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 […]

Unexpected Air: An ECMO Discussion

Editor’s Note: I was on FB and was visiting the Malaysian Perfusion Page, monitoring a discussion regarding venous air entrainment in an ECMO circuit, and the efforts made to save the patient.  This a true emergency, and with a closed system, much more difficult to resolve. The discussion however is what captured my interest because […]

Perfusion Art: The ECMO Wishbone

“The ECMO Wishbone“ ___ __Click image to enlarge- Photographer:  Nadia Azuero, BS, CCP Equipment:  Digital:  5S Iphone Editing:  By ‘Surfers:  Saturation Narrative:  The bifurcation of the arterial line for a bridge: ECMO:  “Make a wish” Time & Place:  Estados Unidos About The Artist: Nadia is a Solo Perfusion Contractor, and is currently transitioning to become a physician.  […]

CARDIOHELP: An In-Service for MD’s, Perfusionists, & Nurses

Click Image to visit CARDIOHELP website Editor’s Note: We are looking at a new system to integrate into our ECMO program, and today we had an in-service from MAQUET, who owns, distributes, and supports the CARDIOHELP ECLS system. This was a 3.5 hour in-service designed to educate physicians, perfusionists, and nurses.  It was offered for three […]

PICU Nursing: Honing Your ECMO Skills

Editor’s Note: So I was @ Women’s & Children’s Hospital – here in West Texas, doing some platelet gel cases, when I decided to drop by the PICU to visit friends I hadn’t seen in awhile. The PICU staff was pretty thin- so I asked where everybody was- and found out they were conducting an ECMO wet […]

Plz Take This Survey: The impact of Influenza on Your ECMO Program for 2013-2014

  The impact of Influenza on Your ECMO Program for 2013-2014 Can you please take this short eight question survey on the impact of the recent influenza season on your ECMO program. We will share the results. Click link below to take this survey: https://www.surveymonkey.com/s/RFPNN79 = Thank you. David Palanzo, CCP, LP Penn State Hershey […]

Roundworms & ECMO ? Any Advice, Experience, or Literature?

Editor’s Note: I got an email from a perfusion colleague regarding the impact (if any) of roundworms on the oxygenator for an ECMO run. Please help?  Any information- please forward to the comments section of this blog post, my email, or  Amanda’s email who is running the ECMO. Very much appreciated 🙂 Hey Frank, Do […]

The Avalon Bi-Caval Dual Lumen Catheter

Have you used a percutaneous venous cannula like this? The AVALONELITE :  Bi-Caval Dual Lumen Catheter (Click image to visit website) A Discussion on Cannula Positioning Proper cannula positioning in single site veno-venous extracorporeal life support (vv-ELS) is cumbersome and necessitates image guidance to obtain a safe and stable position within the heart and the […]

And Then Comes Sunday …

24 Hours… of ECMO New Beginnings   (To view the entire “Day In The Life” series Click Here) Jesse Shipman struggles to do a stretch during a therapy session with occupational therapist Megan Taylor at TrustPoint Hospital in Lubbock, Texas Tuesday, June 12, 2011. (Miranda Grubbs/ Lubbock Avalanche-Journal) To view the entire “Day In The […]

H1N1- ARDS- & ECMO (Current Literature)

Editors Note: A big thank you to Marianne Veir Pilger, CCP, and her colleague John @ Meriter Hospital in Madison, Wisconsin for helping out so quickly and hooking us up with the below listed articles on ECMO management for ARDS and H1N1. This is something we are all facing- so I hope it helps. Again- […]

Street_ECMO

Click images to enlarge Editors Note: I got an email from my overseas friend, Dario Fichera, an Italian perfusionist that is very involved in the international perfusion community. (Dario has been involved in perfusion mission work to Africa .) Below are some pictures of a mobile ECMO (Street ECMO) emergency aid station that the Italians […]

An Italian ECMO Transport

Click image to view source article Editor’s Note: I don’t know a lick of Italian, but the pictures were cool, the article was on an Italian perfusion FB group page, the concept is universal, and I wanted to put out an article in Italian to express the flexibility of this Circuit Surfers blog. It’s for […]

VAD / ECMO Policy: Generic & Universal

Editor’s Note: This is a disclaimer: As with all material presented on this site,  please use your own judgement as to what you feel is clinically safe, vetted, and makes sense to you.  This blog is NOT peer reviewed or sanctioned by any perfusion associated review board or academic body. That is not to say […]

What Doesn’t Kill You- Makes You Stronger

Click to View…  It’s DEFINITELY Inspiring. This was a link that one of our PICU nurses left on her Facebook page. It totally reminded me of our PICU and the great ECMO nurses we have working there! Ash …  Man she is the greatest !  She linked the YouTube video above. Awesome Murals and Colors […]

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 […]

What Doesn’t Kill You- Makes You Stronger

= Click to View…  It’s DEFINITELY Inspiring. This was a link that one of our PICU nurses left on her Facebook page. It totally reminded me of our PICU and the great ECMO nurses we have working there! Ash …  Man she is the greatest !  She linked the YouTube video above. Awesome Murals and […]

The Role of Perfusionists During ECLS ?

