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These children do not tolerate reductions in systemic vascular resistance (SVR) because of the relatively fixed cardiac output of this device. Agents that reduce SVR should be minimised where possible and vasoconstrictors readily accessible.
www.ncbi.nlm.nih.gov/pubm...

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To assess filling of the pump examine the underside of the device.

The pump diaphragm should inflate out to a smooth convexity if adequate filling is occuring.

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