自体血回收使用规范VIP专享VIP免费

Version07.07.202011.0BloodCollection血液收集Unpackthereservoirfromthesterilepackaging.Keeptheextracapstoclosethereservoirportswhendiscardingthesettoavoidleakageafteruse.PlacethereservoirintheyellowreservoirholderattheI.V.pole.•从无菌包装中取出血液收集滤过器(储血罐)。保存好管路保护帽，以备在使用后丢弃耗材时，用于防止发生渗漏。将血液收集滤过器放置在I.V输液架上的黄色固定装置上。Closetheredclampofthebloodoutletportatthebottomofthereservoir.•关闭血液收集滤过器下方，血液管路上的红色夹子。Removetheyellowcap.Connectthevacuumlinetothevacuumportofthereservoir.•打开负压吸引管连接口上黄色保护帽。将负压吸引管连接到血液收集滤过器的负压吸引管连接口。Prepare1litreofsalinewith30.000(thirtythousand)unitsofheparin.Insteadofheparinisedsalineyoumayalsousecitratesolution.ACDandhangitontheupperlefthookoftheI.V.pole.•配置比例为含3万单位肝素/1000毫升盐水的抗凝剂。配置完毕后的液体挂在I.V输液架左上方。您也可以使用枸橼酸抗凝剂-ACD取代肝素盐水。Thedoublelumensuctionlinemustbeunpackedandpreparedstartingatthesterilefield.C.A.T.SplusVersion07.07.20202Opentheouterpackaging.Thesterilenurseshouldtaketheinnersterilepackagingwithouttouchingtheouterblisterpack.TheATSsuctionlinecanbeunpackedandpreparedwithasuctiontipatthesterilefield.Thereservoirconnectionanddripchamberwithspikeshouldbehandedtotheanaesthesiateamoutoverthetowel.Connectthequarterinchadaptortooneofthereservoirports—bluecap—connectthedripchambertotheanticoagulantsolutionbagusingthespike.•取出和准备双腔吸管时，必须在无菌环境中进行。先打开外包装，再由经过无菌准备的护士打开内层无菌包装，注意请勿触摸到外层包装。在无菌区打开ATS吸引管路，将连接血液收集滤过器和盐水管路的任务交给麻醉组。将ATS双腔吸管上的0.6厘米的接口与血液收集滤过器上的戴蓝色帽接口其中之一相连接，将带有滴壶的塑针与抗凝液袋子相连接。Adjustthevacuumto100mmofmercuryorminus0.2(zeropointtwo)bar.Donotexceed200mmofmercuryatanytime.Ifthevacuumregulatorisclosedthesafetyvalveontopofthereservoirwilllimitthenegativepressureto200mmofmercuryorminus0.3(zeropointthree)bar.•将负压调节至100毫米汞柱或-0.2帕。任何时候都不要超过200毫米汞柱或-0.3帕。Whensuctionhasbegun,opentherollerclampbelowthedripchamber,andprimethesuctionlineandreservoirwithapproximately250mlofanticoagulant.Afterwards,adjusttheflowtoadriprateof60dropsperminute.•当开始收集血液时，打开抗凝剂管路滴壶下方的输液流速调节器，快速预充血液收集管路及血液储存器，需要约250毫升抗凝液体。预充结束后将抗凝剂的流速调到约60滴/分钟。Duringsuction,avoidaspirationoftoomuchairintothesuctiontip.Mixingbloodandairinthesuctiontipandsuctionlineactivatesclottingandcauseshemolysis.•在收集血液的过程中，注意避免吸入过多的空气。血液与空气在吸血口或吸血管内的过多的混合可能激活凝血及造成溶血。Bonechipsandtissuethatbecomelodgedinthesuctionlineduringsurgerycanalsonegativelyaffectthequantityofredcellssalvaged.•手术过程中吸入的骨碎片和组织可能会停留在血液收集管路中，这可能对收集的红细胞的质量产生负面作用。Pleasekeepinmindthattheredcellsareverysensitivetoshearforces.请时刻记住，红细胞对张力是非常敏感的。2.0BloodProcessingProcedure血液处理过程2.1DeviceStart开机SwitchontheC.A.T.Sdevicebypressingthestartkey.SelecttherequiredwashingprogramandpressthecontinuekeytoentertheinstallphaseoftheAT1set.•按开始键，启动C.A.T.S。可选择所需要的清洗程序，按继续键进入，安装ATI分离清洗套件。Pressthe“opencentrifugelid”keyandraisethecentrifugelidtouprightposition.•按“打开离心舱盖”...