Platelet Gel Systems & Comparisons

“Although modest in terms of complexity, and clinical challenge, platelet gel does rear it‚Äôs head for those of us that are in accounts that employ the use of this modality.” Editor’s Note: Today’s menu is less esoteric- and however bland, represents one of the many¬†adjunct therapies and applications that perfusionists are involved in, that are […]

New Technologies: The MedLED CHROME Headlight

Editor’s Note: Recently at one¬†of the OR’s I was visiting, we had a visit from a rep from The KLS Martin Group, regarding a fresh perspective on an old problem: Cordless Headlights that have the muscle to last through an open heart procedure. I was impressed with the enthusiasm and tenaciousness of this KLS representative,¬†Lauren […]

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 […]

Perfusion Art: “My Colleagues”

  “My Colleagues”¬† ¬†¬†________Click image to enlarge Photographer:¬†¬†Suneel Lakki Equipment:¬†¬†Digital Editing:¬† Photoshop: ¬†Metal Gradient. Narrative:¬†Eyes up & Eyes down Time & Place:¬†¬† 2014 Fortis Memorial Research Institute About The Picture: ¬†Eye contact has been made… To View The Entire Gallery- Click the Image Below To Submit A Picture: email:¬† EccLog@gmail.com

Perfusion Art: “Transeptal RA to LA”

“Transeptal RA to LA”¬† ¬†¬†________Click image to enlarge Sketch Artist: ¬†Brian White Equipment:¬†¬†Pen & Projector Editing:¬† Photoshop:¬† Cropping: Hue & Contrast adjustments. Narrative:¬†Sometimes art is needed to understand the entire picture. Transeptal RA to LA off load cannula with VA ECMO. Time & Place:¬†¬† 2014¬† West Texas About The Picture: ¬†Sometimes you gotta get artistic […]

Perfusion Art: “Timid”

“Timid”¬† ¬†¬†________Click image to enlarge Photographer:¬† Frank Aprile, BBA, LP, CCP Equipment:¬† Digital Editing:¬† Photoshop:¬† Cropping: Hue & Contrast adjustments. Narrative:¬†Scrubbed in for 1 hour- and gloves are totally clean… Time & Place:¬†¬† 2014¬† West Texas About The Picture:¬† During-Bypass To View The Entire Gallery- Click the Image Below To Submit A Picture: email:¬† EccLog@gmail.com

Perfusion Art: “Heart Surgery in Texas”

“Heart Surgery in Texas”¬† ¬†¬†________Click image to enlarge Editor’s Note: This is a great picture-¬†Nikki going to town right b4 a heart case. Photographer:¬† Nikki’s Friend Equipment:¬† Digital Editing:¬† Photoshop:¬† Cropping: Hue & Contrast adjustments. Narrative:¬†Riding herd before a heart case. Time & Place:¬†¬† 2014¬† West Texas About The Picture:¬† Before-Bypass To View The Entire […]

Perfusion Art: “B F F”

“B F F”¬† ¬†¬†________Click image to enlarge Photographer:¬† Cik Abul Equipment:¬† Digital Editing:¬† Photoshop:¬† Cropping: Hue & Contrast adjustments. Narrative: Malaysian perfusionist:¬† “The Clamp is BFF” Time & Place:¬†¬†¬†The World: 2014 About The Picture:¬† Before-Bypass About The Artist: I Think this says it all ūüôā To View The Entire Gallery- Click the Image Below To […]

Perfusion Art: “Breakfast Club”

“Breakfast Club”¬† ¬†¬†________Click image to enlarge Photographer:¬†¬†Dario Fichera Equipment:¬† Digital Editing:¬† Photoshop:¬† Cropping: Hue & Contrast adjustments. Narrative:¬†Typical chats B4 Bypass Time & Place:¬†¬†¬†The World: 2014 About The Picture:¬† Before-Bypass About The Artist: I Think this says it all ūüôā To View The Entire Gallery- Click the Image Below To Submit A Picture: email:¬† EccLog@gmail.com

Perfusion Art: “Oximetry”

“Oximetry”¬† ¬†¬†________Click image to enlarge Editor’s Note: This is a great picture- but it is also a great addition to our practice. The¬†CASMED FORE-SIGHT Cerebral Oximeter has definitely improved our insight (in terms of adequacy of cerebral perfusion). Click Here to see the Technical Specs… Photographer:¬† Frank Aprile, BBA, LP, CCP Equipment:¬† Digital Editing:¬† Photoshop:¬† […]

FORE-SIGHT: Anticipating and Mediating Cerebral Ischemia?

