ECMO

Note: Apply Foresight to patient before draping to save yourself the hassle later.

Warning: Be prepared to do a Septostomy post ECMO

Equipment

Open from ECMO Cart

• ECMO instruments
• 16/18 Coons dilators - (Only need the 16Fr)
• 20/22 Coons Dilators - (Only need the 20Fr)
• Arterial vented cannula - Normally 16fr.
• Venous cannula - Normally 21fr.
• Irrigation bulb syringe
• ”Carrot tops” Orange vessel tourniquets
• 2-0 Ethibond Multi Pack

Open from room stock

• Micropuncture
• 8fr Pinnacle
• Amplatz SS 7cm tip (x 2 for Spies)
• Cordis 150J
• Probe cover
• (1) Perclose
• (2) 0-prolene (or 2-0, ask)
• (2) Biopatch

Standby

• Amplatz Extra Stiff
• Glidewire
• Alternative sizes of cannulas
• Arrow 5 and 6fr braided sheaths for antegrade bypass
• Male-Male luer adapter for antegrade bypass

Cor-Knot

• Cor-Knot kit from ECMO cart
• All suture used with Cor-Knot has to be 2-0 or smaller!

Daniels

Open

• White Nurolon "White Nye" - ECMO cart
• Will secure Prolene purse string with White Nye and carrot top to Arterial Cannula

Spies

• Prep bilateral groins, right radial and right IJ. Patient will need a leave-in swan and RIGHT radial A-line before leaving room.

Egrie

• Substitute Vascular dilator kit for Coons dilators
• Substitute white nylon and Martin free needles for securement suture

Antegrade Perfusion

• Use Arrow short braided sheath on ECMO cart
• Ultrasound and micro puncture used to access SFA below arterial cannula
• Use double-male lure adaptor to attach sheath side-port to arterial cannula vent.

Bedside Antegrade perfusion

Open

• ECMO instrument tray
• Pack
• Braided sheath 6 or 7 fr.
• Male to Male adapter
• Micropuncture
• 5fr. sheath (Just for wire)
• US probe cover
• 0-Ethibond (CT-1)
• Bedside kit

Spies' 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.