How to Cannulate a Vein or Artery in 5 Minutes or Less

The ideal is less than five minutes on pump from the time you actually make your first needle stick, assuming it's a continuous cannulation. The best way to get that done is with a super stiff wire. An ideal situation would be the arterial cannula just sits anywhere in the iliac. But everyone in the ECPR world agrees if you saw your wire on ultrasound or fluoro, but we don't have fluoro, then you're just going to place your cannula pretty much all the way to the hub.