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ECMO retrieval - preparation for referring centre prior to arrival

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Referring centre to ensure the following is available / has been completed:

  • Echo excluding congenital heart defects. Including anomalous pulmonary venous drainage and double or left sided SVC
  • Family member available for discussion with ECMO team and consent
  • Equipment for surgeon (usually sourced from theatre)
    • Light source for fibre optic headlight - (surgeon will bring their own headlamp):
    • Diathermy
      ECMO retrieval 1
  • Blood product for ECMO circuit - as recently donated as available
    • 1 x unit of cross-matched fresh packed red cells
    • 1 x 100ml bottle of 20% albumin
    • 1 x unit of cross-matched fresh whole blood (by preference). If unavailable, a second unit of fresh packed cells.
  • Anaesthesia - 100 microgram vial of fentanyl
  • Patient orientation
    • head out from both wall and overhead heating stanchion
      ECMO retrieval 2
    • head and ETT facing left, so that neck vessels on the right are exposed
  • Assistants
    • Circulating theatre nurse
    • Possibly a scrubbed assistant - check with Starship team

Optional but useful

Local echocardiography trained neonatologist & echo machine to verify cannula position once inserted.

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Document Control

  • Date last published: 11 August 2017
  • Document type: Clinical Guideline
  • Services responsible: Paediatric Intensive Care Unit
  • Owner: Brent McSharry
  • Editor: John Beca
  • Review frequency: 2 years