A Locum’s ScrapBook: Sometimes… The Bear Gets YOU…

“The simple fact that a centrifugal hand-crank is in the room, does not at all satisfy the “yes” box in the checklist” Editor’s Note: Just when you get to the comfort zone of thinking “you are pretty good”? You find out you’re pretty NOT! But don’t get knocked down and NOT get back up.  Shit […]

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 […]

Myocardial Ischemia: The Best Timing for Engaging CPB for Revascularization

Editors Note: Having been in the field for awhile, and being an STS data coordinator, the timing of surgery for patients suffering from an acute evolving myocardial infarction (AEMI) has always intrigued me. The STS data form is very specific in tracking these intervals, and I am naturally curious as to what the impact on […]

PLANNING FOR EMERGENCIES – The Perfusion Crash Cart

The Team PLANNING FOR EMERGENCIES – The Perfusion Crash Cart This is a ‘perfusion crash cart’ designed by me for my perfusionist and made locally . It comprises a industrial grade steel alloy body with medium sized wheels which allow fast mobility and keeps all essential items at one place . It can be easily […]

Cold Agglutinins

Literature: Click image to view source article Cold Agglutinins in Cardiac Surgery: Management of Myocardial Protection and Cardiopulmonary Bypass CAs are autoantibodies to RBC antigens [3], which can causesystemic thrombosis and hemolysis. The cause of these CAs maybe primary/idiopathic, or more commonly, secondary to an infectiveprocess (eg, mycoplasma, human immunodeficiency virus) or alymphoproliferative disorder [2]. […]

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 […]

A Day in the Life : A Hot Rainy Summer Day

Just one of those days.  Nothing scary on the horizon- and our desert world is getting watered 🙂 Loaded for Bear Torrential ?  Maybe not- but you never know when there will be some blood loss to be dealt with … One of those AAA cases with a socked-in retro-peritoneum.. Too much time on my […]

The Month of “The Aorta”

Click on this pic- It is awesome ! It’s been the month of “The Aorta”.  That is for sure.  A few surprises CABG’s shape-shifting to unplanned  AVR’s, or impromptu aortic resections. The aneurism, slips in like a hungry python.  Just shows up and there it is!  Puffed up in all it’s glory. So we deal […]

A Day in the Life : 2 Arches & 2 Hearts

It’s either FEAST or famine in this world of ours, and the last 2 1/2 days have been on the left side of that equation. fait accompli Torrential ?  Maybe not- but there was some blood to be dealt with … In English, (and in French) fait accompli means a course of events that has […]