Click Image to view corporate site. Editor’s Note: I used the FORE-SIGHT cerebral oximeter, the other day on a patient with documented carotid disease.¬† I watched the monitor closely for changes as the changes were made while on bypass (Q, pressure, sweep gas, temperature, cardiac index, X-clamping, cardioplegia, and so forth). It is a sensitive […]

A New Perfusion EMR System: Try it- It’s FREE !

Editor’s Note: I got an email regarding a new EMR platform for Perfusionists. ¬†Having designed numerous database systems before, this would in my opinion be worth taking a look at. ¬†I will review the system in the coming week. ¬†In the mean time- download it and check it out ūüôā ¬† Hey it’s FREE ! […]

A New Perfusion EMR System: Try it- It’s FREE !

Editor’s Note: I got an email regarding a new EMR platform for Perfusionists. ¬†Having designed numerous database systems before, this would in my opinion be worth taking a look at. ¬†I will review the system in the coming week. ¬†In the mean time- download it and check it out ūüôā ¬† Hey it’s FREE ! […]

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 […]

When Your Valve Specialist- Becomes Your Teacher…

Matt Braga, Southwest Region Manager (Medtronic), getting us prepped for the Lab. Editor’s Note: There are a few things I have missed in my career development, one of which was direct hands-on experience 1st assisting on open-heart procedures, and and valve operations.¬† It seems I always 1st assisted at institutions that didn’t do open-hearts. Well, […]

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 […]

ECMO Research Study : This is a PAID Survey…

Editor’s Note: I spoke with this gentleman on the phone for a bit.¬† He was a well spoken and forthright individual.¬† This survey is important for our profession in terms of evaluating new ECMO principals and applications. Please respond to his email or phone number if you are interested in participating in the survey/study ūüôā […]

VAD’s & Device Availability List

A ventricular assist device (VAD) is a mechanical circulatory device that is used to partially or completely replace the function of a failing heart. Some VADs are intended for short term use, typically for patients recovering from heart attacks or heart surgery, while others are intended for long-term use (months to years and in some […]

Cerebral Oximetry: FORE-SIGHT versus Hindsight

Click Image to view corporate site. Editor’s Note: I have used BIS monitoring forever, and have always found it a very valuable tool. So recently I get an email from a guy named Eric Sughrue, and some stuff about the FORE-SIGHT cerebral oximeter. At first I wasn’t that interested, but he was exceptionally polite, professional, […]

Around the (Distant) Pump Room by Martin Gill, CCP.

An AMAZING Perfusion Publication ! (Contact Martin on how to Subscribe) Media Journalism by… Martin Gill: Perfusionist Editor (former), ANCZP Gazette email for subscription: martin.gill@health.nsw.gov.au (Children’s Hospital at Westmead, Sydney Australia) Editor’s Note: Martin Gill is a gifted writer and supporter of perfusion international relations and improving perfusion practice- wherever it may be. He has […]

Hybrid OR [3] Day 1 Debut

In Technicolor or Black & White ? Editor’s Note: Over the past year or so, a Hybrid room as been under construction, here in West Texas.¬† Being very close to one of the cardiac operating rooms- during this process, the sounds of drilling and hammering mix in with Pink Floyd, Annie Lennox, some “ya-done-me-wrong” Texas […]

A Quick Guide to Changing Out the Terumo FX15 / 25 Oxygenator

Editor’s Note: I had an early Op-Cab and was looking at a primed circuit that I had set up the day before- for a case that was also an Op-Cab.¬† It was primed with Normal Saline, no meds, and would have been fine to use on our patient today. I decided to go ahead and […]

The Jena Universal Perfusion System

Click image above to view source article A Universal Cardiopulmonary Bypass Circuit for Cardiac Surgery The system was developed as a universal cardiopulmonary bypass circuit for cardiac surgery. The central part is a new type of reservoir, which is an assembly of two components:¬† the lower half is comparable to a standard hard-shell reservoir as […]

Hybrid OR [1] The Genesis of

Meet Andrea…¬† One part of the beginning of the process- Editor’s Note: Over the past year or so, a Hybrid room as been under construction, here in West Texas.¬† Being very close to one of the cardiac operating rooms- during this process, the sounds of drilling and hammering mix in with Pink Floyd, Annie Lennox, […]

The CentriMag VAD : Insertion & Cannulaes

The CentriMag Pump Display Console and Drive Units Operative Technique RVAD The right ventricular assist device (RVAD) is usually established with the right atrium as the inflow and the main pulmonary artery as the outflow. LVAD The outflow of the LVAD is the ascending aorta except in unusual cases where the descending aorta or a […]

New Technologies: The Hemobag:

Editor’s Note: A friend of mine asked me for my opinion of the Hemobag, a blood-salvaging device designed for whole blood recovery of residual post-CPB volume. I have never used it- so I ask for your opinions on the efficacy as it pertains to ultrafiltration, perioperative cellsaving, and scavenging the residual volume of the ECC […]

New Technologies : CORMATRIX: Bio-Tissue Technology

Click image to view source article = = Editor’s Note: This is a product I discovered while reading online @ the FB site “Gruppo dei Perfusionisti!!!” an I Italian on-line perfusion group.¬† My frriend Emiliano Vitalini posted the link for the article- and I had seen an insert on it before- so thought I would […]

Perfusion Apps: Perfusion Tools v2

Click on image to download this App. Rating: not yet rated Likely User: CCP / MD / BSN Best Attribute: Sleek & Quick Caveat: None Developer:¬† Patrick Carfrey, CCP Description:¬† This tool provides quick and easy calculations of perioperative values such as Estimated Blood Loss. Perfect for Cardiovascular Perfusionists. Process: Just enter the following patient […]

New Technologies : FerroFluids- Artificial Heart Technology

Click image to view source article Editor’s Note: I got this link from a friend of mine, an extremely talented Operating Room instructor, Paul Landman. “Saw this while reading a news app. Thought you’d find it interesting. Ferrofluid heart mimics human biology to circulate blood.” A new ferrofluid-based artificial heart design seeks to aid transplant […]

MicroCircuits & Rapping : [Reprint]

MicroCircuits & Rapping (Click Here if you want to skip to a list of posts) In the last 15 months, our institution decided to get aggressive about reducing our transfusion rate, and the numbers of patients that had postoperative bleeding issues. Originally our aim was to reduce the circuit size and use the integrated microcircuits […]

ECMOjo : Online ECMO Simulator [Reprint]

(Click Image Above to View Site and Test Drive The Simulator) I was surfing the net (actually I was looking at the newest perfusion website I have become familiar with- a very cool site–¬† perfusione.net ) when I happened across this ECMO simulator and decided to take a look at it. Manufactures and Product Insert […]

Product Review: Orpheus Perfusion Simulator

Editors Comment: I first saw this simulator discussed in a very fine Live Blog of the 2011 ANZCP Perfusion Conference, forwarded by Mr. Martin Glill, perfusionist¬† from Australia. I personally haven’t seen it deployed or demonstrated at a conference, because I don’t go to as many perfusion meetings as I would like to. So here […]

Product Review: Medos Pediatric Oxygenators

I saw a question regarding the Medos Pediatric Oxygenator, and thought I would I would lay down some details gleaned form a google search. This is not an endorsement or advertisement, simply some company details and product specifications. Click any image to view the Medos¬† corporate site.¬† (It’s in German) Click image to enlarge.

CircuitSurfers YouTube

(Click on Image to Visit CircuitSurfers YouTube) Editor’s Note: I thought about it for awhile, and figured that an easy access repository for online videos might be a nice additional resource to have on board here @ CircuitSurfers. Again, the intent here is NOT to reinvent the wheel, rather- make easily available some tremendous work […]

ECMOjo : Online ECMO Simulator

(Click Image Above to View Site and Test Drive The Simulator) I was surfing the net (actually I was looking at the newest perfusion website I have become familiar with- a very cool site–¬† perfusione.net ) when I happened across this ECMO simulator and decided to take a look at it. Manufactures and Product Insert […]

Fiber Optic IABP :

Any Comments or Observations ? – Nooo…¬† It’s NOT – the “Little Shop of Horrors” Plant (As Editor… I get to do cool stuff like this…) / Regarding Fiber Optic IABP’s … We have migrated completely to fiber optic Intraaortic Balloons. What is your experience with these? Any clinical issues? I have looked for any […]

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 […]

New Technologies

The ROTOFLOW VAD (Maquet) This is the second post regarding VAD technology. These posts are not meant to promote or recommend any particular system over another system.¬† That is¬† not what this forum is about. These devices are out there and being used by our peers, so I ask exactly that from you- an honest […]

New Technologies:

The CentriMag VAD (Levitronix) I was asked by one of our surgeons about this device.¬† Having not seen it personally, I wanted to solicit opinions of individuals that have had the opportunity to either trial it- or have seen a demonstration of this device.¬† Any and all comments would be appreciated, please leave them in […]

MicroCircuits & Rapping

MicroCircuits & Rapping (Click Here if you want to skip to a list of posts) In the last 5 months, our institution decided to get aggressive about reducing our transfusion rate, and the numbers of patients that had postoperative bleeding issues. Originally our aim was to reduce the circuit size and use the integrated microcircuits […]