Interrupting The Treatment - Fresenius Medical Care multiFiltrate Instructions For Use Manual

4.13 Interrupting the treatment

Fresenius Medical Care multiFiltrate IFU-EN-UK 15A-2015
Warning
Only disconnect the patient from the extracorporeal circuit after
retransfusing the blood from the extracorporeal circuit to the patient.
In exceptional cases (e.g., reanimation becoming suddenly necessary),
it may perhaps not be possible to retransfuse the blood. In such a case,
please take the following measures at the very least:
– Shunt the two patient connectors via a flexible vessel, e.g., a bag
filled with isotonic NaCl solution, in order to avoid a critical increase
in pressure in the extracorporeal circuit.
– Deactivate balancing.
– The citrate infusion has to be stopped actively with "Deselect Ci-Ca
anticoagulation".
– If the internal heparin pump is used for systemic anticoagulation, it
also must be stopped.
– If you proceeded in this manner, discard the blood in the
extracorporeal circuit and, if necessary, replace it with isotonic NaCl
solution before reconnecting the patient.
– The stopped anticoagulation process must be restarted.
Warning
Always observe aseptic procedures when connecting and
disconnecting the patient and perform the process with due care to
avoid any loss of blood.
Chapter 4: Operation
Interrupting the treatment
4-121