Heading Up North [ 1 ] Family, Fishing, & A Perfusion Conference

This was Right after I moved to Texas ! ( She’s a bit bigger now ūüôā = ) YO !¬† It’s Summer Vacation Time ! Flying up North to Michigan to hook up with my wife and kids- (they have been up for 2 weeks or so), connecting with some old friends, close relatives, some […]

Most Frequently Visited Places On ‘Surfers

Nothing like Dropping In on a Great Wave … Same as dropping in here and saying hello, or making a comment or suggestion, or just being part of something a little new and different. Thank you so much for visiting. Here is a list of the places most often looked at her on this shiny […]

Interpretation of the Anion Gap: Oxygen Pressure Field Theory VIII

OPFT Part VIII:¬† Interpreting the Anion Gap The anion gap is the difference in the measured cations and the measured anions in serum, plasma, or urine. The magnitude of this difference (i.e. “gap”) in the serum is often calculated in medicine when attempting to identify the cause of metabolic acidosis. If the gap is greater […]

From Japan & Italy [ 1 ] Cerebral Perfusion: Circ Arrest

Facebook Thread Authored By:¬† Hiroyuki Kuromitsu (Hiro) Editor’s Note: Once again, just checking early morning news and chatter on Facebook, and another interesting discussion rears it’s head.¬† This discussion can be found on the FB group¬†Gruppo dei Perfusionisti!!! Authored by¬†Hiroyuki Kuromitsu (Hiro) a Japanese perfusionist. The Discussion What are your thoughts ?

A Day in the Life : A Hot Rainy Summer Day

Just one of those days.¬† Nothing scary on the horizon- and our desert world is getting watered ūüôā Loaded for Bear Torrential ?¬† Maybe not- but you never know when there will be some blood loss to be dealt with … One of those AAA cases with a socked-in retro-peritoneum.. Too much time on my […]

The Anion Gap: Oxygen Pressure Field Theory VII

OPFT Part VII:¬† The Anion Gap The anion gap is the difference in the measured cations and the measured anions in serum, plasma, or urine. The magnitude of this difference (i.e. “gap”) in the serum is often calculated in medicine when attempting to identify the cause of metabolic acidosis. If the gap is greater than […]

The Greatest International Concert of All: The Olympics 2012

Click image to enlarge- It’s WORTH it ! I got this photo from an Indian Perfusionist working in Belgium: Avinash Moreshwar. That would be this Gentleman. I have nothing really profound to say… It is just a euphoric moment when the Olympics UNDIVIDE us for the briefest of moments.¬† And it’s a great picture submitted […]

Microvascular Redistribution: Oxygen Pressure Field Theory VI

Part VI:¬† Microvascular¬† Redistribution (Click Image to View Online Power Point Presentation) Authored by:¬† Gary Grist,¬† BS, RN, CCP, LCP¬†¬†¬† To View all of Gary Grist”s Posts Regarding OPFT-¬† click here Mr Gary Grist delivered a seminar on this topic at The Missouri Perfusion Society 16th Annual Meeting titled “Beyond The Fick Equation”¬† on June […]

From Italy [ 3 ] A FaceBook Page You NEED to Visit …

Founder of: Gruppo dei Perfusionisti !!! Editor’s Note: I met Giuseppe Salerno 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 […]

From Japan [ 5 ] OUR Japanese Ambassadors

Facebook Thread Authored By:¬† Hiroyuki Kuromitsu (Hiro) Editor’s Note: Once again, just checking early morning news and chatter on Facebook, and another interesting discussion rears it’s head.¬† This discussion can be found on the FB group perfusionist.JP founded by¬†Hiroyuki Kuromitsu (Hiro) a Japanese perfusionist. I am Just learning about this site:¬† It’s a Small Group […]

Letters To ‘Surfers: From South Africa: An Experienced Response

(Click Image to Enlarge) Editor’s Note: I got this response to my earlier¬† “Age and Perfusion” post. It’s from South Africa, and from an experienced perfusionist.¬† He made some very salient points.¬† ūüôā Frank To Circuit Surfers : Hi. I am a practicing perfusionist in South Africa. And have been doing so since 1981. I […]

The Month of “The Aorta”

Click on this pic- It is awesome ! It’s been the month of “The Aorta”.¬† That is for sure.¬† A few surprises CABG’s shape-shifting to unplanned¬† AVR’s, or impromptu aortic resections. The aneurism, slips in like a hungry python.¬† Just shows up and there it is!¬† Puffed up in all it’s glory. So we deal […]

