The document discusses factors that affect blood flow rates during extracorporeal circulation. It states that the primary factors are the pump's revolutions per minute and the patient's vascular properties. Higher rpm increases flow but can cause venous collapse if the negative pressure is too great. Other influences include cannula size, vessel compliance, body surface area, and hematocrit. The pump generates negative pressure to draw blood in but this must be balanced to avoid interrupting flow.
The document discusses factors that affect blood flow rates during extracorporeal circulation. It states that the primary factors are the pump's revolutions per minute and the patient's vascular properties. Higher rpm increases flow but can cause venous collapse if the negative pressure is too great. Other influences include cannula size, vessel compliance, body surface area, and hematocrit. The pump generates negative pressure to draw blood in but this must be balanced to avoid interrupting flow.
The document discusses factors that affect blood flow rates during extracorporeal circulation. It states that the primary factors are the pump's revolutions per minute and the patient's vascular properties. Higher rpm increases flow but can cause venous collapse if the negative pressure is too great. Other influences include cannula size, vessel compliance, body surface area, and hematocrit. The pump generates negative pressure to draw blood in but this must be balanced to avoid interrupting flow.
The document discusses factors that affect blood flow rates during extracorporeal circulation. It states that the primary factors are the pump's revolutions per minute and the patient's vascular properties. Higher rpm increases flow but can cause venous collapse if the negative pressure is too great. Other influences include cannula size, vessel compliance, body surface area, and hematocrit. The pump generates negative pressure to draw blood in but this must be balanced to avoid interrupting flow.
Figure 7. Centrifugal pump mounted on the rotating
magnetic device, with the mandatory back-up device adjacent for immediate transfer of the propeller.
1 0 What are the main factors affecting extracorporeal
c- ,.. g on Im • The pump provides a blood flow rate (Umin) delivered at a given amount of revolutions per minute (rpm). • Factors that can affect the blood flow rate include:
a) preload and afterload;
b) size of the cannulae; c) size of the cannulated vessels and compliance; d) body surface area (BSA) of the patient; e) haematocrit; f) transmembrane gradient (which represents the pressure gradient across the oxygenator).
• The pump generates a negative pressure on the patient's venous
side, which drives the flow rate, as it provides the inflow into the propeller. • Past the point of maximal inflow, the negative pressure in the venous system causes the venous vessels or the right atrial wall to temporarily collapse, potentially occluding blood inflow altogether. • When the pressure in the venous side builds back up again, the pump is able to flow again, which might generate a pulsing blood flow and cavitation of the pump. • The first intervention to avoid further cavitation is to reduce the pump rpm and therefore the suction effect on the venous return.