From Our Indian Collegues: Anomalous Systemic Venous Return

= Editor’s Note: This is a series of extremely cogent presentations delivered by ISECT (Indian Society of Extracorporeal Circulation). Anomalous Systemic Venous Return Abnormal connections between the inferior vena cava, or right or left superior venae cavae to the right or left atrium may occur. A right-side anomaly (e.g., persistent left superior vena cava to […]

We Build OUR Castles …

Perfusion Nesting… I think so … Perfusion nesting. It is a science in-and-of-itself, and most of us do it. The Circuit has to be a certain way- One line over another- The exact number of pump clamps Hand towels a certain way Cardioplegia line wrapped and placed perfectly The mannifold food chain (my neo’s always […]

Perfusion Art: “Cryo Incubation”

“Cryo Incubation”    _______________________Click image to enlarge Photographer:  Dario Fichera Equipment:  Device:samsung galaxy s2 smartphone with 8 mpixel camera Editing:  None Narrative:  About the pic: it was taken today in Strasbourg (France) during a training with suine heart using Transmedics OCS Heart system. Time & Place:   2012: Ircad research centre About The Artist: I Think this says it […]

20th Annual Symposium on New Advances in Blood Management

Click image to view AMSECT Meetings page … August 23-25 Westin Savannah Harbor Golf Resort and Spa Savannah, Georgia The American Society of ExtraCorporeal Technology is proud to announce the 20th Annual Symposium on New Advances in Blood Management, August 23-25 at the Westin Savannah Harbor Golf Resort and Spa in Savannah, Georgia. The ABCP […]

Perfusion Apps: Perfusion Tools v2

Click on image to download this App. Rating: not yet rated Likely User: CCP / MD / BSN Best Attribute: Sleek & Quick Caveat: None Developer:  Patrick Carfrey, CCP Description:  This tool provides quick and easy calculations of perioperative values such as Estimated Blood Loss. Perfect for Cardiovascular Perfusionists. Process: Just enter the following patient […]

Is Perfusion a “Dead Language” ?

Editor’s Note: I got this letter from a soon-to-be-enrolled perfusion student. He has legitimate concerns and asks for feedback from perfusionists currently in the field. Help him out ? Hello Frank, First and foremost I wanted to let you know that I have been a huge fan of your site since I discovered it about […]

Perfusion Art: “WaterColors”

“WaterColors”    _______________________Click image to enlarge Photographer:  Giuseppe Salerno, chief perfusionist, Villa Verde, Taranto – Italy Equipment:  samsung phone SII Editing:  Photoshop Narrative:  perfusionist at work Time & Place:   15 june 2012 – surgery room of cardiac surgery About The Artist: A young Italian perfusionist:  Founder of the Facebook Group: Gruppo dei Perfusionisti!!!  Currently with 346 +  members. […]

The Hybrid O.R. An Introductory Dialogue

Editor’s Note: This is an exploratory post on Hybrid OR’s.  The link below is an excellent introduction to the subject, and the dialogue / conversation framed at the heart of this posts- is obviously taken from a beginners perspective. Any links, or insights would be greatly welcomed in the comments section- Click image to view […]

New Technologies : FerroFluids- Artificial Heart Technology

Click image to view source article Editor’s Note: I got this link from a friend of mine, an extremely talented Operating Room instructor, Paul Landman. “Saw this while reading a news app. Thought you’d find it interesting. Ferrofluid heart mimics human biology to circulate blood.” A new ferrofluid-based artificial heart design seeks to aid transplant […]

Perfusion Art: “The RaceWay”

“The RaceWay”    _______________________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments:  Gradient filter. Narrative:  Squeezing out a cardiac output … Time & Place:   2012 About The Artist:  CCP in Texas:  Editor: Circuit Surfers: Click to Donate Click here to View Gallery Any Donations are for the […]

A Son’s Sacrifice: On Father’s Day

Submitted by: Bijender Singh Bali Editor’s Note: This post is a reflection about Father’s Day- but the event described did not occur on that day… Bijender Singh Bali is an perfusionist from India that I have been in contact with for the last 8 months or so. It is through Circuit Surfer’s that we met, […]

