ECMO FMEA Archives
- Narrative 1: ECMO MEA A1 Failure of Blood Flow Safety 10.9.2018
- Narrative 2: ECMO FMEA B1 No Pressure Alarm Function 10.9.2018
- Narrative 3: ECMO FMEA C1 Failure Blood Dripping on the Pump or Floor 10.9.2018
CPB FMEA Archives
- FMEA Archive File #1: Right heart air embolus from an unknown source upon initiation of CPB
- FMEA Archive File #2: C pump failure to initiate bypass
- FMEA Archive File #3: Heat Exchanger Leak in the Oxygenator or Cardioplegia Heat Exchanger
- FMEA Archive File #4: Perfusionist skills decay
- FMEA Archive File #5: Inadequate Cerebral Oxygenation as Indicated by Cerebral Oximetry
- FMEA Archive File #6: Cardiotomy/venous reservoir over pressurization
- FMEA Archive File #7: Clotted circuit
- FMEA Archive File #8: Inadequate venous drainage caused by non-anatomical obstruction
- FMEA Archive File #9: Hemodynamic instability due to the presence of hypertrophic cardiomyopathy (HCM), idiopathic hypertrophic subaortic stenosis (IHSS) and its variants
- FMEA Archive File #10: Roller pump failure to turn
- FMEA Archive File #11: Failure to take proper precautions for the sickle cell disease (SCD), sickle cell trait (SCT) or thalassemia patient undergoing CPB to prevent post-op sickle cells
- FMEA Archive File #12: FAILURE: Hemorrhage secondary to redo sternotomy
- FMEA Archive File #13: Failure to monitor and maintain the appropriate fluid balance during cardiopulmonary bypass (CPB) and modified ultrafiltration (MUF)
- FMEA Archive File #14: Sweep gas circuit (SGC) failure
- FMEA Archive File #15: Acute, iatrogenic ascending dissection of the aorta (AO) after initiating cardiopulmonary bypass (CPB)
- FMEA Archive File #16: Perfusionist’s inability to deal with fear in a stressful situation
- FMEA Archive File #17: Transfusion error failure
- FMEA Archive File #18: Heater/cooler contamination
- FMEA Archive File #19: Cephalic artery hyperperfusion
- FMEA Archive File #20: Failure to prevent hypotension following CPB initiation, Level 1
- FMEA Archive File #21: Failure to Preven Hypotension on CPB Following Phenylephrine and/or Norepinephrine Administration: Level II
- FMEA Archive File #22: Failure to Prevent Hypotension Following CPB Initiation, Level III
- FMEA Archive File #23: Failure: Rupture of the Coronary Sinus (CS) with Retrograde Cardioplegia (RCP)
- FMEA Archive File #24: Defoamer Failure
- FMEA Archive File #25: Mismatch of Roller Pump Read Out and Blood Flow
- FMEA Archive File #26: Antiphospholipid Syndrome
- FMEA Archive File #27: Hardshell Venous Reservoir Emptying
- FMEA Archive File #28: Blood Line Pull-off or Blow-off
- FMEA Archive #29: Hyperkalemia
- FMEA Archive #30: High Pressure Excursion
- FMEA Archive #31: Human Fatigue Failure
- FMEA Archive #32: Inadequate Venous Return Caused by Abnormal Anatomy
- FMEA Archive #33: Failure to Recognize the Presence of Major Aortic to Pulmonary Collateral Arteries (MAPCAs)
- FMEA Archive #34: Failure to Wean from CPB Due to Acute Pulmonary Hypertension (APH) Crisis
- FMEA Archive #35: Failure to Prevent Post Pump Chorea from Developing After CPB Using Deep Hypothermic Circulatory Arrest (DHCA)
- FMEA Archive #36: Accidental, Non-drowning Hypothermia
- FMEA #37: Repairable Circuit Component Failure
- FMEA #38: Bicarbonate Imbalance
- FMEA #39: Impaired Perfusionist
- FMEA #40: Calcium Regulation
- FMEA #41 Checklist Failure
- FMEA #42 Spallation
- FMEA #43 Gross Blood to the Face
- FMEA #44 Heater Cooler Hose Failure
- FMEA #45 Failure to Communicate
- FMEA #46 Failure to reinstitute CPB emergently
- FMEA #47 Failure of integrated cardiotomy filter due to unexplained obstruction.
- FMEA #48 Failure to prevent osmotic demyelination syndrome during CPB in patients with chronic severe hyponatremia
- Complete CPB FMEA Archive
