Perfusion Policies 101: Adult ECMO

“Most clinicians, when challenged as to what the basis is that they referenced a clinical decision on, will obviously defer to their residency or training program and cite a clinical policy- whether institutionally based, or part of the public domain.” Editor’s Note: PERFUSION POLICIES 101 Welcome to PERFUSION POLICIES 101.  This will be a continuing series provided […]

LPM: A Student’s Perspective- ECMO

“I realized that I learned what a vast difference it is to move from doing a case in the OR, to following up on a patient on a daily basis and monitoring their care.” Editor’s Note: This is a continuation of a series with our newest associate editor, Shayla Johnson, who is currently enrolled in a […]

Perfusion Life: Storms- Inside & Out

Editor’s Note: Well I got a quick message (see above) from my friend Paul DiGregorio from the Northern Indiana area where I come by and help out once in awhile. Looks like he and I are dealing with to separate storms.  His is obviously clinical- (ECMO-Land), and mine is of the the other kind…  8-10 inches […]

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 […]

An ECMO in OMAN: FB Discussion

Editor’s Note: I saw this discussion on the Perfusion.com Group FB page, and thought it merited a post here on ‘Surfes– to demonstrate how effective new media communication can be in real time. Please feel free to add to the discussion 🙂 Frank = Saleh Al Harthy Yesterday at 9:36am · Al Amarat, Oman – […]

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 […]

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 […]

A Discussion from Japan [ 9 ] An Adult ECMO Circuit

Facebook Thread Authored By:  Hiroyuki Kuromitsu (Hiro) Editor’s Note: Once again, just checking early morning news and chatter on Facebook, and another interesting discussion rears it’s head.  This discussion can be found on this Japanese FB group- https://www.facebook.com/groups/perfusionist.JP/ This thread was started by one of our Japanese colleagues, Hiroyuki Kuromitsu (Hiro) And… The Discussion… Any […]

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 […]

Perfusion Position: Michigan

Job description Dear Perfusionists, A of Facility in Michigan has asked us to help them recruit for 1 full time Perfusionist. This opportunity will be for a CCP with 3 – 5 years total experience, at least some experience with neonates/PED’s and a desire to transition into a Chief of Perfusion job on a team […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]