ECLS & Emergency Departments

Editor’s Note: A colleague of mine, Michael, asked me during a conversation if there was any information out there regarding the increased frequency or use of ECLS systems throughout the emergency departments in hospitals across the US.  Interestingly enough, I find myself later in the day, monitoring one of these devices in vivo. Below is […]

Impella Induced Hemolysis

Editor’s Note: A brief note on observed rising K+ levels when an Impella is in place.  If you see a drop in the HCT as well (that exceeds predicted hemodilution from crystalloid infusions) it is possible that there may be a slight malposition of the impella device.  This isn’t always necessarily the case, but hemolysis may be a […]

IABP 101: Preparation and Insertion

Bill– showing us the guidewire and dilator coming together… Editors Note: This is a three part series- “IABP 101” designed to simply refresh or introduce the basic concepts of applying diastolic augmentation for the high risk cardiac patient.  Again, some of the concepts here will seem to be fairly rudimentary for a seasoned perfusionist, but […]

IABP 101: Refresher FAQ

Editors Note: This is a three part series- “IABP 101” designed to simply refresh or introduce the basic concepts of applying diastolic augmentation for the high risk cardiac patient.  Again, some of the concepts here will seem to be fairly rudimentary for a seasoned perfusionist, but if it’s your first day in a perfusion program- […]

The IABP: “Say Hello to our Leettle Friend…”

Increased Afterload Editor’s Note: Although the distance between Perfusion and IABP’s has increased over the years due to smarter consoles, auto-timing features, training of Nursing and Cardiac Cath lab personnel, every once in awhile you find yourself at a clinical site that relies more heavily on perfusionists as a resource for Intra-aortic Balloon Pump therapy. So […]

Starting Your Impella Program: 101

Editor’s Note: I was talking to a fellow colleague, Renee- and we were discussing the different steps associated with implementing an Impella program into the cardiovascular program where she is chief.  The obvious immediate issues are training, staff education, doing the prerequisite number of cases prior to becoming a certified site for this technology, and […]

Perfusion Innovation! Kudos to Quick Thinking

The arrows point to key components that helped make this all work… Editor’s Note: The above picture was posted on the “Surfers FB page, with some caption’s (see below) describing briefly, an event (ruptured RA) post CPB while closing.  I was impressed with the simplicity of the setup and it’s obvious effectiveness. The quest remains- where […]

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 […]

Why We Do This: LVAD_one 2009 Days +

“So yes, we engage hope and strive to do our best, but our vision for this patient’s future is sometimes less than vibrant- for the reasons stated above.  Many of us have become LVAD pessimists.” 2009 days x 24 hours x 60 minutes = 2,892,960 minutes of life support… Editor’s Note: I think there is a tendency […]

Perfusion Art: The ECMO Wishbone

“The ECMO Wishbone“ ___ __Click image to enlarge- Photographer:  Nadia Azuero, BS, CCP Equipment:  Digital:  5S Iphone Editing:  By ‘Surfers:  Saturation Narrative:  The bifurcation of the arterial line for a bridge: ECMO:  “Make a wish” Time & Place:  Estados Unidos About The Artist: Nadia is a Solo Perfusion Contractor, and is currently transitioning to become a physician.  […]

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 […]

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 […]