When Perfusion Meets the Art of Cooking…

“It’s not often I see a team that is wrapped so tight- that clearly loves what they do- and embraces the scary cases that we are presented with- in a manner that tosses away every doubt- and embraces the probability of success.” Editor’s Note:   This week was a tuff week. A lot of last […]

Del Nido: It’s ALL about the Calcium Baby!

“What it boiled down to is that Del Nido, when deployed for long complex cases becomes a clinical dance.  You go from a Mechanic to an Artist if you stay true to basic principals, have the patient’s welfare as your primary concern, and you have a strong negotiating relationship with your surgeon.  Anything less is […]

“Can Do!” Is DEFINITELY in LivaNova’s Dictionary!

“I am impressed.  I feel that in some ways, people and organizations define themselves and improve consumer confidence- more by the manner in which they  handle adversity as opposed to how they harness success.” Editor’s Note: When I was a Navy Hospital Corpsman, in charge of an ER somewhere in the Republic of the Philippines, […]

HIPEC 101: Clinical Notes & Observations

“It is a well designed circuit and delivery system, and does exactly what it is designed to do:  deliver thermoregulated chemo-agents to patients at a Konstant rate and temperature for whatever duration the surgeon deems fit.” Editor’s Note: We hadn’t done a HIPEC procedure here in awhile, and although I had done HIPEC procedures before […]

Is There Room in the Perfusion World for Kiera Jones?

Editor’s Note:   So it’s a Saturday night right?  And I’m on call, watching some mindless History Channel stuff and perusing FB making a few comments here and there- you know- the boring stuff people do when they are on a surgical call leash 🙂 I get a FB message from a perspective perfusion student […]

EXCERPTS FROM THE RED CELL HIGHWAY: Forged By Fire

Editor’s Note: – This book is NOW over halfway written, It is a rendering of the reality, sometimes sad and at times funny, emotional, and clinical vignettes of the many different aspects relating to open heart surgery- from the perspective of a perfusionist. This book is a commentary not only on the intricacies of heart […]

Is There a Metaphor for SILENCE? #PerfusionToo

Readers Comment:  “This is so necessary to discuss in our very small community. There is strength in numbers and unfortunately most perfusionists can easily find themselves isolated and feeling alone in their situation. Thank you for bringing this topic to light.” Editor’s Note: = To our Readers:  Plz bear with me. I don’t beat dead […]

Perfusion Art: “Reverse Isolation”

“”Reverse Isolation”” Photographer: Frank Aprile, BBA, LP, CCP Equipment:  IPhone 8S Editing:  Photoshop: Contrast Filter:  Metal Gradient Narrative:  HazMat or Encounters of the 4th Kind?  Blood Salvage… Time & Place:  April 2018- Midwest About The Artist:  Locum’s Perfusionist

Is Verbal Abuse an Issue in The Heart Room?

Readers Comment:  “This is so necessary to discuss in our very small community. There is strength in numbers and unfortunately most perfusionists can easily find themselves isolated and feeling alone in their situation. Thank you for bringing this topic to light.” Editor’s Note:   It’s a reasonable question– as it occurs on a daily basis […]

Plz Take This Survey: #PerfusionToo!

Editor’s Note:   I have been in medicine my entire life.  Janitor-Crisis Center Volunteer-EMT-Navy Hospital Corpsman-Surgical Scrub Tech-1st Assistant-Perfusionist.  That covers a few decades, 60+ hospitals, and a lot of medical professionals to meet, greet, and work with.  Obviously, with that sort of exposure, you see a lot of things, and colleagues share their thoughts, […]

“SLOPPY” is NOT- In the Perfusion Dictionary!

