Change Out of Arterial Filter
In the event that the arterial filter is damaged and it is not possible
to continue on bypass:
- Inform the surgeon that you have a problem.
- If the circuit has an arterial filter bypass line, open this line
and clamp the arterial filter inlet and arterial filter outlet, bypass
the filter without coming off bypass.
- If the CPB circuit has no arterial filter bypass line to change the
arterial filter, you will now have to come off bypass. Obtain another
arterial filter with a 3 way tap attached.
- Inform the surgeon you are coming off bypass.
- Double clamp the damaged arterial filter inlet leaving a 2”
gap between the clamps.
- Double clamp the damaged arterial filter outlet leaving a 2”
gap between the clamps.
- Remove and clamp the arterial filter purge line and pressure monitoring
line.
- Cut the damaged arterial filter inlet tubing closest to the filter.
Cut the damaged arterial filter outlet tubing closest to the filter.
- Attach the new arterial filter inlet to the arterial inlet tubing.
Attach the new arterial filter outlet to the arterial outlet tubing.
- Reattach the arterial purge line and pressure monitoring line - remove
clamps.
- Open the 3-way tap to the arterial purge line. Turn the RPM’s
on and release the arterial inlet clamp, this will retrogradely fill
the outlet portion of tubing.
- Once primed, circulate and debubble.
- Open tap back to pressure monitoring line.
- Re-establish bypass. Note period patient off bypass.
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