Cardiac Stents [1] Are We Stenting too Much ?

“At a time when the health care industry faces much ambiguity through reform, one certainty is apparent: Resources will be more constrained as we face a shortage of physicians, an influx of chronic condition patients, and declining reimbursements.” Editor’s Note: I had an interesting discussion with our chief cardiac surgeon the other day, it is […]

The William Novick Cardiac Alliance: We Need Perfusionists !

The William Novick Cardiac Alliance Dear Friends, We are very pleased to announce The William Novick Global Cardiac Alliance, a new foundation formed by Dr. William Novick and the clinical and administrative staff he has mentored and shared his vision with for the past 21 years. The Novick Cardiac Alliance is committed to bringing sustainable […]

The William Novick Cardiac Alliance: We Need Perfusionists !

The William Novick Cardiac Alliance To volunteer or make an inquiry please email  Brian C. Forsberg MPH CCP. Dear Friends We are very pleased to announce The William Novick Global Cardiac Alliance, a new foundation formed by Dr. William Novick and the clinical and administrative staff he has mentored and shared his vision with for […]

A Tale of 2 Countries: The Cost of My Mother’s Cardiac Care in the United States and India

Click image to view source article Editor’s Note: Acknowledgments to the listed below author below, as well as my Indian friend Bijender Singh Bali who led me to this link on FB 🙂 A Tale of 2 Countries: The Cost of My Mother’s Cardiac Care in the United States and India = Sowmya R. Rao, PhD⇑ […]

International CQI: USA: Total Oxygenator Failure

Operation: ACB x 3. Pt. Data 70 years old Gender: Male 71 inches 79 Kilograms 1.94 BSA Baseline Hematocrit- 44% Pertinant Hx: Unremarkable. No coagulopathic issues No other issues-  patient appeared to be  robust and healthy. Plan: ACB x 3:  Mild Hypothermia- 34 degrees C.. Prime Constituents: 300 ml  Normosol 5,000 units heparin 37.5 g […]

From Japan [ 11 ] Have a Safe Pump Run! “Taigaijyunkan anzen”

Facebook Thread Authored By: Hiroyuki Kuromitsu (Hiro) Editor’s Note: My friend Hiro has a Japanese Perfusion FB group page- perfusionist.JP founded by Hiroyuki Kuromitsu (Hiro) a Japanese perfusionist. I was on his site when I saw a very interesting object hanging on a Japanes pump.  So naturally… I had to ask… What is it- and WHAT […]

From Italy [ 7 ] Reshaping the Heart

Editor’s Note: Once again, just checking early morning news and chatter on Facebook, and another interesting link rears it’s head.   I found this article on an Italian perfusion FB page by CardioPeople- an Italian resource- very well organized, and very professional. Link:  https://www.facebook.com/universita.campobasso They provided an English version of the above cited topic- so […]

From Italy [ 6 ] Mitral Prosthesis, Implantation on the Beating Heart

Editor’s Note: Once again, just checking early morning news and chatter on Facebook, and another interesting link rears it’s head.   I found this article on an Italian perfusion FB page by CardioPeople- an Italian resource- very well organized, and very professional.  http://www.cardiopeople-network.com/social/index.php?do=%2Fpages%2F10%2F They provided an English version of the above cited topic- so I […]

Letters from a Perfusionist in Germany: Coming to America…

Editor’s Note: Hi Guys, I got this letter from a perfusionist in Germany. I don’t know if the ABCP recognizes Perfusion Certification from Europe.  I guess the question is- can he sit for the ABCP boards? Hi Frank, hope u can help.. i want to immigrate to the states after i finish my Master degree […]

Writers & Bloggers Wanted :

Hi- Wanted to see if there are any perfusionists out there that like to write- or want to write about their perfusion experiences? Perfusionists from all corners of the World are invited to participate … Writing / blogging is basically taking taking your point of view on aspects of perfusion and sharing it with others […]

Career Perfusionist [18] On Being A Perfusionist …

  ON BEING A PERFUSIONIST I think we are reminded of our human fallibility (the potential to err is in all of us) every day we pump a case. With so many steps and moving parts in the equation, the goal is to choreograph out a perfect “10” every single time. Of course that doesn’t […]