Hi Frank, How are you? I need your help because I’m collecting some data about the role of perfusionist during ECLS in US, to compare with the role of perfusionist in Italy. Could you help me sending some data, protocols and other stuffs? Thanks in advance. Emiliano. emiliano@perfusione.net I got the above email from a […]

A Day in the Life… [And Then Comes Sunday]

24 Hours… of ECMO Jesse  struggles to do a stretch during a therapy session with occupational therapist Megan Taylor on Tuesday, June 12, 2011. (Miranda Grubbs/ Lubbock Avalanche-Journal) Click Image Above to View Video Interview… The End and a new beginning This is the culmination of Jessie’s story.  His life is a new chapter now, […]

A Day In The Life… [6] Reprint

24 Hours… of ECMO To view the entire “Day In The Life” series Click Here Part VI:  A New Day & Definitely a New Beginning ! 8:00 am Coffee, Bugles, and McyDee’s I know it’s a bad example, but the hospital cafeteria is being remodeled, so I stocked on provisions for the long term.  There […]

A Day In The Life… [5] Reprint

24 Hours… of ECMO To view the entire “Day In The Life” series Click Here Part V:  Past Midnight… Ghost Stories & What-Not 3:00 am Ghost stories So it’s 3 a.m. and the STS paper work has become a mountainous blur, our ECMO patient is on “cruise control”, the hive activity is down to almost nothing, […]

A Day In The Life… [4] Reprint

24 Hours… of ECMO To view the entire “Day In The Life” series Click Here Part IV:  Past Midnight Saturday:  1:00 am STS and the Paperwork Deluge So at something like 1:00 am, it’s do or die time.  The patient is fine, but as an ECMO coordinator, I typically like to stay awake and support […]

A Day In The Life… [3] Reprint

24 Hours… of ECMO To view the entire “Day In The Life” series Click Here Part III:  Getting Past Midnight :   ACT’s & Clots … 11:00 pm Somehow during the initial debriefing from the previous ECMO coordinator that I had taken over for, the question of reliability regarding our ACT  (Activated Clotting Time) came […]

A Day In The Life… [2] Reprint

24 Hours… of ECMO To view the entire “Day In The Life” series Click Here Part II:  The Setting … 9:00 pm Well it’s about that time.  The PICU is closed for business, onlookers, rubber-neckers, and pretty much any visitors not directly related to your patient, are ushered away- and the staff is settled in […]

A Day In The Life… [1] Reprint

24 Hours… of ECMO To view the entire “Day In The Life” series Click Here Part I:  Getting Started … 24 hours to the finish line, and all you can do is just hope you don’t trip and fall.  That pretty much sums up this ECMO run.  Just trust your feet, and don’t lose sight […]

The Essential Ingredient: ECMO Nurses

(Meet An Amazing Nurse ) I met Shannon 3 1/2 years ago when doing my first ECMO shift here in Texas.  I was pretty clueless about ECMO, as despite 17 years of experience, I was new to this hospital, and I had only worked in adult perfusion programs throughout my career. I had gotten a […]

Bi-Caval Dual Lumen Catheter

Have you used a percutaneous venous cannula like this? The AVALONELITE :  Bi-Caval Dual Lumen Catheter (Click image to visit website) We are looking for a percutaneous cannula that transits the internal jugular to the superior vena cava, right atrium, and inferior vena cava. I have looked at this cannula online, but it looks like […]

And Then Comes Sunday …

Jesse Shipman struggles to do a stretch during a therapy session with occupational therapist Megan Taylor at TrustPoint Hospital in Lubbock, Texas Tuesday, June 12, 2011. (Miranda Grubbs/ Lubbock Avalanche-Journal) To view the entire “Day In The Life” series Click Here The End and a new beginning This is the culmination of Jessie’s story.  His […]

Need Information ASAP on NOVALUNG

Talya Frey to Perflist show details 9:14 AM (15 hours ago) Need Information ASAP on NOVALUNG We have a 10 kg patient with pHTN that our team is interested in using the Novalung device to treat worsening RV function and chronic poor lung function. I am looking for any information regarding useage of this device, […]

CPS Support

CPS Support (Written with assistance from Thomas Doyle, MS, CCP) CPS used by EMS … Click to read article… An interesting paper on using expanding percutaneous cannulas with CPS. Click to read article… Procedure for CPS A.    Disposable Equipment: 1.  CPS Pack 2.  Percutaneous cannulae (arterial/venous) 3.  Membrane oxygenator with integral heat exchanger and holder. […]

VAD / ECMO Policy v. 1.0

Editor’s Note: This is a disclaimer: As with all material presented on this site,  please use your own judgement as to what you feel is clinically safe, vetted, and makes sense to you.  This blog is NOT peer reviewed or sanctioned by any perfusion associated review board or academic body. That is not to say […]