The Role of Carbon Dioxide: Oxygen Pressure Field Theory V

Part V:¬† The Role of Carbon Dioxide Which of these unlikely bypass candidates- ” Ain’t Gonna Make It? “ Authored by:¬† Gary Grist,¬† BS,¬† CCP, LCP¬†¬†¬† To View all of Gary Grist”s Posts Regarding OPFT-¬† click here Carbon Dioxide Pressure Field Theory The term Oxygen Pressure Field Theory is a misnomer if the perfusionist is […]

Take This Survey Plz : Age & Perfusion

Click Image to Take The Survey Click Here to See Survey Results UPDATE I need 100 respondents or more:¬† We are at 67. I am getting a fair amount of responses from North Americans- but I am missing input from a significant portion of our reading population. Where are the Asians ? The Western Europeans […]

From Italy [ 2 ] Classic “11:02: The Outer Limits” Photo

“11:02:¬† The Outer Limits”¬† ¬†¬†____________Click images to enlarge Discussion Heart-Lung Machine Readied for Use in Heart Operation at University of Minnesota Hospital Details Photographer:¬† Unknown Equipment:¬† 35 mm Editing:¬† Photoshop Narrative: ¬† Vintage photograph found by Mr. Salerno: ¬†Heart-Lung Machine Readied for Use in Heart Operation at University of Minnesota Hospital Time & Place:¬†¬†¬† When […]

Axial Gradients: Oxygen Pressure Field Theory IV

Part IV:¬† Axial Gradients Authored by:¬† Gary Grist,¬† BS, RN, CCP, LCP¬†¬†¬† To View all of Gary Grist”s Posts Regarding OPFT-¬† click here Axial Gradients To review, Oxygen Pressure Field theory states that there is an oxygen pressure field established in the tissues around each capillary where oxygen is present in varying concentrations from as […]

Perfused Capillary Density: Oxygen Pressure Field Theory III

Part III:¬† Perfused Capillary Density Authored by:¬† Gary Grist,¬† BS, RN, CCP, LCP¬†¬†¬† To View all of Gary Grist”s Posts Regarding OPFT-¬† click here Perfused Capillary Density The development of a lethal corner is dependent on the ratio of the capillary X-section to the cylinder X-section and/or a change in oxygen consumption.¬† The ability of […]

A Moment of Silence

To NOT address the loss of 12 Americans, and more than 50 injured, is not in my capacity. We lost a lot this last Thursday.¬† And the world no doubt wonders- and worries. As perfusionists we are used to control. It’s what we do.¬† We control outcomes.¬† We deal with preconditions. We marshal ourselves. We […]

Getting Inter-Nation Dialogue: A Japanese FB Perfusion group !

Facebook Thread Authored By:¬† Hiroyuki Kuromitsu (Hiro) Editor’s Note: Once again, just checking early morning news and chatter on Facebook, and another interesting discussion rears it’s head.¬† This discussion can be found on the FB group perfusionist.JP founded by¬†Hiroyuki Kuromitsu (Hiro) a Japanese perfusionist. I am Just learning about this site:¬† Click to view FB […]

Is Circuit Surfers the TMZ of Perfusion?

Saturday Morning Brunch So today’s topic is somewhat whimsical. It’s like that first gust of Spring air that passes through you, makes you pause, and just for a minute makes you feel a little more alive than you thought you were. So in that spirit of lightness, the topic question is this… Is Circuit Surfers […]

The Lethal Corner: Oxygen Pressure Field Theory II

Part II:¬† The Lethal Corner Authored by:¬† Gary Grist,¬† BS, RN, CCP, LCP¬†¬†¬† To View all of Gary Grist”s Posts Regarding OPFT-¬† click here The Lethal Corner The Krogh cylinder predicts a wide range of tissue pO2 values called an oxygen pressure field surrounding individual capillaries. As the relationship between the capillary and its surrounding […]

Oxygen Pressure Field Theory I

Oxygen Pressure Field Theory. Authored by:¬† Gary Grist,¬† BS, RN, CCP, LCP¬†¬†¬† To View all of Gary Grist”s Posts Regarding OPFT-¬† click here INTRODUCTION: I would like to begin a perfusion discussion of a subject about which most perfusionists know nothing.¬† Yet, in my opinion, it is vital to the basic understanding of perfusion science.¬† […]

A Question from Japan [ 4 ] Where Do You Run Your PO2’s ?

