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Related Experiment Videos

Insertion of percutaneous ECMO cannula.

Y S Chen1, W J Ko, F Y Lin

  • 1Department of Surgery, National Taiwan University Hospital, Taipei.

The American Journal of Emergency Medicine
|April 6, 2000
PubMed
Summary

A novel technique using tracheostomy forceps simplifies creating femoral tunnels for extracorporeal membrane oxygenation (ECMO). This method aids cannula insertion and prevents vessel over-dilation during critical resuscitation efforts.

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Area of Science:

  • Cardiovascular Medicine
  • Pulmonary Medicine
  • Medical Devices

Background:

  • Extracorporeal membrane oxygenation (ECMO) is vital for immediate cardiac and pulmonary support in critically ill patients.
  • Percutaneous tunnel creation using the Seldinger technique is a crucial but challenging step in ECMO setup.
  • Ensuring safe and effective vessel access is paramount for successful ECMO initiation.

Purpose of the Study:

  • To evaluate a novel method for creating femoral subcutaneous tunnels for ECMO cannulation.
  • To assess the utility of a guidewire dilator forceps, typically used in percutaneous tracheostomy, for ECMO procedures.
  • To determine if this modified approach can improve the ease and safety of ECMO setup.

Main Methods:

  • A guidewire dilator forceps, originally designed for percutaneous tracheostomy, was adapted for creating femoral subcutaneous tunnels.
  • The forceps were utilized to facilitate the advancement of percutaneous cannulas into femoral vessels.
  • Controlled jaw opening of the forceps was employed to manage vessel dilation.

Main Results:

  • The adapted guidewire dilator forceps successfully facilitated the creation of femoral subcutaneous tunnels.
  • The technique simplified the advancement of percutaneous cannulas into the femoral vessels.
  • Controlled jaw opening effectively prevented over-dilation of the femoral vessels, enhancing procedural safety.

Conclusions:

  • The use of a percutaneous tracheostomy guidewire dilator forceps offers a practical and safe method for femoral tunnel creation in ECMO.
  • This technique may streamline ECMO setup, potentially improving patient outcomes during critical resuscitation.
  • Further investigation into this adapted device for ECMO procedures is warranted.

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