If this leak is detected saline, it should be removed. Arterial line is connected to the central vein. Withdrawal pump at a given rate of perfusion is performed within 5-10 minutes from the speed of 30-50 ml per minute. Counting the amount of blood perfused begins from the moment you place it in the air trap. In the process of hemosorption should be mandatory to control both the speed and timing of the perfusion and perfusion pressure. Perfusion rate depends on the haemodynamic status, weight and patient-specific clinical situation. When using biospecific antiproteinaznogo hemosorbent 'Ovosorb' perfusion rate should be 50-60 ml / min. Perfusion time of 120-180 minutes.
During hemosorption need to monitor the readings of a manometer, state highways and krovoprovodyaschih level of blood in the air trap. The increase in pressure indicates thrombosis massoobmennika, traps or the return catheter, as well as spasm of the vein. If the pressure is normalized after recanalization of the catheter, it is obvious that in the extracorporeal circuit thrombosing not. If perfusion pressure monitoring catheter after the return continues to grow, it should stop hemosorption. Displacement of blood from the extracorporeal system by air.
For this krovoprovodyaschuyu line is disconnected from catheter of the fence, using pump perfusion created an excessive air pressure in the system, and blood on the venous fully returned to the patient's body. To prevent air embolism outlet end of the system after the disappearance of the level in air trap pinched clamp and pump off. Upon completion of the catheters flushed and filled with 'heparin cap'. Spadenie krovoprovodyaschih lines at the pump shows' lack of debit blood. " It is necessary to reduce the rate of perfusion, to try to change the location of the catheter of the fence, in the absence of positive effect of the catheter as soon as possible to replace. 'Lack of debit blood' often occurs in hypovolemia, whereas the central venous catheter sticks to the vessel wall.