Hello to NORSECT :

Click to Visit NORSECT Every once in a while, there is something right in front of you, you kind-of know it’s there, but it takes a little extra time for the light to turn on. That would be the case when I realized I had somehow missed visiting the Norwegian perfusion website, and adding them […]

Perfusion Art: “Turkish Knights 2”

“Turkish Knights 2”    _____________Click image to enlarge Photographer:  Cuneyt Imamoglu Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments:  Gradient filter. Narrative:  This case is CABG x 4 : Our chef is Dr. Cuneyd Ozturk: Our association name and web address: http://perfuzyon.org.tr Time & Place:   2012 : Adatip hospital heart center-Sakarya -Turkey About The Artist:  […]

Perfusion Art: “Turkish Knights”

“Turkish Knights”    _____________Click image to enlarge Photographer:  Cuneyt Imamoglu Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments:  Gradient filter. Narrative:  This case is CABG x 4 : Our chef is Dr.  Cuneyd Ozturk: I am senyor perfusionist my hospital:  Our association name and web address: http://perfuzyon.org.tr : Turkey Association of Perfusionists… Time & Place:   […]

Perfusion Art: “Unexpected Game Plan”

“Unexpected Game Plan”    ____________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments:  Craquelature filter. Narrative:  A BiVAD emerges… An ICU drawing. Time & Place:   2012 About The Artist:  CCP in Texas:  Editor: Circuit Surfers: Click to Donate Click here to View Gallery Any Donations are for […]

Perfusion Art: “Eye of the Prism”

“Eye of the Prism”    _______________________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments:  Fishbowl Filter. Narrative:  She looks like a Teenage Mutant Ninja Turtle. Time & Place:   2011 About The Artist:  CCP in Texas:  Editor: Circuit Surfers: Click to Donate Click here to View Gallery Any […]

Perfusion Art: “Bloodwork”

“Bloodwork”    _______________________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments:  B & W filter. Narrative:  PRBC’s x 2. Time & Place:   2011 About The Artist:  CCP in Texas:  Editor: Circuit Surfers: Click to Donate Click here to View Gallery Any Donations are for the cost and […]

臨床工学技士 : Japanese Scope of Practice ?

Hi, Sorry to email you out of the blues. I like your blog very much. It is very informative and gives me a better insight into the live and work of a Perfusionist. I hope someday I can contribute as a Perfusionist too. I am currently doing a BSc in Biological Sciences and hoping to […]

Perfusion Art: “All Geared Up”

“All Geared Up” _____________________________ Click Image to Enlarge Submitted By:  Michael-Joshua Morris:  Heart Mate II Recipient Artist:  Michael-Joshua Morris Equipment:  a cruddy mobile phone camera Editing:  Hue & Contrast:  Cropping:  Lens Flare with Accent:  Watercolor filter Narrative:  Self portrait:  “battle ready… All geared up” 🙂 Time & Place:  2011 About Joshua: Joshua is a 2 […]

Bicarb Alternatives: Sodium Acetate & Balanced Crystalloids

Editor’s Note: Authorization for the contributions below were obtained from each contributor via email.  Please see comments section… Balanced Crystalloids “For those who are still using bicarb in your prime. There is some literature that states the occurrence of acidosis at the start of bypass is an iatrogenic event, that is due to the choices […]

A Letter to ‘Surfers : The State of the Blog …

A while ago I got an email from a colleague across the pond (the one leading down to the southern hemisphere), a Mr. Martin Gill. If you have followed Circuit Surfers, you will remember Martin as the Australian pediatric perfusionist that did an extraordinary series of posts in the form of a “Live Blog” of […]

A Letter to ‘Surfers : IABP Protocols

= From Greta: Hey Frank How goes it?  Hope all is well in TEXAS!!! A hospital administrator came to my office the other day and wanted to know if the Perfusion society or organization has anything in their by-laws or standard of care practices, about how often a IABP should be managed on the Nursing floor i.e. (daily checks).  I know […]

Perfusion Art: “RIBsketch”

“RIBsketch”    _______________________Click image to enlarge Photographer:  Peter Damiani BS, CCP Equipment:  Digital Canon 5D Editing:  Postworkshop Narrative:  Minimally Invasive MVR Time & Place:   This Decade About The Artist:  CCP Click to Donate Click here to View Gallery Any Donations are for the cost and development of an International Perfusion Art Gallery, Framing, Printing, Matting, and Expenses associated with […]

Clamp Migrations

Priming  (Click Images to Enlarge) Not Quite Primed = = =Clampless … Primed Clamped Out On CPB Off Pump  Next case … Click to Donate Click here to View Gallery Any Donations are for the cost and development of an International Perfusion Art Gallery, Framing, Printing, Matting, and Expenses associated with delivering the Gallery to […]

