bandage-green

ECMO Cannulation

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, head turned away from field, Bed turned 90 degrees
Time : 1-2 hours (average)
Blood Loss : Very High (500+ ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, Fluoroscopy / Xray, High Blood Loss, Aspiration risk / Full stomach, Off-site, Anticoagulation / Antiplatelet Therapy, TEE, Mechanical Circulatory Support

Anesthetic Approaches

1GETT, TIVA
2GETT, 1/2 MAC Gas
3MAC, Local Anesthetic
The Surgery

Decision and configuration - the team picks veno-venous for isolated respiratory failure and veno-arterial for cardiogenic shock , refractory arrhythmia, or arrest. The choice is made before anyone...

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