KCL Shortage UPDATE

Most Recent Resupply Dates 2 mEq/mL; 20 mL vial (NDC 0409-6653-05) (Standard) Next delivery June 10 mEq/100 mL (NDC 00409-7074-26) Ample supplies available to meet market demand. 10 mEq/50 mL (NDC 00409-7075-14) Ample supplies available to meet market demand. 20 mEq/100 mL, (NDC00409-7075-26) Ample supplies available to meet market demand. 20 mEq/50 mL (NDC 00409-7077-14) […]

Career Perfusionist: [7] Perfusion Evolution

“Suitcase & Pump”    _______________________Click image to enlarge Editor’s Note: I had originally posted the above picture  as “Perfusion Art” and wasn’t at all familiar with the type of pump it was. I then got a quick note from my good friend Seanne Azzolina… “…I worked with one of those…it’s a Pemco! The last time was […]

KCL Shortage ? FYI ( Yeah There Is … )

Is it Real ? UPDATE ! Yeah …  It is. I was just informed we have enough at one of our hospitals for 16 cases… Any suggestions on resources ??? More Recent Resupply Dates 2 mEq/mL; 20 mL vial (NDC 0409-6653-05) (Standard) Next delivery June 10 mEq/100 mL (NDC 00409-7074-26) Ample supplies available to meet […]

Perfusion Art: “Suitcase & Pump”

“Suitcase & Pump”    _______________________Click image to enlarge Photographer:  Giuseppe Salerno, chief perfusionist Equipment:  samsung digital camera Editing:  Photoshop Narrative:  Old heart pump Time & Place:   2008 – Rome – Italian Congress of Cardiac Surgery About The Artist: A young Italian perfusionist:  Founder of the Facebook Group: Gruppo dei Perfusionisti!!!  Currently with 330+  members. Click to Donate Click […]

LVAD Pioneers… :(

Editor’s Note: This is a painting by Michael-Joshua Morris.  He is a friend, a frequent contributor to this blog, as well as his own, and has been incredibly courageous in his efforts to promote awareness of VAD technology.  He has had a  Heartmate II for two years and counting. He just lost a friend…  that’s […]

Contributors : Thank You

Editor’s Note: The list below represents only some of  the perfusionists and individuals that have contributed to this website and made an effort to improve us all. In this case, the group below represnts the individuals who have donated pictures to the international perfusion art gallery.  A very fun and revealing project. There are so […]

Perfusion Art: “Aesthetics”

“Aesthetics”    ________Click image to enlarge Photographer:  Valerio Speciale Equipment:  BlackBerry Pearl 9110 Editing:  None Narrative:  A pretty neat little ECC package … Time & Place:   2012/5/6 in “Clinica S. Michele” MADDALONI (CE) near Naples About The Artist: Valerio Speciale (Photographer & Perfusionist) Click to Donate Click here to View Gallery Any Donations are for the […]

An ECMO Lecture : Outstanding !

PART 1 of 2. Hergen Buscher, a German intensivist who lives and practices in Sydney, gives an excellent presentation on extra corporeal membrane oxygenation in the modern era of ICU. This was presented at a Sydney Intensive Care Network meeting on the 17th March 2011. Go to www.intensivecarenetwork.com for more information about who we are […]

Perfusion Group- Website Development…

If you are interested in developing a corporate web presence for your perfusion group, or wish to develop an online QA program please contact: email:  Lazarus Technologies, LLC When is a Policy or Procedure Recommendation Welcomed the Most? When you need it immediately Which implies an emergency or unexpected clinical event Which further suggests that […]

Oxygenator Changeout

PROCEDURE FOR IMPLEMENTATION: A.        Equipment Needed: 1.         One (1) new oxygenator 2.         Four (4 – 6) tubing clamps 3.         Sterile heavy scissors or knife blade 4.         Alcohol swabs B.         Procedure for Changing Membrane Oxygenators: 1.         If warm, cool the patient if time permits. 2.         Close the arterial line filter bleed line, turn off the […]

