Emergency Medicine Cases – Where the Experts Keep You in the Know. For show notes, quizzes, videos and more learning tools please visit emergencymedicinecases.com
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EDECMO 43: The Cutdown
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Manage episode 282383250 series 2856785
Content provided by Zack Shinar, MD, Zack Shinar, and MD. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Zack Shinar, MD, Zack Shinar, and MD or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
In this episode, Alice Hutin of the Paris SAMU talks about the modified cutdown approach to cannula insertion. She is an emergency physician who is one of four physicians who take call on the pre-hospital ECMO ambulance. She describes the process of their modified cutdown. First, incision through the skin is made 2 cm below inguinal crease. Second, blunt dissection down through the soft tissue. This is best done with your fingers. Third, place a needle through the distal skin and visualize it pass into the vessel. From there, you cannulate as with percutaneous. Alice’s recent paper shows a 6% failure rate with this technique in skilled hands.
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104 episodes
MP3•Episode home
Manage episode 282383250 series 2856785
Content provided by Zack Shinar, MD, Zack Shinar, and MD. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Zack Shinar, MD, Zack Shinar, and MD or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
In this episode, Alice Hutin of the Paris SAMU talks about the modified cutdown approach to cannula insertion. She is an emergency physician who is one of four physicians who take call on the pre-hospital ECMO ambulance. She describes the process of their modified cutdown. First, incision through the skin is made 2 cm below inguinal crease. Second, blunt dissection down through the soft tissue. This is best done with your fingers. Third, place a needle through the distal skin and visualize it pass into the vessel. From there, you cannulate as with percutaneous. Alice’s recent paper shows a 6% failure rate with this technique in skilled hands.
…
continue reading
104 episodes
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