Facebook Thread Authored By:¬† Hiroyuki Kuromitsu (Hiro) Editor’s Note: Once again, just checking early morning news and chatter on Facebook, and another interesting discussion rears it’s head.¬† This discussion can be found on the FB group Gruppo dei Perfusionisti!!!¬† founded by Giuseppe Salerno an Italian perfusionist that I have worked with on several projects and […]

ICPB: A Stroke Window

The 1st Stroke Window … Gauging & Avoiding & Being Smart About it… Bump up the age, notice the increased cerebral vascular issues, mix in a low body weight, a little calcium (in terms of deposits- here and there), a stiffened aorta, a low hemoglobin, and perhaps a significant hemodilutional drop once on bypass, and […]

A Letter to ‘Surfers : The Missioneer

= From Michael Parpard, RRT, CCP Frank, Love your website ! I have been a Pediatric Perfusionist for 17 years, and just recently heard about your Circuit Surfers from a few friends that follow your website. I have been going on Pediatric Mission trips almost my whole career, and even helped send Brian Forsberg on […]

Perfusion Art: “A Student’s Pum p”

“A Student’s Pum p”¬† ¬†¬†_______________________Click image to enlarge Photographer:¬†¬†Giorgiarobertandrea Isidoro Equipment:¬† Digital Editing:¬† Photshop Narrative:¬† Italian, Submission by GRA Isidoro Time & Place:¬†¬† Chieti, Abruzzi About The Artist: Italian Perfusion Student- Has a very unique POV- and is very artistic ūüôā Click to Donate Click here to View Gallery Any Donations are for the cost […]

From Italy [ 1 ] Fibroelastoma

“Fibroelastoma”¬† ¬†¬†_______________________Click images to enlarge Discussion Details Photographer:¬†¬†Giuseppe Salerno, chief perfusionist, Villa Verde, Taranto – Italy Equipment:¬† Canon EOS Editing:¬† Photoshop Narrative: ¬† This patient before heart surgery has had a stroke caused by blood clots. The operation of the heart was used to eliminate the fibroelastoma, causing embolic events and a failure of the […]

Offering: Perfusion Group- QA / P&P Development…

Do You Need A Vibrant- Interactive- Internet Presence ? A Corporate Website A Searchable Online Policy & Procedure Database An On-Line QA / Demographic database A Staff Credentialing Database A Face Book Presence A Twitter Presence Do YOU NEED an Interactive On-Line QA / Policy & Procedure Site ? If you are interested in developing […]

Private Perfusion Group Looking To Expand

Are you at a point in your career where you are thinking about slowing down your practice? We are a small but well established perfusion group with a solid core of seasoned perfusionists looking for opportunities to expand our organization. Are you a solo perfusionist without many alternatives for enjoying any vacations or time off […]

From Japan [ 3 ] Biologically Closed Electric Circuits – White Blood Cells

Facebook Thread Authored By:¬† Hiroyuki Kuromitsu (Hiro) Editor’s Note: Once again, just checking early morning news and chatter on Facebook, and another interesting discussion rears it’s head.¬† This discussion can be found on the FB group Gruppo dei Perfusionisti!!!¬† founded by Giuseppe Salerno an Italian perfusionist that I have worked with on several projects and […]

Best of Circuit Surfers : 2012

Editor’s Note: Here is a compilation of some of the best posts for the first half of 2012.¬† All of the posts are either informative, a glimpse into a different culture of perfusion, a preview of technology to come, or a story we can all relate to. Thank you ALL– for reading and visiting ūüôā […]

A Question from Japan [ 2 ]

Facebook Thread Authored By:¬† Hiroyuki Kuromitsu (Hiro) Editor’s Note: Once again, just checking early morning news and chatter on Facebook, and another interesting discussion rears it’s head.¬† This discussion can be found on the FB group Gruppo dei Perfusionisti!!!¬† founded by Giuseppe Salerno an Italian perfusionist that I have worked with on several projects and […]

Perfusion Art: “Aqueduct”

“Aqueduct“¬† ¬†¬†_______________________Click image to enlarge Photographer:¬†¬†Giuseppe Salerno, chief perfusionist, Villa Verde, Taranto – Italy Equipment:¬† Canon EOS Editing:¬† Photoshop Narrative: ¬† Mitral valve annuloplasty in patients with severe valve insufficiency. Time & Place:¬†¬†¬† February 2009 – surgery room of cardiac surgery – Taranto – Italy About The Artist: A young Italian perfusionist:¬† Founder of the […]

‘Surfers Is Interviewed in ITALY !

