Podcast: Play in new window | Download (Duration: 31:16 — 28.7MB)
Subscribe: RSS
Joe and I discuss ECPR cannulae placement from a cognitive task analysis (sort of) perspective. Beware: agonizing detail follows.
I believe this episode may help you even if you never do ECMO, as it is directly applicable to large central line placement as well.
I found it more effective to apply pressure to the dilated vessel firmly with my finger, rather than using a pack of 4x4s; mainly because gauze obscures your view and diffuses the pressure ultimately making it less effective. Couple of vascular/cardiac surgeons that taught me cannulation prefer this method and I find the overall bloody mess to be greatly alleviated by using the pointed finger pressure technique.
That’s a really good tip – I will give that a try. Thanks Mladen!!
Video to GI aking the podcast would be appreciated!