Perfusion Policies 101: Priming the CardioHelp ECLS

Editor’s Note: PERFUSION POLICIES 101 Welcome to PERFUSION POLICIES 101.  This will be a continuing series provided to assist your programs with that one puzzle piece we all run into now and then- that one time that an unexpected patient condition may give you pause… The intention here is to disseminate some basic recipes that […]

Impella Induced Hemolysis

Editor’s Note: A brief note on observed rising K+ levels when an Impella is in place.  If you see a drop in the HCT as well (that exceeds predicted hemodilution from crystalloid infusions) it is possible that there may be a slight malposition of the impella device.  This isn’t always necessarily the case, but hemolysis may be a […]

Yahoo’s, Cowboy’s & Heart Surgeons: What are we made of?

Editor’s Note: I am writing a book on an inside perspective on Heart Surgery in America.  I decided that I would release portions of this story as I am telling it- to see what you think.  We all have our stories about how we got here 🙂 It is in chronological order, so some of the […]

Yahoo’s, Cowboy’s & Heart Surgeons: A Pilot and a Heart-Lung Machine

Editor’s Note: I am writing a book on an inside perspective on Heart Surgery in America.  I decided that I would release portions of this story as I am telling it- to see what you think.  We all have our stories about how we got here 🙂 It is in chronological order, so some of the […]

Perfusion Policies 101: I-STAT

Editor’s Note: PERFUSION POLICIES 101 Welcome to PERFUSION POLICIES 101.  This will be a continuing series provided to assist your programs with that one puzzle piece we all run into now and then- that one time that an unexpected patient condition may give you pause… The intention here is to disseminate some basic recipes that […]

Perfusion 101: Clear Prime Replacement (RAP)

  Editor’s Note: PERFUSION POLICIES 101 Welcome to PERFUSION POLICIES 101.  This will be a continuing series provided to assist your programs with that one puzzle piece we all run into now and then- that one time that an unexpected patient condition may give you pause… The intention here is to disseminate some basic recipes […]

From Turkey: Type II Aortic Dissection

Editor’s Note:  I was cruising through FB this morning, before watching Purdue play college football today (another “W” for the other team) when my friend Mehmet Çetintaş tagged me with this post on a type II aortic dissection in which antegrade cerebral protection was employed.  I included a roughly translated thread attached to this picture to […]

Yahoo’s, Cowboy’s & Heart Surgeons: “We Stop Your Heart to Keep You Alive”

Editor’s Note: I am writing a book on an inside perspective on Heart Surgery in America.  I decided that I would release portions of this story as I am telling it- to see what you think.  We all have our stories about how we got here 🙂 It is in chronological order, so some of the […]

Yahoo’s, Cowboy’s & Heart Surgeons: Strange Encounters

Editor’s Note: I am writing a book on an inside perspective on Heart Surgery in America.  I decided that I would release portions of this story as I am telling it- to see what you think.  We all have our stories about how we got here 🙂 It is in chronological order, so some of the […]

Yahoo’s, Cowboy’s, & Heart Surgeons: Epiphany

Editor’s Note: I am writing a book on an inside perspective on Heart Surgery in America.  I decided that I would release portions of this story as I am telling it- to see what you think.  We all have our stories about how we got here 🙂 It is in chronological order, so some of the […]

Perfusion Policies 101: Conduct of CPB

Editor’s Note: PERFUSION POLICIES 101 Welcome to PERFUSION POLICIES 101.  This will be a continuing series provided to assist your programs with that one puzzle piece we all run into now and then- that one time that an unexpected patient condition may give you pause… The intention here is to disseminate some basic recipes that […]

Yahoo’s, Cowboy’s & Heart Surgeons: “47906”

Editor’s Note: I am writing a book on an inside perspective on Heart Surgery in America.  I decided that I would release portions of this story as I am telling it- to see what you think.  We all have our stories about how we got here 🙂 It is in chronological order, so some of the […]

Perfusion Policies 101: Blood Administration

Editor’s Note: PERFUSION POLICIES 101 Welcome to PERFUSION POLICIES 101.  This will be a continuing series provided to assist your programs with that one puzzle piece we all run into now and then- that one time that an unexpected patient condition may give you pause… The intention here is to disseminate some basic recipes that […]

Perfusion Policies 101: IABP

Editor’s Note: PERFUSION POLICIES 101 Welcome to PERFUSION POLICIES 101.  This will be a continuing series provided to assist your programs with that one puzzle piece we all run into now and then- that one time that an unexpected patient condition may give you pause… The intention here is to disseminate some basic recipes that […]

Perfusion Art: “TAVR Mondays”

Photographer:  Frank Aprile,CCP Equipment:  Digital, 6S Editing:  Photoshop Narrative:  Following 3 TAVR’s it was one of those days that at the end of it- there was a serious storm- quick and relentless hail- but at the end of it?  This pretty much sums up our results for the day 🙂 Time & Place: Upper Midwest, September 2016 About […]

TAVR: TransAortic or TransFemoral?

Editor’s Note: The last few places I have visited were programs that were scaling up their TAVR programs.  There are some pretty exciting and innovative technologies on the rise in the realm of Hybrid technology.  Many of us standby for these procedures, I personally have only had to place one patient on emergent CPB- primarily for […]

Perfusion Policies 101: Autotransfusion

Autotransfusion   General Description Intraoperative autotransfusion is used to recover shed blood from the surgical site or post-bypass pump volume. The blood is centrifuged and rinsed with normal saline in a Cell Saver (Haemonetics) or Cobe BRAT (Cobe Cardiovascualr), with the plasma and wash solution being discarded. The resulting washed red blood cells with a […]

Perfusion Art: “Bodhisattva”

“Bodhisattva” Photographer:  Margaret Relle Equipment:  Digital Editing:  Photoshop Narrative:  The bodhisattva—the renowned ideal of Mahayana Buddhism—is not a god or deity but a way of being all we can aspire to. Those who take the bodhisattva vow make one simple commitment: to put  others first, holding nothing back for themselves. Time & Place:   Syracuse, NY, August 2016 […]

The Heater Cooler Conundrum: Has the Sky Fallen?

“If anyone has a chart or list/table that compares all of the current Heater Coolers, that would go a long way to helping institutions make informed choices as to selecting systems that have the smallest potential footprint regarding impact on laminar flow in the OR, as well as the least amount of potential pt. exposure […]

Perfusion Policies 101: Vacuum Assisted Venous Return

“Most clinicians, when challenged as to what the basis is that they referenced a clinical decision on, will obviously defer to their residency or training program and cite a clinical policy- whether institutionally based, or part of the public domain.” Editor’s Note: PERFUSION POLICIES 101 Welcome to PERFUSION POLICIES 101.  This will be a continuing series provided […]

Perfusion Policies 101: Left Heart Bypass

“Most clinicians, when challenged as to what the basis is that they referenced a clinical decision on, will obviously defer to their residency or training program and cite a clinical policy- whether institutionally based, or part of the public domain.” Editor’s Note: PERFUSION POLICIES 101 Welcome to PERFUSION POLICIES 101.  This will be a continuing series provided […]

Perfusion Policies 101: Adult ECMO

“Most clinicians, when challenged as to what the basis is that they referenced a clinical decision on, will obviously defer to their residency or training program and cite a clinical policy- whether institutionally based, or part of the public domain.” Editor’s Note: PERFUSION POLICIES 101 Welcome to PERFUSION POLICIES 101.  This will be a continuing series provided […]