The patient was being supported with a ventricular assist device for acute support.It was reported that the patient had been on veno-venous (vv) cardiopulmonary support (cps) for 5 days.They received a motor overheat alarm and switched to the back up console patient was placed on veno-venous (vv) extracorporeal membrane oxygenation (ecmo) support on (b)(6) 2019 for acute respiratory failure due to diffuse alveolar hemorrhage.Patient received 5000 units heparin intravenous pyelogram (ivp) as bolus upon ecmo initiation and was started on heparin drops for ecmo day 1 that was subsequently stopped on ecmo day 2 due to airway bleeding.On vv ecmo day 5 ((b)(6) 2019), centrimag console had an m6 alarm at which point the patient was switched to the backup console with no complications and no hemodynamic changes.On vv ecmo day 6 ((b)(6) 2019), ecmo specialist (es) received a called from the ecmo bedside nurse stating the centrimag console was alarming and not flowing.Es arrived in room and noticed the patient hemodynamics deteriorating (peripheral capillary oxygen saturation (spo2 10%) and centrimag console screen was displaying "0 rpm" / "0 flow" with error messages m2 (motor disconnected), f2 (flow signal interrupted).At this point, es confirmed patient was not receiving ecmo support and immediately began the process to switch to the back-up console.Es re-established ecmo flow and patients hemodynamics recover quickly (spo2 now 90%).The m6 alarm was due to clot in the pump housing.Patient decompensated and required intervention to sustain life.
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