Del Nido cardioplegia: A one stop shot for adult cardiac surgery?

Bryan Lich This article can be found on Perfusion.com as well as the PDC FaceBook Group. Bryan Lich, CCP is the owner and Co-Editor of Circuit Surfers.  He also manages a very informative FB page dedicated to disseminating Perfusion communication throughout the world.  This article is duplicated and forwarded here in an effort to maximize […]

A Locum’s ScrapBook:  They Like Me….  They Like Me Not…

Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here My life is Family First and then Perfusion.  I switched from staff perfusionist to becoming a Locum’s traveler to make sure my kids and family would have a solid place to call home.  I travel because it puts me in charge of my life, it […]

Perfusion Job Interviews 101

Editor’s Note:   This is an extemporaneous essay on perfusion job interviews. A perfusion job interview is an interesting proposition at best and quite a different animal than most job interviews that any medical professional at this level may encounter. Most of the time your resume speaks for itself, in other words what you have […]

A Perfusion Scholarship is Available

Editor’s Note:   To all perfusion students: There is a scholarship opportunity available if you are interested in seeing if you qualify. Information regarding this scholarship opportunity is described below 🙂 SpecialtyCare Scholarship To all my fellow perfusionists, please share this news and information to your perfusion students currently enrolled in a CAAHEP program affiliate; […]

Perfusion Job Shadow PLZ: Louisiana & South Texas?

Editor’s Note:   Hello Louisiana  and a shout out to my friends in Lufkin : )!  I have a student looking for a job shadow opportunity in the Louisiana/Texas area. Here’s our prospective student’s message to you as well as a contact email: Hi, I am an undergrad student DESPERATELY searching for a perfusionist to […]

SURVEY: VAVD- When does Negative Pressure = a NEGATIVE Result?

Editor’s Note: I recently had an interesting discussion with my colleague, Dennis, regarding whether we measured negative pressures on the venous line when using Vacuum Assisted Venous Drainage (VAVD) during the conduct of perfusion at our particular clinical site.  I was frank in my answer (no pun) and said- it wasn’t something that I have […]

Genesis: Why I Chose to become a Perfusionist… The Long & Winding Road

  Editor’s Note: I was talking to a colleague of mine, who was visiting our program to help out for a bit, and we both had some pretty long and interesting background stories about some of the reasons of why we chose to become Perfusionists.  After thinking about it, I realized I had had this […]

Excerpts From the Red Cell Highway: What is it that I do?

Editor’s Note: This book is NOW over halfway written, It is a rendering of the reality, sometimes sad and at times funny, emotional, and clinical vignettes of the many different aspects relating to open heart surgery- from the perspective of a perfusionist. This book is a commentary not only on the intricacies of heart surgery, […]

From Our Colleagues in Azerbaijan: Pulmonary Endarterctomy

Editor’s Note: I got an email from a colleague that has been a friend and supporter of Circuit Surfers for the past 6 years or so, Mr.Cuneyt iImamoglu.  I included a little extra information below the body of his article and wish to thank and compliment his team for their tremendous accomplishment! Good Luck and […]

Globally Challenged- Perfusion Networks: Are We Kidding Ourselves???

  Editor’s Note: Well this certainly has been a long month. Global weather patterns have absolutely demonstrated that we survive as a community and not as individuals. Unfortunately during the last three weeks, multiple Internet servers were down and thus exposed the soft underbelly of the reptile so to speak – making it painfully obvious […]

Associate Editor’s Wanted: South & Central America, Canada, Europe, Africa, Middle East, Russia, China, SE Asia, Australia/South Pacific…

Editor’s Note: Dear fellow colleagues.  Thank you for taking the time to read this “help wanted” ad. Currently, CircuitSurfers.com is searching for energetic and culturally diverse representation in the recognition that we as an organization- are geographically under-represented in the South Americas, European, Balkan, Chinese, East Asian, and Australian/South Pacific medical markets/sectors. We are looking […]

From Perfusionist to MD: A Career Pathway Realized

Editor’s Note: I started this blog on Feb 21, 2011.  Six and a half years ago to be precise.  Since it was a new format, and employing a dynamically newer media paradigm, I can’t say there wasn’t a bit of push-back from the perfusion community, some people were roiled, some feathers ruffled, and I was […]

Factor X Inhibition? Cardiac Health Supplements / Polyphenol Compounds & Considerations Regarding Hemostasis…

Editor’s Note:   Had an unusual presentation of unexpected post op bleeding the other day with a patient that had no concomitant coagulation issues nor other co-existing disease states that would possibly contribute or amplify post CPB hemostasis. Normally I would write this off as the “the less-than-extraordinary transcendence of damage to general hemostasis” that […]

