ECMO

Daniels/Spies - Draft

Wires:

Open

• Amplatz SS 1cm tip
• Cordis 150J

Standby

• Amplatz Extra Stiff
• Glidewire

Sheaths:

Open

• 8fr Pinnacle

ECMO cart:

Open

• ECMO instruments
• 16/18 Coons dilators
• 20/22 Coons Dilators
• Arterial vented cannula - Normally 16fr.
• Venous cannula - Normally 21fr.
• Irrigation bulb syringe
• ”Carrot tops” Orange vessel tourniquets

Standby

• Alternative sizes of cannulas
• Arrow 5 and 6fr braided sheaths for antegrade bypass
• Male Male luer adapter for antegrade bypass

Misc Supplies:

Open

• Micropuncture
• Probe cover
• 25g lido needle (Daniels)
• (2) Perclose
• (2) 0 Silk or Ethibond (Not for Sheridan)
• (2) 2-0 Prolene (Open 4 for Dr. Sheridan)
• (2) “Suture Locks”
• (2) Biopatch

Egrie

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

Procedure

1. Table setup:
   • Separate Coons dilators. We use the 16 and 20 French. The other can go to the back table for standby. This eliminates confusion during the rapid access portion of the procedure.
   • Arrange instruments. Have tubing clamps and heavy trauma shears immediately available to the physician. Needle driver and Mayo scissors are used for suturing after cannula are in place.

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Approved: MM/DD