Disclosures Definition Cannulation Strategy Cannulation Strategy
Disclosures Definition Cannulation Strategy Cannulation Strategy
Disclosures Definition Cannulation Strategy Cannulation Strategy
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
General Goals<br />
• Maximum drainage without complications<br />
of venous obstruction<br />
• Unobstructed inflow without distal<br />
ischemia<br />
• Lowest risk of infection<br />
• Mobilization of the patient when possible<br />
<strong>Cannulation</strong> <strong>Strategy</strong><br />
• Define Needs and Goals of support<br />
• Review access options for that support<br />
• Assess benefits / risks of those options<br />
• Have plan to deal with complications<br />
Goals & Needs<br />
• Cardiac Failure – Need VA<br />
• Respiratory Failure – Use VV<br />
– Options – DL and Two cannula<br />
• Combined Cardio-respiratory<br />
– “proximal” VA or VA/V<br />
Cannula options<br />
• MANY BRANDS, TYPES<br />
• Sizes up to 28 French V, for peripheral<br />
• Wire-reinforced to prevent collapse, kink,<br />
(Non OK for inflow)<br />
• Seldinger options? Kits?<br />
3/13/2012<br />
2
Change language