ECMO Protocols and Guidelines

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Cannula Info and Flow Diagrams

• Single Lumen

  • Medtronic - All Cannula flow diagrams 

  • Medtronic - 8-14 Fr ARTERIAL flow

  • Medtronic - 8-14 Fr VENOUS flow

  • Medtronic - 15-25 Fr ARTERIAL flow

  • Medtronic - 15-25 Fr VENOUS flow
     

• Cardiac catheters​

  • Right angle VENOUS open chest cannula​

  • ARTERIAL open chest cannula
     

• Avalon​

  • Avalon Dimensions​

  • Avalon Flow 13-19 Fr

  • Avalon Flow 20-31 Fr
     

• Crescent 

  • Crescent Flow and Dimensions

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• ECLS Manual
   

• Pre-ECMO and ECMO Nutrition
   

• ECLS Criteria

  • ​Neonatal ECLS Criteria​

  • Pediatric ECLS Criteria
     

• Assembly and Priming Guidelines 

  • Blood for Circuit Priming ​

  • MD Pre-Cannulation Checklist

  • Circuit Assembly

  • Part 1: Pre-Prime 

  • Part 2: Crystalloid AND Blood Prime

  • Part 2: Crystalloid ONLY prime 

  • CardioQuip Heater Prime

  • CardioHelp Alarms and Interventions
     

• Cannulation​

  • Cannula Selection​

  • Cannulation and ECLS Initiation

  • Complications with Initiation of ECLS
     

• ECLS Procedures​

  • Cooling on ECLS​

  • Bridge DRY Insertion

  • Bridge WET Insertion

  • Hemofiltration on ECLS

  • PrismaFlex Dialysis on ECLS

  • Surgical Procedures on ECLS

  • Conversion from VV to VA

  • Transporting on ECLS

  • Changing out Circuit 
     

• Weaning and Decannulation​

  • Weaning off ECLS​

  • VA Trial Off Protocol/Checklist

  • VV Trial Off Protocol/Checklist

  • Decannulation Protocol/Checklist 
     

• ECLS Emergencies

  • CardioHelp Hand Crank​

  • CardioHelp Rapid De-Airing 
     

• Anticoagulation/Hematology​

  • Ordering Blood Products ​

  • Heparin Therapy and Boluses 

  • Bivalirudin Therapy

  • Activated Clotting Time (ACT)

  • Hemolysis

  • Bleeding Protocol

  • Monitoring OFF Anticoagulation

  • Tranexamic Acid (TXA) Protocol (Surgical Procedures)​​​

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Educational Materials

Priming Videos

Equipment Manuals