The “How & Why …” (1st Official ‘Surfers Post)

This is a forum for discussion, a reservoir for perfusion related information, trends, and updates.

The intent of this blog is to allow the perfusion community to stay mainstream with current media innovations and directions.

Any and all contributions are welcome, Article and post submissions are welcome as well.

You can search for posts or content using the search function- or you can get a list of related posts by clicking on individual categories or post tags (see side bar).

For Example-

Click on a Topic in the “Tag Cloud” or on a Category- to see related posts…

I selected “Perfusion Concepts” and the following is a sample of related articles returned by the search…

Returned Posts from the clicking on the “Perfusion Concepts” Category…

Think of this as a resource AND more importantly- a discussion forum that you can join and leave at anytime.  The only rules are to treat others as well as you treat your patients.

Also- if you subscribe via email- (see side bar) you will be notified anytime a new post goes up- kind of like having a library come to you…

It might take a bit to get going, but I think in a reasonably short time, you may come to rely on a visit here or there to check things out.

This blog will be available to your phone as well as having a twitter presence.  Instant communication is a luxury we now have and should exploit in terms of it’s advantages to come up with real-time solutions to clinical problems/needs as they arise.

So Twitter kind of becomes the “X” factor for solving real time perfusion issues.  I set up a twitter account for this blog and you can see it here…

If you have a Twitter account- sign yourself up to follow the CircuitSurfers Twitter account– and any message that are tweeted or retweeted you will be able to see.

For example- If I had a problem with handling a pregnant lady on bypass, and I wanted to get some help or info before the case started – or even if I was already on bypass I might twitter:

@CircuitSurfers:  Need help- any info on CPB and Preg?

Tweet 1: Asking for Resources…

The response I would get would be from whoever was following the CircuitSurfer twitter account.

It might look something like this:

Tweet 2: The response with online links for the problem …

The links provided from this response will allow you from your phone to access the infromation from the net…

Here are the links:

First Link:

Second Link:

It’s What We Do…

The blog will be populated with current topics for discussion, but as well, shall be an education resource (see side bar for topics).

The agenda is to improve us as a whole, and reflect the sharp edge of the sword that made us perfusionists to begin with…

To read or enter comments about this post- just click the Post Title- and scroll to the comments section below it.

To see a List View of Post Summaries- Click  “List of Posts” on the Right of the Top menu Bar.

Thanks for taking the time to read this.

Frank Aprile, BBA LP CCP


(Please leave Comments below- and let me know what you think- and any suggestions you might have to make this better)

26 thoughts on “The “How & Why …” (1st Official ‘Surfers Post)

  1. Frank, this is absolutely amazing! The information available at the push of a button, cell phone very cool! I look forward to using this venue.

  2. Luckily I googled perfusionist a few weeks ago so I feel a little smarter than I did before! Good luck with your site but don’t stop writing your book.

  3. I skimmed thru. Is this a board test review? It could be. I asked before if you considered HBO as a post bi-pass treatment for air embolism? Also, did you know that in Russia they used to do open heart surgery in a room sized hyperbaric chamber? At 3 atm enough oxygen was dissolved in the tissue to obviate the need for bi-pass. Problem was they ended up bending the surgical team…not too practical. So, good stuff Frank hope you have fun.

    1. I’ll do a post on it…

      Hyperbaric Oxygen Therapy Defined

      Hyper” means increased and “baric” relates to pressure. Hyperbaric oxygen therapy (HBOT) thus refers to intermittent treatment of the entire body with 100-percent oxygen at greater than normal atmospheric pressures. The earth’s atmosphere normally exerts approximately 15 pounds per square inch of pressure at sea level. That pressure is defined as one atmosphere absolute (abbreviated as 1 ATA). In the ambient atmosphere we normally breathe approximately 20 percent oxygen and 80 percent nitrogen. While undergoing HBOT, pressure is increased up to two times (2 ATA) in 100% oxygen. In the Sechrist monoplace chambers utilized at our facilities, the entire body is totally immersed in 100-percent oxygen. There is no need to wear a mask or hood. This increased pressure, combined with an increase in oxygen to 100 percent, dissolves oxygen in the blood plasma and in all body cells, tissues and fluids at up to 10 times normal concentration—high enough to sustain life with no blood at all (from 20% to 100% oxygen is a 5-fold increase, from 1 ATA to 2 ATA can double this again to a 10-fold or 1,000% increase).