Letters To ‘Surfers: On The Relevancy of IABP Therapy…

Editor’s Note: Was just going through some mail and stuff- and saw a few comments that I thought were interesting and would like to share. Please respond in the comments section of this post… Frank = Various questions on the relevancy of IABP Therapy = Hi Frank, = = My name is Rahul Barwal. I […]

HAS THIS HAPPENED TO YOU ? H2O Outlet Deformity on Oxygenator:

Click on image to enlarge Have you seen this happen before?  This is my 3rd time.  Plz respond in the comments section below- or send an email privately to ecclog@gmail.com to share your experience and identify if this is indeed a common issue. Editors Note: We are developing a database of common or not-so-common problems […]

The Paradigm Shift of the Innocent Minds

“There is innocence in admiration and it occurs to those who have not yet realized that they might one day be admired.” Author / Editor: Co-Editor Anna Lou Villena 🙂 [16] Making the perfusion arena known to the innocent minds of the 5th graders from Changchun American International School was challenging and yet turned out […]

Adequacy of Perfusion:

Adequacy of Perfusion:  By Steve Sutton, LP, CCP Editor’s Note: Steve Sutton is well known and highly regarded into today’s Perfusion community.  He is a strong proponent for advancing Perfusion education and in pursuing that goal,  he has given numerous presentations at some of the most  premier Perfusion meetings held each year. Along with his […]

Free Resume’ & Job Posting

= (Click Image to see who is visiting…) Thanks for visiting- To place your resume online for FREE- send information and details to the email below: email:  EccLog@gmail.com A Job Applicant Who Puts a Resume’ on CircuitSurfers can Expect: 400 + Views of their cover letter and posting An undetermined number of  views of his/her […]

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 […]

Letters To ‘Surfers: I enjoy the postings from the perfusionist in the street…

(Click Image to Enlarge) Editor’s Note: Was just going through some mail and stuff- and saw a few comments that I thought were interesting and would like to share. Frank = Various thoughts on or “About Circuit Surfers” = Hi Frank, Anyway, with regards to your question re circuit surfers- I have personally always enjoyed the […]

Letters To ‘Surfers: Yeah, they saved his life, but removed his arms and his legs…

(Click Image to Enlarge) Editor’s Note: Was just going through some mail and stuff- and saw a few comments that I thought were interesting and would like to share. Frank = Various thoughts on or “About Circuit Surfers” = From Kasab Dec 8, 2:44 am Pardon I was remiss in my first post. I meant to […]

Letters To ‘Surfers: Change is the most difficult thing a person can do-

(Click Image to Enlarge) Editor’s Note: Was just going through some mail and stuff- and saw a few comments that I thought were interesting and would like to share. Frank = Various thoughts on or “About Circuit Surfers” = From Dan, Change is the most difficult thing a person can do’. Yet you are quite right […]

Letters From the Philippines: Improving O2 Transfer?

Editor’s Note: Hi Guys, I got this letter from a Filipino  perfusionist via FaceBook.  If any of you have any engineering insights into the mechanics of increasing Oxygenator surface area for improving O2/CO2 exchange , can you send replies to Kevin Tabamo’s FB page? Thanks ! = = 🙂 Frank Click image to respond directly […]

JASECT 2014: A Japanese Perfusion Art Gallery

Click to view image Editor’s Note: I sent out a post on FB to get more people from the international perfusion community- to consider participating in the perfusion art gallery.  Here is one response: Dear Mr. Frank Aprile Please find attached a picture. This picture was taken by Takuma Douguchi. Please let me know if […]

Letters From Saudi Arabia: Plz Recommend a Perfusion Program

Editor’s Note: Hi Guys, I got this letter from a graduating nursing student from Saudi Arabia. If you have any suggestions for a great perfusion school you would like to recommend- please respond here in the comments section, or directly to Mr. Wafe at his listed email address. I need your help from Saudi Arabia […]