Editor’s Note:   I have huge respect for the manufacturers of our ECC packs and disposables.  Most often, if a pack needs to be customized or changed- they are right on it.  However, over the past few weeks I have been working with this one disposable ECC that has been a huge disappointment in terms […]

Perfusion Art: “Tools of the Trade”

“Tools of the Trade” Photographer: Frank Aprile, BBA, LP, CCP Equipment:  IPhone 8S Editing:  Photoshop: Contrast Filter Narrative:  Metal Clip Broad, Office Key, Pump Clamps. Hole Punch, Table Line Clips Time & Place:  April 2018- Tri-State Midwest About The Artist:  Locum’s Perfusionist About The Subject:  Always Be Ready to Move to a New Clinical Site…

40+ Perfusion CME’s : Have Breakfast with your Family at Home- and Chat with Your Colleagues After :)

Editor’s Note: As we are increasingly busy and very often- understaffed, the opportunity to attend a Perfusion seminar or symposium in order to meet our CME requirements, has represented a strain on Perfusion families, as well as groups and clinical sites.  To put it plainly, It is difficult, at times- financially prohibitive, and most often […]

Perfusion Art: Reverie …

“Reverie …” Photographer: Frank Aprile, BBA, LP, CCP Equipment:  IPhone 8S Editing:  Photoshop: Contrast Filter Narrative:  A Serene Moment, Preparing for Initiation of CPB Time & Place:  March 2018- Tri-State Midwest About The Artist:  Locum’s Perfusionist About The Subject:  HB  CCP  🙂

Persistent Low Q States During CPB:

Editor’s Note: Low flow (Q) perfusion states on CPB are cardiopulmonary bypass are conditions we encounter quite often on our bypass runs, and can stem from a myriad of clinical conditions:  Pt Size, Inadequate venous return, Anatomical issues, Femoral cannulation, Hypovolemia, Cannula selection, Inadequate visibility, and so forth… Typically, one or more of these conditions […]

Perfusion Job Shadow: Hello Los Angeles, California !!

Editor’s Note:   Hello Los Angeles, California!  I have a student looking for a job shadow opportunity in the Southern California area. Here’s our prospective student’s message to you as well as a contact email: Greetings!! My name is Laraine Dychioco, an ICU RN in Los Angeles, California. I have grown an interest in becoming […]

A Locum’s ScrapBook: The 3 Amigos..

Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here My life is Family First and then Perfusion.  I switched from staff perfusionist to becoming a Locum’s traveler to make sure my kids and family would have a solid place to call home.  I travel because it puts me in charge of my life, it […]

NextGen Perfusionists: Filtering out Bias

Editor’s Note: I was reminded last night while texting my perfusion bud- Whitt, that the idea of expecting new grads to have mastered the art of setting up monitoring lines, Swanz-Gannz, etc; and be more or less ready to troubleshoot monitoring systems, was “Old School”.  Bummer for me 🙁 I then asked if being able […]

Perfusion Art: “The Phoenix Returns”

Editor’s Note:   Quite awhile ago, in the beginning of the 2nd year of it’s life, the young blog CircuitSurfers.com made a revolutionary step, and called out to it’s reader for art submissions to create an on-line International Perfusion Art Gallery.  With the help of many contributors, we developed quite a repository of unique art […]

‘Surfers 2017: The Best of the Best

  Editor’s Note: 2017 was a notable year- for how unsettled the entire world has been 🙁 I keep above and away from the topics of : politics, religion, cultural animosity, etc.  The basic metric that ties us all together is medicine, and our universal desire (as a group) to improve or save lives, regardless […]

A Pump is Born: 2

Editor’s Note:   In the last post regarding building a new HL machine (A Pump is Born 1), we watched the methodical assembly of a new Terumo System 1.  Today, is the second and more challenging (most perfusionists LOVE this part) process of adapting and customizing the HL machine, and putting your own ECC on […]

PDC Equipment List 12/19/2017

Editor’s Note:   Current perfusion equipment for sale and wanted list:  Some pretty good deals and opportunities here – PDC Equipment List 12/19/2017 To All: PDC Equipment Sales, Inc. offers a variety of new and used perfusion-related equipment and supplies. We can help your hospital sell old equipment for a value much greater than the […]

A New Tool: Job Shadow Goals & Observations

Editor’s Note:   A job shadow candidate, came up with a an innovative tool designed to outline some basic learning objectives for potential perfusion students.  In all reality, this is a no-brainer, and I’m surprised that I was actually surprised.  I invite your perfusion teams to use it, it’s simple yet represents a nice guideline […]

Del Nido cardioplegia: A one stop shot for adult cardiac surgery?

