ECMO
From Bay Area Structural Heart Wiki
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
Spies
- Prep bilateral groins, right radial and right IJ. Patient will need a leave-in swan and RIGHT radial A-line before leaving room.