ECMO Decan: Difference between revisions
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Clamp arterial cannula, cook needle stick to the cannula. Standard J advanced and cannula removed. 12F dilator inserted, pressure held for 5 or so minutes. Dilator downsized to 10F, pressure held. Perclose times one. 8F dilator advanced and pressure held. Second perclose deployed. <hr /> | Clamp arterial cannula, cook needle stick to the cannula. Standard J advanced and cannula removed. 12F dilator inserted, pressure held for 5 or so minutes. Dilator downsized to 10F, pressure held. Perclose times one. 8F dilator advanced and pressure held. Second perclose deployed. <hr /> | ||
==Bedside ECMO Decan== | |||
{{Protip|Check bedside box for proper supplies}} | |||
=== In addition to above bring === | |||
* Small table | |||
* Bedside kit | |||
* Lidocaine | |||
* 500ML Hep Saline | |||
[[Category:Procedures]] | |||
Latest revision as of 22:44, 24 November 2021
Dr Daniels Decan
OPEN
- Cath Pack
- Ecmo Instrument Tray
- Perclose ( extras on standby )
- MicroPucture
- .035x150 J wire
- 0-Prolene
- 3 way stopcock
Procedure
- Remove distal suture, leave proximal sutures for MD to cut.
- Prep and Drape open drape window to expose canula.
- Heavy scissors and tubing clamps up at groin.
- Use micro puncture to access arterial canula.
- Use .035 wire into micro puncture sheath.
- Remove canula.
- Perclose.
- Purse string around vein 0 prolene and 3 way stop cock for woggle.
Spies/Groves Decan without Pre-Closure!
- 12F Dilator
- 10F Dilator
- 8F Dilator
- 2 Perclose
- Standard J
Clamp arterial cannula, cook needle stick to the cannula. Standard J advanced and cannula removed. 12F dilator inserted, pressure held for 5 or so minutes. Dilator downsized to 10F, pressure held. Perclose times one. 8F dilator advanced and pressure held. Second perclose deployed.
Bedside ECMO Decan
Protip: Check bedside box for proper supplies
In addition to above bring
- Small table
- Bedside kit
- Lidocaine
- 500ML Hep Saline