Perfusion Art: “Tools”

“Tools”    _______________________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments:  Gradient filter. Narrative:  Pre-Setup reservoir sans oxygenator. Time & Place:   2011 About The Artist:  CCP in Texas:  Editor: Circuit Surfers: Click to Donate Click here to View Gallery Any Donations are for the cost and development […]

Perfusion Art: “Surreal”

“Surreal”    _______________________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments:  Gradient filter. Narrative:  A high profile case gets the attention of the local news. Time & Place:   2011 About The Artist:  CCP in Texas:  Editor: Circuit Surfers: Click to Donate Click here to View Gallery Any […]

Giuseppe Salerno : Talking With …

Founder of: Gruppo dei Perfusionisti !!! I met Giuseppe on Facebook after he invited me to join his online perfusion group (see above).  I left a couple of links to posts on his group page, and next thing you know- my site blew up!  I logged about 600 hits in an hour or so. Basically […]

Welcome to the New World : THAM

Click Image to View Source Article… Tham Dosage and Administration (ADULT Calculation) Tham Solution (mL of 0.3 M) Required = Kg x Base deficit x 1.1* Thus, a 70 kg patient with a buffer base deficit (“negative base excess”) of 5 mEq/liter would require 70 x 5 x 1.1 = 385 mL of Tham Solution […]

A Letter to ‘Surfers : Graduate School …

= From Jeff: Mr. Aprile, My name is Jeff  and I have been following Circuit Surfers for a few weeks now after being introduced to perfusion careers by a professor of mine. Since then, I have been enthralled by the field and am seriously considering the possibility of a perfusion career over general medicine. Currently, […]

Perfusion Glitches: Kink in Cardioplegia Line

Click Image Above to Add a “Glitch” to the Perfusion Database … Editors Note:  This is a new Section.  We are trying to develop a database of common or not-so-common problems encountered by perfusionists during CPB. Please join us by clicking the Link Above if you have had any sort of unusual event you would […]

Heart Surgery for the Poor?

Got a Stent? Great… Can’t afford to pay for Plavix to keep it open? Welcome to your heart surgery. That pretty much sums up a surgeon’s feeling after a CABG on a 40-something year old. He sent me an email about a patient he read about, who got a stent to his RCA a while […]

2016: Sodium Bicarbonate Shortage

UPDATE:  2/22/2016 From:  Bryan Lich, CCP Please be advised that you will soon be experiencing a Biarb shortage at your hospital, so please use it sparingly. http://www.ashp.org/menu/DrugShortages/ResolvedShortages/bulletin.aspx?id=788 Thanks, News Release Sodium Bicarbonate Injection [29 January 2016] Products Affected – Description Sodium Bicarbonate injection, Amphastar 8.4%, 50 mL syringe, 10 count (NDC 76329-3352-01) 8.4%, 50 mL […]

THAM As an Alternative Buffer

Tham Description Tham Solution (tromeThamine injection) is a sterile, non-pyrogenic 0.3 M solution of tromeThamine, adjusted to a pH of approximately 8.6 with glacial acetic acid. It is administered by intravenous injection, by addition to ACD blood for priming cardiac bypass equipment and by injection into the ventricular cavity during cardiac arrest. Each 100 mL […]

A Letter from Florence, Italy

I got this letter from a reader overseas.  I am printing it because every once in awhile we can all use a lift, and the last few days, a lot of heavy criticism has been laid down regarding Circuit Surfers.  So thank you Seanne.  It really helped 🙂 Hi! I’m Seanne Azzolina, born in Dallas […]

Please Review My Site

I think the worst thing anybody can do… Is sit thinking they are all-that– and have it all wrapped up. Just when you think it’s all good, you find out that, that just maybe- it’s not as cute as you thought, and indeed- some polishing may be required. New and shiny only lasts so long, […]

When Medicine Meets the Media

Click All Images to Enlarge … A High Profile Case… Invasion of the Pod People … A lot of Cameras… A Barrage of Photographs… Just keeping it real. I think there were more cameras in the room than surgical instruments.  What an amazing day.  What impressed me was how many pictures (of people taking pictures) […]

Career Perfusionist: [6] The Heart-Lung Machine

Perf 101:  The Extracorporeal Circuit Diversion of blood from the operative site, via an extracorporeal circuit (ECC) is necessary to proceed with open heart surgery .  Vascular access leading to the right side of the heart (venous) and ejecting from the left side of the heart (arterial) is shunted from the patient to the heart […]