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 […]

A Locum’s ScrapBook: 2 Amigos & a Bag

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 Policies 101: IABP

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 recipes that […]

A Locum’s ScrapBook: Sometimes… The Bear Gets YOU…

“The simple fact that a centrifugal hand-crank is in the room, does not at all satisfy the “yes” box in the checklist” Editor’s Note: Just when you get to the comfort zone of thinking “you are pretty good”? You find out you’re pretty NOT! But don’t get knocked down and NOT get back up.  Shit […]

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 […]

International CQI: Vaporizer Obstructing O2 Q

Editors Note: This is a new Section. We are trying to develop a database of common or not-so-common problems encountered by perfusionists during CPB. Please join us by clicking the Link Above if you have had any sort of unusual event you would like to share. Please email details if you feel that your story […]

Perfusion CQI: Failed Heat Seal on Recirc Line Connection

Click Image Above to Add a “Glitch” to the Perfusion Database … Editors Note: This is a new Section. We are trying to develop a database of common or not-so-common problems encountered by perfusionists during CPB. Please join us by clicking the Link Above if you have had any sort of unusual event you would […]

Failed Hemonconcentrator: International CQI

Click Image Above to Add a “Glitch” to the Perfusion Database … Editors Note: This is a new Section. We are trying to develop a database of common or not-so-common problems encountered by perfusionists during CPB. Please join us by clicking the Link Above if you have had any sort of unusual event you would […]

International CQI: USA: Total Oxygenator Failure

Operation: ACB x 3. Pt. Data 70 years old Gender: Male 71 inches 79 Kilograms 1.94 BSA Baseline Hematocrit- 44% Pertinant Hx: Unremarkable. No coagulopathic issues No other issues-  patient appeared to be  robust and healthy. Plan: ACB x 3:  Mild Hypothermia- 34 degrees C.. Prime Constituents: 300 ml  Normosol 5,000 units heparin 37.5 g […]

24 Hours of STS: Demographics and Efficiency

24 Hours of STS:  Perfusion Style Demographics and Efficiency When I’m not doing hearts- I end up thinking about them… Getting ready for the late summer harvest.  Well that sounds like something out of the Farmer’s Almanac- but in reality it represents reviewing 152 cardiac patient case files, abstracting the data, entering them into a monolithic […]

HAS THIS HAPPENED TO YOU ? H2O Outlet Deformity on Oxygenator:

Click on image to enlarge Have you seen this happen before?  This is my 3rd time.  Plz respond in the comments section below- or send an email privately to ecclog@gmail.com to share your experience and identify if this is indeed a common issue. Editors Note: We are developing a database of common or not-so-common problems […]

9 Ways Medical Devices Fail

Posted in Quality Assurance by Chris Newmarker on March 31, 2014  Editor’s Note: Medical device recalls appear to be growing at a slower pace than the device industry itself. But when they do happen, they can produce tragic, even deadly, results for patients.  MPMN asked members of the LinkedIn Medical Devices Group why device failures […]

PLANNING FOR EMERGENCIES – The Perfusion Crash Cart

The Team PLANNING FOR EMERGENCIES – The Perfusion Crash Cart This is a ‘perfusion crash cart’ designed by me for my perfusionist and made locally . It comprises a industrial grade steel alloy body with medium sized wheels which allow fast mobility and keeps all essential items at one place . It can be easily […]

An International Perfusion CQI Registry: American, Asian, European, ALL Countries are Invited.

To Join the International Perfusion CQI Registry-  cick image above Editors Note: This is a new platform for Quality Improvement. We are trying to develop a database of common or not-so-common problems encountered by perfusionists during CPB.  We are inviting perfusionists, groups, and institutional participation to develop a universal platform for identifying areas of concern […]

Perfusion Glitches: Deprimed Cardioplegia Line

Click Image Above to Add a “Glitch” to the Perfusion Database … Editors Note: This is a new Section. We are trying to develop a database of common or not-so-common problems encountered by perfusionists during CPB. Please join us by clicking the Link Above if you have had any sort of unusual event you would […]

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 […]

AT3 Deficiency

Antithrombin III (AT III) is a plasma glycoprotein with a molecular weight of 58,000 daltons.  AT III deficiency may be noticed when the patient’s activated clotting time (ACT) does not respond to heparin administration as would be expected when given a standard dosage.  Also can be confirmed by a laboratory value of the patient’s AT […]

Cold Agglutinins

Literature: Click image to view source article Cold Agglutinins in Cardiac Surgery: Management of Myocardial Protection and Cardiopulmonary Bypass CAs are autoantibodies to RBC antigens [3], which can causesystemic thrombosis and hemolysis. The cause of these CAs maybe primary/idiopathic, or more commonly, secondary to an infectiveprocess (eg, mycoplasma, human immunodeficiency virus) or alymphoproliferative disorder [2]. […]

HELP ! Looking for Medos Oxygenators

Editor’s Note: I received an email today regarding the Medos pediatric oxygenator: “Frank, browsing for a supply of pediatric oxy’s and found your post on the Medos oxygenator system. I used this once eons ago in Italy- worked superbly. I want to try to get some for a big project. Any contacts out there?” Jeffrey […]

Protamine Reaction

“It binds to heparin to form a stable ion pair which does not have anticoagulant activity; on its own, protamine has a weak anticoagulant effect.”   Protamine sulfate is a drug that reverses the anticoagulant effects of heparin by binding to it. Protamine was originally isolated from the sperm of salmon and other species of […]