Bryan Lich This article can be found on Perfusion.com as well as the PDC FaceBook Group. Bryan Lich, CCP is the owner and Co-Editor of Circuit Surfers.  He also manages a very informative FB page dedicated to disseminating Perfusion communication throughout the world.  This article is duplicated and forwarded here in an effort to maximize […]

A Locum’s ScrapBook:  They Like Me….  They Like Me Not…

Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here My life is Family First and then Perfusion.  I switched from staff perfusionist to becoming a Locum’s traveler to make sure my kids and family would have a solid place to call home.  I travel because it puts me in charge of my life, it […]

Perfusion Job Interviews 101

Editor’s Note:   This is an extemporaneous essay on perfusion job interviews. A perfusion job interview is an interesting proposition at best and quite a different animal than most job interviews that any medical professional at this level may encounter. Most of the time your resume speaks for itself, in other words what you have […]

A Perfusion Scholarship is Available

Editor’s Note:   To all perfusion students: There is a scholarship opportunity available if you are interested in seeing if you qualify. Information regarding this scholarship opportunity is described below 🙂 SpecialtyCare Scholarship To all my fellow perfusionists, please share this news and information to your perfusion students currently enrolled in a CAAHEP program affiliate; […]

Perfusion Job Shadow PLZ: Louisiana & South Texas?

Editor’s Note:   Hello Louisiana  and a shout out to my friends in Lufkin : )!  I have a student looking for a job shadow opportunity in the Louisiana/Texas area. Here’s our prospective student’s message to you as well as a contact email: Hi, I am an undergrad student DESPERATELY searching for a perfusionist to […]

SURVEY: VAVD- When does Negative Pressure = a NEGATIVE Result?

Editor’s Note: I recently had an interesting discussion with my colleague, Dennis, regarding whether we measured negative pressures on the venous line when using Vacuum Assisted Venous Drainage (VAVD) during the conduct of perfusion at our particular clinical site.  I was frank in my answer (no pun) and said- it wasn’t something that I have […]

Genesis: Why I Chose to become a Perfusionist… The Long & Winding Road

  Editor’s Note: I was talking to a colleague of mine, who was visiting our program to help out for a bit, and we both had some pretty long and interesting background stories about some of the reasons of why we chose to become Perfusionists.  After thinking about it, I realized I had had this […]

Excerpts From the Red Cell Highway: What is it that I do?

Editor’s Note: This book is NOW over halfway written, It is a rendering of the reality, sometimes sad and at times funny, emotional, and clinical vignettes of the many different aspects relating to open heart surgery- from the perspective of a perfusionist. This book is a commentary not only on the intricacies of heart surgery, […]

From Our Colleagues in Azerbaijan: Pulmonary Endarterctomy

Editor’s Note: I got an email from a colleague that has been a friend and supporter of Circuit Surfers for the past 6 years or so, Mr.Cuneyt iImamoglu.  I included a little extra information below the body of his article and wish to thank and compliment his team for their tremendous accomplishment! Good Luck and […]

Globally Challenged- Perfusion Networks: Are We Kidding Ourselves???

