Why is my Patient Bleeding? A Snapshot of Hemostasis, Part II

Click on image to view source article Editor’s Note: We have all revisted this pathway intensively throughout our careers, and of course, we have all been clinically challenged by open-heart cases that test our fundamental understanding of coagulation theory in real time, at a level that certainly reflects a fairly deep dive into esoteric hematology. So i am keeping it simple, and found […]

Why is my Patient Bleeding? A Snapshot of Hemostasis

To view source article and take the Quiz- click on image above 🙂 Editor’s Note: Having just finished a case where we used Angiomax as our heparin substitute, I felt that the anticoagulation pathway, is truly a complex animal, and deserves a closer review. We have all revisted this pathway intensively throughout our careers, and of course, […]

Cardiac Team Performance: Are You As Good As You Think You Are?

“I have taken a 14+ page form and reduced it to it’s 1 page bare essentials…” (Click Image to View STS Website) Editor’s Note: I had an interesting discussion with one of our cardiac anesthesiologists the other day. We were talking about our cardiac program’s outcomes, and the fact that I felt our program needed […]

From Point A to Point B : Packed Cells

Blood Transfusion on CPB I usually know if I am going to transfuse a patient during the course of cardiopulmonary bypass. Aside from the obvious co-factors associated with blood product administration (Kg, gender, HgB, age, susceptibility to stroke, estimated hemodilution, platelet count, antiplatelets Rx, and a few others), surgical dynamics also come into play. But […]

Backing Up Nebraska …

  Satori Satori (悟り?) (Chinese: 悟; pinyin: wù; Korean 오; Vietnamese ngộ) is a Japanese Buddhist term for enlightenment that literally means “understanding”. In the Zen Buddhist tradition, satori refers to a flash of sudden awareness, or individual enlightenment, and is considered a “first step” or embarkation toward nirvana. Heart teams are in a constant […]

From Point A to Point B : Packed Cells

Blood Transfusion on CPB I usually know if I am going to transfuse a patient during the course of cardiopulmonary bypass. Aside from the obvious co-factors associated with blood product administration (Kg, gender, HgB, age, susceptibility to stroke, estimated hemodilution, platelet count, antiplatelets Rx, and a few others), surgical dynamics also come into play. But […]