bag.
* you have to use warm cardioplegia (cryst/blood).
 
 
all the best
 
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