Fighting Back! A Michigan 2-Room Elementary School- Lives up to it’s Name: BIG JACKSON!!!

Editor’s Note: Not sure I need to justify the relationship of this post to our Perfusion community- but I suppose the impact of Covid 19 becomes more evident as we deal with the uncertainty of exposure and subsequent isolation, and quarantine AWAY from our families as we dive into an   oncoming wave of possible ECMO […]

Fighting Back! Setup Your Own Dept Covid Symptoms Database

Editor’s Note: These days when someone sneezes or coughs- EVERYBODY turns and looks.  Herd mentality for sure. The main symptoms of COVID-19 Include a cough, shortness of breath and a fever. Additionally, you might have digestive problems ― like nausea or diarrhea ― a headache and a sore throat. At the onset of the illness, […]

Cloth Surgical Masks- with Disposable Inserts are an Excellent Work Around!

Editor’s Note: The mask I am wearing is one of four cloth masks that were custom made for me by Caitlyn Bondank, owner of a custom sewing business called SewingSolutions.ME. Email:  Orderdanks@gmail.com Click on Image Above to view Website –   I had approached her about making and designing these masks in lieu of our […]

Perfusion Art: “This Is Our Life NOW…”

Perfusion Art: “This Is Our Life NOW…” Photographer: Frank Aprile, CCP Equipment: iphone 8 plus Editing: None Narrative: Time & Place: 2020: Daniel Boone Country- Ohio River About The Artist:  Perfusionist Commentary:  Putting another Mask to bed for the night with his new Brother- after a late emergency heart.  TWINNING!

Perfusion Art: “Social Distancing- Our New Normal”

Perfusion Art: “Social Distancing- Our New Normal” Photographer: Frank Aprile, CCP Equipment: iphone 8 plus Editing: None Narrative:  A look at what going out to dinner looks like now :). Time & Place: 2020: Daniel Boone Country- Ohio River About The Artist:  Perfusionist Commentary:  Working on Social Distancine

From ZERO- to HERO! The Lowly and Taken For-Granted… Surgical Mask…

Editor’s Note: I have put people on bypass at 54 hospitals. I have worked as a surgical first assistant in another 10 hospitals – and in the operating room theater of at least five military hospitals. I won’t even begin to try to count the days, hours, or the number of operations that this implies, […]

Can Anesthesia Ventilators in the O.R. be Used as ICU Vents?

Editor’s Note: – Question? If we are going to eliminate elective surgeries in our operating rooms- how many ventilators does that free up? – And taking it a step further- wouldn’t that secluded and far superior isolation/sterile technique imply an advantage for our sickest patients?  It’s a very significant alternative resource that may merit a […]

Week 2: Our Warriors: Meet our Hispanic Brothers- Jaime & Jesus

Editor’s Note: Say HELLO to Jaime & Jesus.  They work at Los Bravos Mexican Restaurant.  They came to America- found opportunity- and cook great food. Now they repay us- and they are giving us our opportunity to at least get take out food, and they are very brave and exemplary in doing it. Jesus- on […]

Week 2: Our Warriors: Meet Angelica…

Editor’s Note: Say HELLO to Angelica. She stands tall and should make us all proud. More about that later… This is week two of the coronavirus wave, and I have to admit that last week was like getting a bucket of cold water splashed in your face to wake you up from your sleep. Not […]

Are You Really Safe? Let’s Talk about the N-95 Mask

Editors Note: – I’m getting fitted for one of these on Tuesday.  Ostensibly as a prep for possible ECMO cases that might come down the pipeline. Watching a few discussions regarding this strategy and reconciling that with my previous experiences with ICU respiratory isolation cases- (H1N1) makes me realize that efficacy of this strategy is […]

Covid 19: ITALY Will Prevail !

Editor’s Note: All I can say is that I have known Giuseppe Salerno since I started this blog.  I love this man- because he is so very straight up and just a very decent human being. He cares- and that stands out in all things G (my short name for Giuseppe). We have never met- […]

Corona Virus: Surviving COMES With a Price?

Editor’s Note: I have to say that when I first started hearing about and thinking about the coronavirus, I pretty much categorized that into what I was most familiar with – which was the swine flu (H1N1). That particular epidemic I have pretty significant familiarity with, probably 250 to 300 hours of ECMO on swine […]

LivaNova: Coronavirus Update: 10-Mar-2020

Editor’s Note: Please See Product UPDATE: Plz Visit CoronaVirus.Gov–  Just want to get it out there- God Bless Frank   Click Image Above to View CoronaVirus.Gov From LivaNova: To North American Sales, Service, Marketing and Clinical Teams: Currently, the statements from yesterday’s update remain valid. Our manufacturing facilities in Saluggia and Mirandola are open and […]

Another Type of Heparin Allergy? Alpha-Gal = Meat Allergies…

Editor’s Note: I had an interesting discussion with my colleague yesterday, in regards to a heparin sensitive patient about to undergo cardiopulmonary bypass surgery. Of course I forwarded a link for clinical information/recommendations on Angiomax and Agatroban- but he informed me it wasn’t necessary as it was a different sort of allergy. This is/was not […]

Don’t Let Them Do It! Minimizing Potentially Stupid & Avoidable Mishaps…

Editor’s Note: I got a phone call from a friend of mine, a perfusion colleague… (let’s just call her JE) the other day, and it was in regards to asking me if there was any available literature or policy that was out there regarding NOT having  sterile water on your operating back table during open […]

STONE Heart: Mechanisms of Injury

Editor’s Note: My colleague and I were doing case together the other day and we discussed why I typically give calcium chloride only after the heart is warm, and has been re-perfused + in normal sinus rhythm for at least 10 minutes. I mentioned the concept of stone heart, a perfusion nightmare that I have never […]

“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 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 […]