It’s All the SAME LANGUAGE …

Click above to view Manoj Sharma’s FB page It’s All the Same … I put this up- because of how remarkably similar the cultures of cardiovascular perfusion are throughout the world.  It’s not a dynamic video- but it demonstrates what we all see on a routine basis. It was submitted on FB by Manoj Sharma […]

Perfusion Art: “Vigil”

“Vigil“ _____ Photographer:  Unknown: of Nadia Azuero, BS, CCP Equipment:  Digital:  iphone 4S Editing:  By Nadia:  Effects: Edge Blur – Narrative:   Tightening the screws-  keeping it steady on a tough case. Time & Place:  Pending About The Artist:  Nadia is a Solo Perfusion Contractor (You should visit her Website  if you have a chance:) Click […]

Blood Components

Separating Components from Whole Blood Fibrinogen Fibrinogen is a high molecular weight protein occurring in the plasma in quantities of 100 to 700 mg/dl.  In the presence of calcium ions it becomes the precursor for fibrin threads the foundation of the blood clot.  In terms of replacement therapy, a target value of 150 mg/dl may […]

Perfusion Art: “The Oscillator”

“The Oscillator”    ________Click image to enlarge Photographer:  Valerio Speciale Equipment:  BlackBerry Pearl 9110 Editing:  None Narrative:  Median Sternotomy  using an oscillating saw, patient with aortic bioprosthesis that has developed an aortic ascending aneurysm. Time & Place:   2012/5/6 in “Clinica S. Michele” MADDALONI (CE) near Naples About The Artist: Valerio Speciale (Photographer & Perfusionist) Click to Donate Click here […]

Perfusion Art: “Looking Glass”

“Looking Glass”    _______________________Click image to enlarge Photographer: Manoj Sharma Equipment:  Unknown Editing:  None Narrative:  photograph of Dr.Ashwani Suri, Chief Cardiac Surgeon in Tagore Hospital & Heart care Centre , Jalandhar, Punjab (India) Time & Place:   India About The Artist: Perfusionist in India, is passionate about this family, life, and the profession. Click to Donate Click […]

Methemoglobin (METHB)

I.    DESCRIPTION: Methemoglobin (METHB) is a condition by which oxygen molecules cannot bind to hemoglobin thus the patient presents with a distinct cyanosis.  The cyanosis occurs due to an  altered hemoglobin ion from the reduced form to the oxidized ferric molecule.  This molecule is not capable of binding to or releasing oxygen. The  distinct cyanosis […]

Fetal-Hemoglobin (HbF)

“The left shift of the oxyhemoblobin dissociation curve in the presence of significant quantities of HbF indicates that there is a propensity for low delivery of oxygen to tissues.” I.    DESCRIPTION: Fetal-hemoglobin (HbF) is an abnormal hemoglobin which is characterized by the presence of 2 alpha and 2 gamma chains in its structural configuration.  HbF […]

Perfusion Art: “Road Map”

“Road Map”    _______________________Click image to enlarge Photographer: Manoj Sharma Equipment:  Unknown Editing:  None Narrative:  This picture was shared on a Facebook page.  I have asked permission to include it in the gallery. Time & Place:   India About The Artist: Pending Click to Donate Click here to View Gallery Any Donations are for the cost and […]

Perfusion Art: “gETTING cONTROL”

“gETTING cONTROL”    _______________________Click image to enlarge Photographer:  Gyüge Sándor Equipment:  Unknown Editing:  None Narrative:  This picture was shared on a Facebook page.  I have asked permission to include it in the gallery. Time & Place:   Hungary About The Artist: Pending Click to Donate Click here to View Gallery Any Donations are for the cost and development […]

Are Drug Shortages the New Status Quo ?

Click above to view source article Editors Note: A List of articles on Perfusion related Med Shortages Below: Protamine MgSO4 Amicar NaHCO3 KCl WASHINGTON — At the Henry Ford Hospital in Detroit, pharmacists are using old-fashioned paper spreadsheets to track their stock of drugs in short supply – a task that takes several hours each day. […]