  Editor’s Note: Well this certainly has been a long month. Global weather patterns have absolutely demonstrated that we survive as a community and not as individuals. Unfortunately during the last three weeks, multiple Internet servers were down and thus exposed the soft underbelly of the reptile so to speak – making it painfully obvious […]

Associate Editor’s Wanted: South & Central America, Canada, Europe, Africa, Middle East, Russia, China, SE Asia, Australia/South Pacific…

Editor’s Note: Dear fellow colleagues.  Thank you for taking the time to read this “help wanted” ad. Currently, CircuitSurfers.com is searching for energetic and culturally diverse representation in the recognition that we as an organization- are geographically under-represented in the South Americas, European, Balkan, Chinese, East Asian, and Australian/South Pacific medical markets/sectors. We are looking […]

From Perfusionist to MD: A Career Pathway Realized

Editor’s Note: I started this blog on Feb 21, 2011.  Six and a half years ago to be precise.  Since it was a new format, and employing a dynamically newer media paradigm, I can’t say there wasn’t a bit of push-back from the perfusion community, some people were roiled, some feathers ruffled, and I was […]

Factor X Inhibition? Cardiac Health Supplements / Polyphenol Compounds & Considerations Regarding Hemostasis…

Editor’s Note:   Had an unusual presentation of unexpected post op bleeding the other day with a patient that had no concomitant coagulation issues nor other co-existing disease states that would possibly contribute or amplify post CPB hemostasis. Normally I would write this off as the “the less-than-extraordinary transcendence of damage to general hemostasis” that […]

Perfusion Job Shadow: New Jersey and East Coast

  Editor’s Note:   Hello New Jersey and East Coast!   I have a student looking for a job shadow opportunity in your area- Here’s our prospective student’s message to you as well as a contact email: Hello, I am a prospective student seeking the chance to shadow a perfusionist in order to strengthen my […]

Perfusion Job Shadow: Chicago Area

Editor’s Note: Hello Chicago  and a shout out to my friends in Illinois:)!  I have a student looking for a job shadow opportunity in the Chicago area- Here’s our prospective student’s message to you as well as a contact email: Hello, I’m a recent graduate looking to shadow a cardio-pulmonary perfusionist in the Chicago land […]

Perfusion Policies 101: Anticoagulation Reversal

Renee Toth, BS, CCP   Editor’s Note: Renee is a colleague I work with quite often.  She is an amazing perfusionist as well as administrator, mom, and just a decent all around human being. She has a pretty scathing wit- so beware.  She offered to share a policy she has worked on for a quite […]

Look Out Dallas TX! Perfusion Job Shadow Desired

Editor’s Note:   Hi Dallas! Well you have to admit- after reading the post below, that this student really wants to become a perfusionist.  Please lend assistance if possible. I was pretty impressed with the effort and  exuberance demonstrated in the email. Hi there Frank! My name is Ashley Kirksey, and I’m a junior-year student […]

There’s A New Player in Town: Kcentra Rx for Postoperative CPB Induced Coagulopathy

Editor’s Note: Had a pretty routine CABG x something the other day, and encountered a postoperative coagulopathy, functional platelet count at roughly 72 (Platelet Works), and instead of going down our traditional Factor VII tunnel, we opted to use Kcentra,  a member of a relatively new category of drugs classified as a Prothrombin Complex Concentrates (PCC). […]

Perfusion Job Shadow Requested: Dallas TX or Central TX

  Editor’s Note: Hello Dallas and a shout out to my friends in Texas :)!  I have a student looking for a job shadow opportunity in the Dallas area-possibly Central Texas. Here’s our prospective student’s message to you as well as a contact email: Hello, I am a prospective perfusion student and will be applying […]

A Locum’s ScrapBook: Modifying the ECC for Antegrade Cerebral Protection

Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here My life is Family First and then Perfusion.  I take BOTH very seriously. I switched from staff perfusionist to becoming a Locum’s traveler to make sure my kids and family would have a solid place to call home.  I travel because it puts me in […]

Excerpts: The Red Cell Highway: “Epiphany”

Editor’s Note: This book is halfway written, It is a rendering of the reality, sometimes sad and at times funny, emotional, and clinical vignettes of the many different aspects relating to open heart surgery- from the perspective of a perfusionist. This book is a commentary not only on the intricacies of heart surgery, but openly […]

A Locum’s ScrapBook: Looking in the Rear-View Mirror

Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here My life is Family First and then Perfusion.  I switched from staff perfusionist to becoming a Locum’s traveler to make sure my kids and family would have a solid place to call home.  I travel because it puts me in charge of my life, it […]