Click images to enlarge Editors Note: Some days I am humbled.¬† So today I present you with an interview I did for an Italian Perfusion Journal, IN Bypass, interviewed by my overseas friend, Dario Fichera. As well, another Italian, and former Texas perfusionist (now an Italian Perfusionist), Seanne Sevier Azzolina, facilitated the process in a […]

Veteran Diaries

By :¬† Anonymous Veteran Diaries Well Frank, I am happy that our conversation stimulated a new discussion topic. But Methuselah? Really?? Just kidding. I am actually not that sensitive about my age. I worked very hard to get to this point in life‚Äôs stages. A few thoughts about older perfusionists: My favorite instructors when I […]

URGENT ! San Salvador Mission: Pediatric Perfusionist Needed

July 22-28:¬† 2012 Looking for a Peds Perf to go on mission to San Salvador ES. July 22-28. Airfare, hotel and most meals are provided. Nice hotel accommodations. The program has their own surgeons and perfusionists. The mission will focus on providing guidance to them e.g. MUF techniques, current practices, etc… ¬† Thanks, Joe Niman […]

Speaking of Aortic Dissections … Brussels, Belgium

AND …. Another Face Book Connection… Authored by:¬† Olivier Germay Chief Perfusionist ¬∑ Jan 1995 to present ¬∑ Brussels, Belgium Chirurgie Cardio-Vasculaire & Thoracique Circulatory Arrest for Cross-tube Anastomosis Ok, man 54 y old, 110 kg, 185 cm, typical chest pain. ETO confirm an ascending aorta dissection no aortic valve insufficiency. Operating room to change […]

A Question from Japan [ ? ]

Facebook Thread Authored By:¬† Hiroyuki Kuromitsu (Hiro) Editor’s Note: Once again, just checking early morning news and chatter on Facebook, and another interesting discussion rears it’s head.¬† This discussion can be found on the FB group Gruppo dei Perfusionisti!!!¬† founded by Giuseppe Salerno an Italian perfusionist that I have worked with on several projects and […]

To India: Long Distance Advice…

Editor’s Note: I was just kicking around Face Book when I got an online message from somewhere in India (I believe). Let me clarify 1st-¬† that I DO NOT represent myself or this blog as a Perfusion Help Line- but I do advocate that we use new media to facilitate situations exactly like this. So […]

A Day in the Life : 2 Arches & 2 Hearts

It’s either FEAST or famine in this world of ours, and the last 2 1/2 days have been on the left side of that equation. fait accompli Torrential ?¬† Maybe not- but there was some blood to be dealt with … In English, (and in French) fait accompli means a course of events that has […]

Welcome to A NEW Perfusion Blog !

This is a NEW Perfusion Blog by Brian Forsberg, MPH, CCP, LP. Click the image above to view his site.¬† He is a tremendous perfusionist, specializing in pediatrics and international perfusion missions. His Introductory Posts… =

Perfusion Art: “Hoofs”

“Hoofs”¬† ¬†¬†_______________________Click image to enlarge Photographer:¬† Frank Aprile, BBA, LP, CCP Equipment:¬† Digital Editing:¬† Photoshop:¬† Cropping: Hue & Contrast adjustments:¬† Gradient filter. Narrative:¬† Retracting the heart on a distal anastamosis 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 […]

Private Perfusion Group Looking To Expand

Are you at a point in your career where you are thinking about slowing down your practice? We are a small but well established perfusion group with a solid core of seasoned perfusionists looking for opportunities to expand our organization. Are you a solo perfusionist without many alternatives for enjoying any vacations or time off […]

URGENT ! San Salvador Mission: Pediatric Perfusionist Needed

July 22-28:¬† 2012 Looking for a Peds Perf to go on mission to San Salvador ES. July 22-28. Airfare, hotel and most meals are provided. Nice hotel accommodations. The program has their own surgeons and perfusionists. The mission will focus on providing guidance to them e.g. MUF techniques, current practices, etc… Thanks, Joe Niman University […]

Perfusion Art: “Shrink Wrap”

“Shrink Wrap”¬† ¬†¬†_______________________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 […]

From Our Indian Collegues: Right Superior Vena Cava Draining to Roof of Left Atrium

Editor’s Note: This is a series of extremely cogent presentations delivered by ISECT (Indian Society of Extracorporeal Circulation). The source article can be viewed here- http://www.isect.org/ASD.pdf. Right Superior Vena Cava Draining to Roof of Left Atrium The preoperative diagnosis in this patient was sinus venosus ASD with possible partial anomalous pulmonary venous connection. = – […]