Perfusion Job Shadow: New Jersey and East Coast

  Editor’s Note:   Hello New Jersey and East Coast!   I have a student looking for a job shadow opportunity in your area- Here’s our prospective student’s message to you as well as a contact email: Hello, I am a prospective student seeking the chance to shadow a perfusionist in order to strengthen my […]

Perfusion Job Shadow: Chicago Area

Editor’s Note: Hello Chicago  and a shout out to my friends in Illinois:)!  I have a student looking for a job shadow opportunity in the Chicago area- Here’s our prospective student’s message to you as well as a contact email: Hello, I’m a recent graduate looking to shadow a cardio-pulmonary perfusionist in the Chicago land […]

Perfusion Policies 101: Anticoagulation Reversal

Renee Toth, BS, CCP   Editor’s Note: Renee is a colleague I work with quite often.  She is an amazing perfusionist as well as administrator, mom, and just a decent all around human being. She has a pretty scathing wit- so beware.  She offered to share a policy she has worked on for a quite […]

Look Out Dallas TX! Perfusion Job Shadow Desired

Editor’s Note:   Hi Dallas! Well you have to admit- after reading the post below, that this student really wants to become a perfusionist.  Please lend assistance if possible. I was pretty impressed with the effort and  exuberance demonstrated in the email. Hi there Frank! My name is Ashley Kirksey, and I’m a junior-year student […]

There’s A New Player in Town: Kcentra Rx for Postoperative CPB Induced Coagulopathy

Editor’s Note: Had a pretty routine CABG x something the other day, and encountered a postoperative coagulopathy, functional platelet count at roughly 72 (Platelet Works), and instead of going down our traditional Factor VII tunnel, we opted to use Kcentra,  a member of a relatively new category of drugs classified as a Prothrombin Complex Concentrates (PCC). […]

Perfusion Job Shadow Requested: Dallas TX or Central TX

  Editor’s Note: Hello Dallas and a shout out to my friends in Texas :)!  I have a student looking for a job shadow opportunity in the Dallas area-possibly Central Texas. Here’s our prospective student’s message to you as well as a contact email: Hello, I am a prospective perfusion student and will be applying […]

A Locum’s ScrapBook: Modifying the ECC for Antegrade Cerebral Protection

Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here My life is Family First and then Perfusion.  I take BOTH very seriously. I switched from staff perfusionist to becoming a Locum’s traveler to make sure my kids and family would have a solid place to call home.  I travel because it puts me in […]

Excerpts: The Red Cell Highway: “Epiphany”

Editor’s Note: This book is halfway written, It is a rendering of the reality, sometimes sad and at times funny, emotional, and clinical vignettes of the many different aspects relating to open heart surgery- from the perspective of a perfusionist. This book is a commentary not only on the intricacies of heart surgery, but openly […]

A Locum’s ScrapBook: Looking in the Rear-View Mirror

Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here My life is Family First and then Perfusion.  I switched from staff perfusionist to becoming a Locum’s traveler to make sure my kids and family would have a solid place to call home.  I travel because it puts me in charge of my life, it […]

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… THAM A a 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 […]

Management of weaning from cardiopulmonary bypass after cardiac surgery

Editor’s Note: Oddly enough, I was searching for some information regarding observed hypotensive states post CPB- associated with pump blood reinfusion, when I came upon this very cogent and well written article.  So I diverted my attention for the time being, to sharing this resource. Ill get back to the previous search later 🙂 Enjoy […]

“The Red Cell Highway: An Inside Look at Heart Surgery in America”

Editor’s Note: This book is halfway written, It is a rendering of the reality, sometimes sad and at times funny, emotional, and clinical vignettes of the many different aspects relating to open heart surgery- from the perspective of a perfusionist. This book is a commentary not only on the intricacies of heart surgery, but openly […]

A Locum’s ScrapBook: TEAMING UP in Southern Indiana

Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here My life is Family First and then Perfusion.  I switched from staff perfusionist to becoming a Locum’s traveler to make sure my kids and family would have a solid place to call home.  I travel because it puts me in charge of my life, it […]

The Sanibel Perfusion PodCast: When VISION Becomes Reality…

Editor’s Note:   In terms of perfusion interaction and communication, there are a few seminal moments I’m sure all of us recognize as game changers, paradigm shifts, and technological improvements that could be compared as dynamic as the transition from bubble oxygenators, to hollow fibre membrane technology. Some examples of perfusion evolution in terms of […]

Heater/Cooler Survey Results are In!