      While some of the mechanisms of action of HBOT, as they apply to healing and reversal of symptoms, are yet to be discovered, it is known that HBOT:

      1) greatly increases oxygen concentration in all body tissues, even with reduced or blocked blood flow;

      2) stimulates the growth of new blood vessels to locations with reduced circulation, improving blood flow to areas with arterial blockage;

      3) causes a rebound arterial dilation after HBOT, resulting in an increased blood vessel diameter greater than when therapy began, improving blood flow to compromised organs;

      4) stimulates an adaptive increase in superoxide dismutase (SOD), one of the body’s principal, internally produced antioxidants and free radical scavengers; and,

      5) aids the treatment of infection by enhancing white blood cell action and potentiating germ-killing antibiotics.

      While not new, HBOT has only lately begun to gain recognition for treatment of chronic degenerative health problems related to atherosclerosis, stroke, peripheral vascular disease, diabetic ulcers, wound healing, cerebral palsy, brain injury, multiple sclerosis, macular degeneration, and many other disorders (conditions treated). Wherever blood flow and oxygen delivery to vital organs is reduced, function and healing can potentially be aided with HBOT. When the brain is injured by stroke, CP, or trauma, HBO may wake up stunned parts of the brain to restore function.

      Many conditions are being treated with HBO worldwide.

      For help finding a Hyperbaric Oxygen Therapy Provider near you.

      One of the world’s most experienced authorities on hyperbaric medicine was Dr. Edgar End, clinical professor of environmental medicine at the Medical College of Wisconsin, who voiced his opinion on HBOT’s value for the treatment of stroke in this way: “I’ve seen partially paralyzed people half carried into the (HBOT) chamber, and they walk out after the first treatment. If we got to these people quickly, we could prevent a great deal of damage.”

      Using the Sechrist monoplace chamber, HBOT is administered in a transparent, cylindrical chamber, approximately 8 feet long and 3 feet in diameter. The patient is made comfortable on a cot-like stretcher and rolled into the chamber. While in the chamber, the patient has full 360-degree vision through the transparent enclosure. The chamber is equipped with two-way microphones and speakers. The patient can watch TV, listen to music, read, nap, or talk with the chamber operator, family, or whoever is outside. During treatment, usually lasting an hour, the patient is surrounded by and inhales pure oxygen while pressure within the chamber is increased from 1-1/2 to 2 times the outside pressure. At the end of treatment, the patient is gradually decompressed to normal pressure and leaves the chamber.

      HBOT can be used in conjunction with EDTA chelation therapy when atherosclerosis and diseased blood vessels are causing blocked flow of blood―as is often the case in stroke, slow healing wounds, and macular degeneration. Results can be dramatic. Patients with cerebral vascular disease commonly recover from complications of stroke more readily following HBOT. At the same time, EDTA chelation therapy can restore a more normal flow of blood and prevent future strokes. The same holds true for potentially gangrenous legs and feet caused by blocked circulation, and for slow-healing diabetic ulcers. HBOT relieves pain, helps fight infection, and keeps threatened tissues alive while chelation therapy gradually blood flow on a more lasting basis. Dr. Cranton’s book, Bypassing Bypass Surgery, describes this process in greater detail.

  4. I’m impressed so far. I like the concept and it may prve beneficial to the community.

    I may try Twitter after seeing how easy it looks. Good luck.

  5. The comments section is cool. It seems faster than some other discussion forums, and I don’t have to wait to see my post. Nice.

  6. I’ve got to say…you’ve really got something here. This is a breath of fresh air. The site is so smooth and well planned, and you sir are a great writer. I can’t wait to see how this continues to develop and evolve.

    1. And you sir- are a great friend. I miss Michigan.

      As far as the blog goes? It’s as far as WE want it to go. I have been involved with blogs for almost 2 years- and it is the readers and subscribers that make the site what it is. I’m just providing the furniture for this meeting place.

      Yo dude- get on twitter and try it. I think you’ll like it. Subscribe to the blog if you want- it just means you’ll be sent an email whenever I put up a new post. And you know me- I’ll find some topics challenging enough for plenty of people to sink their teefs into.

      Later 🙂

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