Letters From Pakistan: Questions on the CardioHelp System

Click image to view manufacturer’s information on this product- Editor’s Note: Hi Guys, I got this letter from a Pakistani perfusionist via LinkedIn.  If any of you have any Experience using the CardioHelp System, can you send replies here to ‘Surfers? I have no experience with the device, so it would be inappropriate for me […]

Career Perfusionist [16] We ALL Have an MD in our Skill Set

Nadia Azuero, B.S., CCP, LP Editor’s Note: Nadia Azureo, CCP, BS, LP,  has been a perfusionist for quite some time, and is a very active contributor here at Circuit Surfers. She is very talented, precise, and obviously committed to delivering extraordinary care to her patients. Nadia is currently going to med school.. More Significantly, she […]

Perfusion Apps- Updated

Perfusion Apps … Well now that we have that shiny new smart phone.  What do we do with it, and more importantly, how do we get ourselves to become smarter than we already are? A true conundrum in a profession where intellectual elegance is measured in terms of survival and good patient outcomes. I’m being […]

An International Perfusion CQI Registry: American, Asian, European, ALL Countries are Invited.

To Join the International Perfusion CQI Registry-  cick image above Editors Note: This is a new platform for Quality Improvement. We are trying to develop a database of common or not-so-common problems encountered by perfusionists during CPB.  We are inviting perfusionists, groups, and institutional participation to develop a universal platform for identifying areas of concern […]

Letters To ‘Surfers: A Raw Look

(Click Image to Enlarge) Editor’s Note: Was just going through some mail and stuff- and saw a compilation of letters- both pro and con- but all worthy in terms of the points delivered.  It’ is many positive reflections that may be addressed to me, but are really  NOT about me-  but are all about us […]

A Letter to ‘Surfers : How Can I Subscribe ?

Editor’s Note: This is a note I got yesterday regarding following CircuitSurfers.com via email notification (subscription). = Hi Frank , We recently moved our pediatric services to the Childrens of Alabama facility connected to a crosswalk to UAB. I have changed my email address.   Please forward your blog to that email. I miss seeing […]

Pumping Down in Hybrid !

” Proper collaboration and teamwork among cardiothoracic surgeon and anesthesiologist, cardiologist, perfusionist, technician and nurses are very much essential for a successful functioning of a hybrid operating room.” Author / Editor: Co-Editor Anna Lou Villena 🙂 [15] Unexpectedly as it was ordered “STAT” (from the Latin word STATIM = immediately), the Heart Lung Machine was […]

Perfusion Glitches: Deprimed Cardioplegia Line

Click Image Above to Add a “Glitch” to the Perfusion Database … Editors Note: This is a new Section. We are trying to develop a database of common or not-so-common problems encountered by perfusionists during CPB. Please join us by clicking the Link Above if you have had any sort of unusual event you would […]

Team China !

“The Perfusionist, as one of the key players in the cardiac surgical team, must not only possess the passion of work, but most importantly imbibe a dynamic collaboration and interaction among cardiac professionals within the team.” Author / Editor: Co-Editor Anna Lou Villena 🙂 [14] In the ambit of Cardiac surgery, various studies were conducted […]

Letters To ‘Surfers: From China: Pediatric Priming Solutions ?

(Click Image to Enlarge) Editor’s Note: I got this question regarding pediatric priming protocols from a perfusionist in China. My pediatric experience is limited to ECMO- so I defer to the more experienced pediatric perfusionists out there to help formulate an informed response 🙂 Leave your answers or suggestions in the “Comments” section plz? Frank […]

Art from Japan [ 10 ] JASECT

Click to view image Editor’s Note: I sent out a post on FB to get more people from the international perfusion community- to consider participating in the perfusion art gallery.  Here is one response: Dear Mr. Frank Aprile Please find attached a picture. This picture was taken by Takuma Douguchi. Please let me know if […]

TIME OUT…

“Their innocence will keep on reminding me of a humble beginning despite the sophisticated Perfusion arena and that everything should be sliced down to the ESSENTIALS of LIFE.” Author / Editor: Co-Editor Anna Lou Villena 🙂 [13] At the spur of the moment, I was again driven by Frank’s – BACK to Basic! They are […]