  Editor’s Note: Well… I started this survey back in the Fall of last year. (Click image above to view or take the survey) Since then I have been at 4 other institutions and have had the opportunity to observe how my colleagues addressed this issue.  No footprint changes regarding the relative position of the […]

PERFUSION PRO: A Bold Approach to EMR

  Editor’s Note: I guess the proof is in the pudding so to speak… when I found myself on a 3 hour pump run yesterday, instinctively looking for my clipboard.  I think that’s a common trait for perfusionists as we pump cases, we look for a clipboard not necessarily to enter data, but it keeps […]

Perfusion Art: Insight from an LVADer

“Insight from an LVADer” Contributor:  ‎Michael-Joshua Morris‎  Equipment:  Cut N Paste 🙂 Editing:  Photoshop: Contrast Filter Narrative: Joshua is an on-line friend I met almost 6 years ago.  He has had a HeartMate II in for that entire duration plus I believe at least 1 or more years prior.  His story is amazing- and 5 years ago I […]

Perfusion Art: Crimson Tide

“Crimson Tide” Photographer: Frank Aprile, BBA, LP, CCP Equipment:  IPhone 6S Editing:  Photoshop: Contrast Filter Narrative: Waiting to go on bypass:  Blood is from the cell saver and dropped into ECC to chase out priming volume. Time & Place: Southern Indiana/  March 2017 About The Artist:  Locum’s Peerfusionist

Perfusion Policies 101: Perfusion & the Pregnant Patient

  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 […]

Perfusion Art: Field of Dreams

“Field of Dreams” Photographer: Somewhere in India Equipment:  Digital Editing:  None required  Narrative: When you see a heart surgeon of this stature, being so free willed and loving life and his patient’s as he clearly does, that brings me to pause, and realize the majesty of all that is within a team with such a leader.  Bravo […]

A Locum’s ScrapBook: 2 Amigos & a Bag

Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here My life is Family First and then Perfusion.  I switched from staff perfusionist to becoming a Locum’s traveler to make sure my kids and family would have a solid place to call home.  I travel because it puts me in charge of my life, it […]

Perfusion Art: Flagellae

“Flagellae” Photographer: Frank Aprile, BBA, LP, CCP Equipment:  IPhone 6S Editing:  Photoshop: Metallic Filter:  Narrative: I like this picture because it demonstrates the variety of ECC shunts that are limited only by your imagination. Time & Place: Southern Indiana/  February 2017 About The Artist:  Locum’s Peerfusionist  

A Locum’s ScrapBook: Finding Mimo…

Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here My life is Family First and then Perfusion.  I switched from staff perfusionist to becoming a Locum’s traveler to make sure my kids and family would have a solid place to call home.  I travel because it puts me in charge of my life, it […]

Live YouTube CEU’s: Save Money and Get the Category 1 CEU’s that You Need

Click on image above to view online details 🙂 To All: This year we will be “upping the ante” again with our Live Webcast by making it available on Youtube! This new platform will allow many new amazing features as follows: 1. Ability to pause and resume live video feed. 2. Multi-platform capability on every device […]

A Locum’s ScrapBook: 49 & 50

Editor’s Note: In the middle of this month,  January 2017, I had the privilege of visiting and assisting three teams in the Midwest, representing an institution I have been at previously several times, and then a new venture a little further South, that implies two more clinical sites adding to the sum of hospitals I have pumped at during my […]

Perfusion Job Shadow Wanted: NYC

Editor’s Note: Hey New York City perfusion colleagues, this young lady is looking for a job shadow opportunity. Can You give her a hand? Hello my name is Sherise Brown and I am currently enrolled at NYIT. I will be graduating with a BS in Interdisciplinary Studies with a concentration in Science. My main aim […]

Perfusion Job Shadow Wanted: Washington DC Area

Editor’s Note: Hey Maryland perfusion colleagues, this young man is looking for a job shadow opportunity. Can You give him a hand? Hello – this may not be the proper channel for this request, but I’m at a bit of a stumbling block. I am currently completely unaffiliated in perfusion, but am considering a career change […]

PERFUSION.COM CAREERS

Click Image above to got to Perfusion.com Job Site ? PERFUSION.COM CAREERS Perfusion.com, Inc. is a Joint Commission certified perfusion company owned and operated by practicing clinical perfusionists. We occupy a unique niche in the perfusion industry encompassing the roles of clinical service provider, marketing company, product manufacturer and software developer. We are always seeking out the best and brightest current […]

Locum’s Perfusionist Available: Midwest, East Coast, South, Texas

Certified Clinical Perfusionist 20+ years experience Knowledgeable and experienced with most surgical procedures but not limited to: Adult Cardiopulmonary Bypass, Valves, Complex Arches Minimally invasive, ECMO, IABP, CardioHelp Impella Monitoring, SwanGanz, Artlines,  Cerebral Oximetry Autotranfusion, Platelet gel, VADS Contact this person privately at ecclog@gmail.com Kindest Regards Professional Details Experience in all aspects of perfusion Bachelors Degree Licensures: TX, AR, […]

Happy New Year 2017 !!!

