ECMO Workshop: When and How to Use a Powerful Tool-Tips for Safe Cannulation, Dr. Allison G. Dupon

Tips for Safe Cannulation, Dr. Allison G. Dupon

Video Transcription

Video Summary

This talk covers essential tips for safe percutaneous VA ECMO cannulation, emphasizing proper vascular access, use of fluoroscopy, and careful vessel dilation. Key points include using micropuncture sheaths for femoral artery access, confirming vessel size via angiogram, and avoiding oversized dilators. Cannula positioning should be monitored with fluoroscopy to prevent complications like cardiac perforation. Limb ischemia risk is minimized by placing an antegrade superficial femoral artery sheath. Secure cannulas tightly using strong sutures. Post-cannulation, place a PA catheter and right radial arterial line for monitoring. Careful adherence to these steps reduces complications and improves patient outcomes.

Keywords

percutaneous VA ECMO cannulation

vascular access

fluoroscopy guidance

micropuncture sheath

limb ischemia prevention