PERFUSIONIST: The LAYMAN’s Approach

“Perfusion is a profession that has a very low public profile. It is reputed to be one of the most stressful lines of work a person could possibly choose.“ Author / Editor: Co-Editor Anna Lou Villena 🙂 [12] According to the American Society of Extracorporeal Technology: Perfusion is a profession that has a very low […]

Up Close With Perfusion in China

“Impeccable timing is very important to approach a person especially if you are aiming to break the wall of intimidation and aloofness brought by language diversity.” Author / Editor: Co-Editor Anna Lou Villena 🙂 [11] Impeccable timing is very important to approach a person especially if you are aiming to break the wall of intimidation […]

A Marvelous VAD Presentation from China

For every ACTION, there is an EQUAL and OPPOSITE REACTION. This theory impacts life’s varied circumstances, the CAUSE and EFFECT implication… Author / Editor: Co-Editor Anna Lou Villena 🙂 [10] Editor’s Note: This is an extraordinary PowerPoint presentation regarding VAD technology.  It is an eye-opener and definitely well worth viewing. Click image above to view […]

Newton’s Theory

For every ACTION, there is an EQUAL and OPPOSITE REACTION. This theory impacts life’s varied circumstances, the CAUSE and EFFECT implication… Author / Editor: Co-Editor Anna Lou Villena 🙂 [9] From the cascade of events, I found myself in a retrospective mood and thought about the fundamentals of science which I learned during primary years- […]

No ROOM for BLIND SPOT

EXPECT the best, PLAN for the Worst and PREPARE to be surprised. Author / Editor: Co-Editor Anna Lou Villena 🙂 [8] A Perfusionist’s principle goes out for Mr. Waitley’s quote : EXPECT the best, PLAN for the Worst and PREPARE to be surprised. GEARING UP One can never EXPECT THE BEST outcome without planning ahead. […]

Tunnel Vision

Causes Extreme fear or distress, most often in the context of a panic attack. During periods of high adrenaline production, such as an intense physical fight. Altitude sickness, hypoxia in passenger aircraft Exposure to oxygen at a partial pressure above 1.5-2 atmospheres, producing central nervous system oxygen toxicity, notably while diving.  Other symptoms can include […]

A Blast from the Past ! Perfusion 1995

Editor’s Note: In 1995: There was no ECECT meeting yet European Certificate in Cardiovascular Perfusion was a year away Standards of Practice in Clinical Perfusion in Australasia were two years away Perflist was just beginning under Sue Boetcher’s pioneering mantle- Perfusion dot com was becoming a reality (Bryan Lich was about to profoundly change perfusion […]

REALITY CHECK for THRESHOLD Countries

Author / Editor: Co-Editor Anna Lou Villena 🙂 [7] Let me go back to one of the questions in my interview with Circuit Surfers: Q. 11:  Is preventive medicine more prevalent in Asia than in the West? In my opinion, the prevalence of preventive medicine depends on the countries’ economical stability and governance because this […]

A Letter to ‘Surfers : How do you do WHAT yOU do ?

Editor’s Note: This was a significant comment made when I first started ‘Surfers. = Teutonic, I don’t know how you guys can do what you do. When I heard some of the stories told by the wife of my bypass friend, of how she frequented the hospital every day and ranted and raved and assaulted […]

Adrenaline Rush … The Aftermath

Author: Co-Editor Anna Lou Villena 🙂 [6]   = The photo was taken with consent from our patient, Mr. Zou. He underwent a 4V CABG and 6 hours after an uneventful surgery, a sudden dilemma happened in ICU that prompted the team to have an emergency IAB insertion and re-operation. That Friday Madness thing was […]

A Friday Madness Adrenaline Rush !

Author: Co-Editor Anna Lou Villena 🙂 [5] =             Just sharing my FRIDAY MADNESS anecdote. I should say the test of a Perfusionist’s character- we have been engaged almost every day of the stressors in our workplace but in reality our job is the stressor per se. However, this depends on how you will be […]