Editor’s Note: I am amazed at the responses and enthusiasm that so many different perfusionists from all corners of the world have regarding our global community!  True camaraderie and mutual respect from all of us to each other- realizing that we are the only ones on this planet that truly understand what a wonderful thing it […]

Perfusion Polices 101: Malignant Hyperthermia

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 […]

SURFER’s 2016: The Best of the Best

(Click on any images below to read associated article) Editor’s Note: 2016 was a paradigm shift for ‘Surfers.  As I continued in the direction from the previous year as a traveling Locum’s perfusionist, I had the opportunity to work at two new hospitals in Indiana, one in Wisconsin, one in Iowa, as well as getting on […]

Perfusion Policies 101: HyperKalemia

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 […]

Novick Cardiac Alliance is happy to announce our return to building pediatric open heart programs in Iraq!

Click image above to visit this website Editor’s Note: I have been in contact with Dr. Novick, and Brian Forsberg LP, CCP, MPH, for almost the entire tenure of the Circuit Surfers blog.  I am impressed that our approaches and goals are so similarly tuned, and have always believed in what they (and this blog) stand […]

Perfusion Policies 101: Gas Embolism

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: DIC

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: Cold Agglutinins

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 […]

A Locum’s ScrapBook: Friday Night Lights

Fading out… 5 days left here and i’m becoming a memory 🙂 Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here My life is Family First and then Perfusion.  I switched from staff perfusionist to becoming a Locum’s traveler to make sure my kids and family would have a solid place to call home. […]

Perfusion Policies 101: AntiThrombin III (AT3) Deficiency

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 […]

IMPORTANT SAFETY NOTICE: RE; Heater Cooler Mediated Infections

Editor’s Note: I received this email from Bryan Lich, President of Perfusion.com, and I felt it was important enough to disseminate to the readership and hopefully together we can work to solve this issue.  The content of the letter is below in it’s entirety. Below is a survey to try to gather a consensus on […]

Perfusion Art: “Thermal Cross Hairs”

“Thermal Cross Hairs” Photographer: John Campbell BSc (Hons) MSc FRSH ACCP FCCP Equipment:  DigitalSomething Editing:  Photoshop Narrative: Thermal image of a Sorin vanguard cardioplegia device in action in Nottingham. Blood temp in 34C blood out of Vanguard 4C. Time & Place: Trent Cardiac Centre/  October 2016 About The Artist:  Chief perfusionist, Trent Cardiac Centre  

Sanibel Symposium: April 2017 in Fort Myers, Florida!

Click image to view site… INTRODUCTION The Sanibel Symposium is a multidisciplinary cardiothoracic conference sponsored by Perfusion.com, Inc.  Key topics for this conference include Patient Safety, Minimally Invasive Surgery, ECMO, Blood Management, Biologics and Perfusion Technology. The Sanibel Symposium will be held on April 5-8th, 2017 at the luxurious Sanibel Harbor Resort and Spa in Fort Myers, Florida. This conference venue […]

ECLS & Emergency Departments

Editor’s Note: A colleague of mine, Michael, asked me during a conversation if there was any information out there regarding the increased frequency or use of ECLS systems throughout the emergency departments in hospitals across the US.  Interestingly enough, I find myself later in the day, monitoring one of these devices in vivo. Below is […]

Perfusion Policies 101: Protamine Administration and Reaction

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: “Transformation”

“Transformation” Photographer: Nadia Azuero, CCP Equipment:  DigitalSomething Editing:  Photoshop Narrative:  This Nadia, scrubbing in for surgery- last year of Med school. Time & Place: Operating Room, October 2016 About The Artist:  4th year Med Student/Cardiovascular Perfusionist/Locums  

Heater Cooler Survey!

“I encourage all of you to take this survey, the issue at hand is primarily for the purpose of patient protection FIRST, and and how we adjust to it is obviously reactionary- but must be proactive and simply cannot be ignored or sidestepped” Editor’s Note: I’m sure all  of us are equally concerned regarding the surge […]

A Locums’ ScrapBook: “You Doin’ Alright” vs “Yeah-Yeah-Yeah”

              Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here My life is Family First and then Perfusion.  I switched from staff perfusionist to becoming a Locum’s traveler to make sure my kids and family would have a solid place to call home.  I travel because it puts […]

Perfusion Policies 101: Oxygenator Changeout

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: Nitric Oxide

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: 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 […]