usafmedic45
Forum Deputy Chief
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BTW USAFmedic, I don't know anyone who uses cut down in adults for ECMO, it's all percutaneous. I've only rarely had to use ultrasound to get the needle in (morbidly obese patient or odd anatomy).
Most of my experience with ECMO has been in peds and even then it's very, very limited. I'll freely admit that I'm not the first one you want to go for management of one of these units. I'd probably fare better with gaining access than I would with management.