BLOOD FLUID WARMER and ALSO CALLED INFUSION WARMER

ITS BASICALLY USED IN OPERATION IN THE OPERATION THEATER WHILE PERFORM SURGERY

1. BLOOD FLUID WARMER PRESENTED BY: PAYAL KALARIYA

2. What is blood fluid warmer? A fluid warmer is a medical device used in healthcare facilities for warming fluids, crystalloid, colloid, or blood products, before being administered (intravenously or by other parenteral routes) to body temperature levels.

3. Why use warmer? A blood warmer is used to warm blood or other fluids, minimizing the risk of hypothermia. Blood is kept refrigerated for preservation of the cells. It is essential to warm it to an appropriate temperature not only to prevent hypothermia but also to prevent hemolysis, or breakdown of the blood cells.

4. What is the difference between hypothermia and hyperthermia? Hypothermia is a condition that occurs when core body temperature drops below 95 degrees Fahrenheit (35 degrees Celsius). It is a medical emergency. In hypothermia the body loses heat faster than it can produce heat, causing a dangerously low body temperature. Hyperthermia is the opposite. It occurs when you have an abnormally high body temperature, or when you're overheating . A body temperature above about 100 F (37.8 C) is too warm.

5. What is the temperature of the blood warmer machine? Most in-line blood warmers have a maximum temperature of 42°C. This is the safest temperature to prevent tissue damage. Blood warmer temperatures that exceed this limit can cause burns or cell death.

6. Principle of Operation The HOTLINE delivers fluids and blood at normothermic temperatures at routine gravity flow rates. ALL other fluid warming systems suffer from cool-down between the warmer and the patient connection . HOTLIME overcomes this problem by providing active warming of the patient line all the way to the patient connection, protecting the patient line against exposure to cold and eliminating patient line cool-down. Active warming is achieved by jacketing the sterile patient I.V. line with a layer of precisely temperature controlled circulating warm water.

7. The unique design of the HOTLINE Fluid Warming Set allows blood and intravenous fluid to be delivered to the patient at normothermic temperature at gravity flow rates to 50-5,000 ml/hr.

8. MAKE AND MODEL IN OUR HOSPITAL MAKE : SMITHS MEDICAL MODEL : HOTLINE

9. Controls and Displays 1) Display Panel 2) Power and Alarm Test Buttons 3) Reservoir Level Display

10. 1) Display Panel The Display Panel is located on the front of the HOTLINE Warmer and provides continuous information about the operation of the Warmer. A liquid crystal display (LCD) indicates recirculating solution temperature. Just below the LCD, four light emitting diodes (LEDs) indicate operation modes for the Warmer.

11. Conti.. 1 :Recirculating Solution Temperature - The temperature is displayed in degrees Celsius. 2 :Operating - The green LED illuminates when the power is turned on and the Fluid Warming set is properly installed. 3 :Check Disposables - The red LED illuminates and an audible attention signal beeps when the Fluid Warming Set is not properly installed.

12. 4 :Add Solution - The red LED illuminates and an audible attention signal beeps when the level in the reservoir is low and additional solution must be added. 5 :Over Temperature - The red LED illuminates and an audible warning signal beeps when the recirculating solution is over the acceptable temperature for safe use.

13. 2) Power and Alarm Test Panel The Power and Alarm Test Panel is located on the left side of the Warmer next to the reservoir. This panel contains two pressure-sensitive buttons that are activated when pressed, and the ON/OFF switch. 1 :Over Temperature Test Button - The Over Temperature Test is used to confirm the proper operation of the Over Temperature circuitry.

14. 2 :Alarm Test Button - The Alarm Signal Test is used to confirm proper operation of the visual and audible alarms. 3 :Power ON/OFF Switch - The black switch toggles to turn power ON and OFF.

15. 3) Reservoir Level Display The reservoir for the recirculating solution is located on the left side of the HOTLINE Warmer, next to the Power and Alarm Test Panel. The level of the recirculating solution is visible in the reservoir. Two symbols indicate the maximum (a) and minimum (b) solution level requirements.

16. Troubleshooting No power : 1.Confirm that the Warmer is plugged in properly. 2. Confirm that the power switch is in the ON position. Note: If the Machine turned ON, the green or red LED 3 Warmer is plugged in and the power switch is will illuminate.

17. Check Disposables alarm Confirm that the Fluid Warming Set is properly installed. 1 Push the connector firmly into the socket on the right side of the Warmer. Note: Turn OFF the power switch before replacing the machine Fluid Warming Set. 2 If the alarm is not cleared, replace the Fluid Warming Set. Turn ON the power switch and verify that the alarm has cleared. 3 If the alarm is not cleared, remove the Warmer from service.

18. Add Recirculating Solution alarm Check the level in the reservoir Turn OFF the power switch, remove the Fluid Warming Set if installed, add recirculating solution to the maximum level.

19. Over Temperature alarm 1 Check the Fluid Warming Set for kinks or other restrictions. 2 Check for air lock: a :Turn the power switch OFF, remove the Fluid Warming Set, and gently shake Warmer to dislodge air. b :Plug in the Fluid Warming Set and turn power switch ON. c :If the alarm is not cleared, remove the Warmer from service and return it for repair or replacement.

20. Hot cabinet Check for blocked air vents on the bottom or the back of the Warmer. Note: Room temperature above 40°C may cause the Warmer to shut down and the Over Temperature alarm to activate. In this situation, turn the power switch OFF and allow the Warmer to cool down before returning it to service. Recirculating solution leaks at the socket where the Fluid Warming Set plugs into the Warmer Replace the HOTLINE Fluid Warming Set.

21. Specifications

22. INTERNAL MAINTENANCE Maintenance Performed Every 30 Days: Disinfect the Reservoir and Change Recirculating Solution for Distilled Water and 35% Isopropyl Alcohol Solution Maintenance Performed Every 12 Months Disinfect the Reservoir and Change Recirculating Solution for 0.3% Hydrogen Peroxide Solution

23. ADVANTAGES Fluid warming has numerous benefits such as  maintaining normothermia, faster absorption of fluids, improved recovery time. By using blanket and fluid warming, you can reduce hospital length stay by 40% and intensive care unit time by 43%.

24. DISADVANTAGES Excessive heating may cause hemolysis of red blood cells . Require special disposable tubing set.  

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