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EDECMO – Episode 99 is a gem. Charles Bruen tells us how he has become an ECPR cannulator within the prestigious Minnesota Mobile Resuscitation Consortium. He shares pearls about cannulation as well as the next steps for Minnesota’s innovative approach to bringing ECPR to largest population that is possible.
A couple of pearls from Dr. Bruen’s cannulation piece are holding pressure in the groin with the ultrasound probe, understanding that the inguinal fold does not represent the inguinal ligament, inserting the needle at a 45-degree angle, and insertion at the common femoral artery.
This is really interesting. Do you think this is something that can be simmed enough to replicate his 25 cases a year to gain proficiency. There is no way most of us are going to get anywhere close to that so if you can sim all the steps perhaps you can still build that skill set. The trainers are so expensive though. Do you have low cost alternatives? Like you have said in the past it seems the hardest part is the CFA cannulation.