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| Before institution of CPB |
| Confirm ACT >400 sec |
| After institution CPB |
| Full flows with no arterial pressure alarm and good collapse of RA (keep eyes on the heart while going on CPB) |
| Initiate cooling to target temperature |
| Stop ventilation |
| Ligate/control systemic pulmonary connections |
CPB, cardiopulmonary bypass; ACT, activated clotting time.
