**5.1 Hardware**

The obvious hardware required for the program is the ECMO machine. The variables needed to make the correct choice for the program include need for portability of transport between facilities, as well as within the host organization, ease of use, skill sets of those responsible for managing the process, and the capital budget of the organization.

### **5.2 Disposables**

In addition to the perfusion/ECMO machine, there is a need for a readily available stock of cannulas in various sizes, as well as for the variety of approaches that may need to be used. In addition, a well-stocked cart that allows the necessary equipment for sterile fields, cut-down, suturing, and possible complications of the cannulation procedures should be available to take to the patient's location, as often the patient is not stable to transport to the OR for the procedure. As these are tools routinely used by perfusionists and cardiothoracic surgeons, they need to be engaged in selecting the appropriate sizes, manufacturers, connectors, introducers, wires and par levels. Many programs, as a function of the need to initiate ECMO therapy on short notice and in many different clinical areas, will create an "ECMO cart" which consist of all the key disposable equipment and tools needed to cannulate anywhere at any time (**Table 1** and **Figure 1**).

#### *Advances in Extracorporeal Membrane Oxygenation - Volume 3*


**33**

**Prep:**

**Blades:**

*Clinical and Administrative Steps to the ECMO Program Development*

**Supplies Size Ref # Qty** #1 Sofsilk ×6 0 Silk popoffs CT-1 ×4 1 Vicryl CTX ×2 0 Vicryl CTX ×2 0 Vicryl CT-1 ×2 2-0 Vicryl CT-1 ×4 3-0 Vicryl SH ×2 4-0 Vicryl PS-1 ×2 4-0 Monocryl PS-2 ×2 3-0 Ethibond SH ×6 Heavy silk ties ×4 2-0 Silk ties ×4 3-0 Silk ties ×4 4-0 Vicryl ties ×4 2-0 Ethicon pacing wires ×2 Orange pacing wires ×4 Blue pacing wires ×2 #6 Sternal wires ×2 Double wires ×2

Chloraprep ×5 Duraprep ×1 Alcohol bottles ×2 PVP ×2 CHG surgical scrub brush ×5

#10 ×10 #11 ×10 #15 ×10 Stryker sternal blade ×4 Hall redo blade ×2

Umbilical tapes ×8 Tourniquet 4 packs ×6 Red vessel loops ×2 White vessel loops ×4 Shods 10 pack ×2 Small yellow clip racks Qty 4 ×5 Small red clip racks Qty 4 ×5

*DOI: http://dx.doi.org/10.5772/intechopen.84838*


#### *Clinical and Administrative Steps to the ECMO Program Development DOI: http://dx.doi.org/10.5772/intechopen.84838*

*Advances in Extracorporeal Membrane Oxygenation - Volume 3*

**Cannulae:**

**Wires/dilators/introducer kits:**

**Packs:**

**Suture:** Pledgets

**Supplies Size Ref # Qty**

Medtronic bio-medicus single stage venous 23Fr CB96605-023 ×1

Medtronic bio-medicus multi-stage venous 25Fr 96880-025 ×1

Maquet avalon 31Fr 10031 ×1

Medtronic bio-medicus arterial 15Fr 96530-015 ×1 Medtronic bio-medicus nexgen arterial 17Fr 96570-117 ×1

Medtronic arterial introducer kit 96552 ×1 Medtronic venous introducter kit 96551 ×1 Lunderquist extra stiff G31453 ×1 Amplatz super stiff M0066401080 ×1 Sorrin dilator kit ×1 4Fr micro puncture ×4 4Fr introducer ×1 6Fr introducer ×2 8Fr Introducer ×1

Basic pack ×1 Angiography pack ×1

2-0 Prolene SH ×4 2-0 Prolene MH ×4 3-0 Prolene SH ×4 3-0 Prolene RB-1 ×4 4-0 Prolene SH ×12 4-0 Prolene RB-1 ×12 4-0 Prolene large needle pledget ×12 4-0 Prolene small needle pledget ×12 5-0 Prolene C-1 ×4 6-0 Prolene BV-1 ×4 6-0 Prolene C-1 ×4 7-0 Prolene BV-1 ×4

21Fr CB96605-021 ×1

21Fr 96880-021 ×1

27Fr 10027 ×1

19Fr 96570-119 ×1 21Fr 96570-121 ×1

**32**


**35**

**Figure 1.**

*Clinical and Administrative Steps to the ECMO Program Development*

**Supplies Size Ref # Qty** Cardiac drape ×1

4×4s ×5 Esmark ×1 Prineo ×1 Stapler ×1 Dermabond mini ×5 Hollister horizontal tube attachment device ×2

18 Ga Hypo ×4 Hep/blunt tip hypo ×4 60 cc syringe ×2 20 cc syringe ×2 10 cc syringe ×2 5 cc syringe ×2

Defib pads ×1 Pacing cables ×2 Decanters ×2 Plasmalyte 1 L ×2

*(a and b): Portable ECMO cart that contains all the disposable tools needed for initiating therapy.*

*DOI: http://dx.doi.org/10.5772/intechopen.84838*

Tegaderms

**Table 1.** *ECMO cart supplies (sample).*

#### *Clinical and Administrative Steps to the ECMO Program Development DOI: http://dx.doi.org/10.5772/intechopen.84838*

*Advances in Extracorporeal Membrane Oxygenation - Volume 3*

Long bovie tips Short bovie tips

**Hemostatics:**

**Supplies Size Ref # Qty** Small automatic clip applier ×1 Large automatic clip applier ×1

Asepto ×2 Suction tubing ×3 Cell Saver tubing ×2 Yankauer tip ×3 Poole tip ×2

Bovie pencil ×2 Bovie pad ×2

Eye cautery ×2

Snake clamp inserts ×1 86 mm inserts ×2 61 mm inserts ×2 33 mm inserts ×2

Bone wax ×6 Felt 4×4 ×1 Felt 6×6 ×1 GelFoam ×1 Fibrillar ×5 Snow ×2 Nu-Knit ×1

Laps ×9 Baby laps ×5 Raytec ×5

Gowns ×7 Towel packs ×4

Split sheets ×2 3/4 Sheets ×6 Bi-Lat split sheet ×1

**34**

Gloves

**Drapes:**


**Table 1.** *ECMO cart supplies (sample).*

**Figure 1.** *(a and b): Portable ECMO cart that contains all the disposable tools needed for initiating therapy.*
