Pediatric Hemofiltration using the Prisma® M 60

Table of Content

      Pediatric CVVH Protocol                                             Page 2-7                                          

Blood Priming and Membrane Reactions                       Page 7-8                                          

Pediatric CVVH(D) Orientation Program                         Page 9-10                                          

Orientation Lecture Outline                                            Page 10-11                                           

Standards of Care for Nursing                                       Page 12                                          

Trouble Shooting Guide                                                 Page 12-14                                          

Hemofiltration Orders                                                   Page 15-16                                          

Hemofiltration References                                             Page 17-18   
 

Pediatric Hemofiltration with the Prisma® M 60

1. Access

Vascular access will be placed by the ICU staff and should be minimally two single lumen 5 Fr. Catheters or preferably a dual lumen 7 Fr. Access. Access suggestions are as follows, but err to the side of larger as opposed to smaller unless the child has a coagulopathy. Although flow and recirculation data is similar, it is preferable to have the access placed either IJ or subclavian as opposed to femoral. This is due to the fact as the child "wiggles" there will be less effect of blood flow rate with a "high" line as opposed to a "low" line. Further the size of the blood vessel in the cardiac region is larger, allowing for larger access. The final reason that preference is to an IJ or subclavian is as the child recovers the child can ambulate with out risk of bending a femoral placed catheter. 
 

2. Circuit Setup Guidelines:

F