Bicarb Alternatives: Sodium Acetate & Balanced Crystalloids

Editor’s Note:   Authorization for the contributions below were obtained from each contributor via email.  Please see comments section… THAM A a Buffer Tham Description Tham Solution (tromeThamine injection) is a sterile, non-pyrogenic 0.3 M solution of tromeThamine, adjusted to a pH of approximately 8.6 with glacial acetic acid. It is administered by intravenous injection, by […]

Management of weaning from cardiopulmonary bypass after cardiac surgery

Editor’s Note: Oddly enough, I was searching for some information regarding observed hypotensive states post CPB- associated with pump blood reinfusion, when I came upon this very cogent and well written article.  So I diverted my attention for the time being, to sharing this resource. Ill get back to the previous search later 🙂 Enjoy […]

“The Red Cell Highway: An Inside Look at Heart Surgery in America”

Editor’s Note: This book is halfway written, It is a rendering of the reality, sometimes sad and at times funny, emotional, and clinical vignettes of the many different aspects relating to open heart surgery- from the perspective of a perfusionist. This book is a commentary not only on the intricacies of heart surgery, but openly […]

A Locum’s ScrapBook: TEAMING UP in Southern Indiana

Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here My life is Family First and then Perfusion.  I switched from staff perfusionist to becoming a Locum’s traveler to make sure my kids and family would have a solid place to call home.  I travel because it puts me in charge of my life, it […]

The Sanibel Perfusion PodCast: When VISION Becomes Reality…

Editor’s Note:   In terms of perfusion interaction and communication, there are a few seminal moments I’m sure all of us recognize as game changers, paradigm shifts, and technological improvements that could be compared as dynamic as the transition from bubble oxygenators, to hollow fibre membrane technology. Some examples of perfusion evolution in terms of […]

Heater/Cooler Survey Results are In!

  Editor’s Note: Well… I started this survey back in the Fall of last year. (Click image above to view or take the survey) Since then I have been at 4 other institutions and have had the opportunity to observe how my colleagues addressed this issue.  No footprint changes regarding the relative position of the […]

PERFUSION PRO: A Bold Approach to EMR

  Editor’s Note: I guess the proof is in the pudding so to speak… when I found myself on a 3 hour pump run yesterday, instinctively looking for my clipboard.  I think that’s a common trait for perfusionists as we pump cases, we look for a clipboard not necessarily to enter data, but it keeps […]

Perfusion Art: Insight from an LVADer

“Insight from an LVADer” Contributor:  ‎Michael-Joshua Morris‎  Equipment:  Cut N Paste 🙂 Editing:  Photoshop: Contrast Filter Narrative: Joshua is an on-line friend I met almost 6 years ago.  He has had a HeartMate II in for that entire duration plus I believe at least 1 or more years prior.  His story is amazing- and 5 years ago I […]

Perfusion Art: Crimson Tide

“Crimson Tide” Photographer: Frank Aprile, BBA, LP, CCP Equipment:  IPhone 6S Editing:  Photoshop: Contrast Filter Narrative: Waiting to go on bypass:  Blood is from the cell saver and dropped into ECC to chase out priming volume. Time & Place: Southern Indiana/  March 2017 About The Artist:  Locum’s Peerfusionist

Perfusion Policies 101: Perfusion & the Pregnant Patient

  Editor’s Note:   PERFUSION POLICIES 101 Welcome to PERFUSION POLICIES 101.  This will be a continuing series provided to assist your programs with that one puzzle piece we all run into now and then- that one time that an unexpected patient condition may give you pause… The intention here is to disseminate some basic […]

Perfusion Art: Field of Dreams

“Field of Dreams” Photographer: Somewhere in India Equipment:  Digital Editing:  None required  Narrative: When you see a heart surgeon of this stature, being so free willed and loving life and his patient’s as he clearly does, that brings me to pause, and realize the majesty of all that is within a team with such a leader.  Bravo […]