Bar Graphs & Blood Banks…

“Red cell transfusion rates for CPB patients are the highest and most variable amongst all surgical patients.” Editor’s Note: This discussion comes up so often, it borders on the ridiculous- because there has never really been any closure or academic consensus regarding transfusion thresholds- and the point at which we decide we are “going to […]

EBOLA: Protective Gear: How to AVOID Contamination

Click image to view article Editor’s Note: As healthcare professionals, even though we are unlikely to come into direct contact with ebola patients, it is nevertheless incumbent upon us to at least be slightly prepared. Our environmental awareness regarding our surroundings and contamination issues (sterile technique etc-), is much more refined than most other specialties in […]

EBOLA: Facts NOT Myths – A brief primer for all of us

Click image to view article Editor’s Note: As healthcare professionals, even though we are unlikely to come into direct contact with ebola patients, it is nevertheless incumbent upon us to at least be slightly prepared. Our environmental awareness regarding our surroundings and contamination issues (sterile technique etc-), is much more refined than most other specialties in […]

EBOLA: For Ebola caregivers, enormous fear, risk and bravery

  Click image to view article Editor’s Note: As healthcare professionals, even though we are unlikely to come into direct contact with ebola patients, it is nevertheless incumbent upon us to at least be slightly prepared. Our environmental awareness regarding our surroundings and contamination issues (sterile technique etc-), is much more refined than most other specialties […]

EBOLA: Our environmental awareness regarding our surroundings

Click image to view article Editor’s Note: As healthcare professionals, even though we are unlikely to come into direct contact with ebola patients, it is nevertheless incumbent upon us to at least be slightly prepared. Our environmental awareness regarding our surroundings and contamination issues (sterile technique etc-), is much more refined than most other specialties in […]

The TEG (Thromboelastogram)

Editor’s Note: Recently we began employing the TEG routinely for all of our open-heart procedures.  Now I am relatively familiar with the concept, having discussed and written about it before.  However there is an array of numbers and categories that come with the TEG analysis that I wasn’t certain about, so to clear it up […]

Looking for Protocols… The Potential Benefits of del Nido Cardioplegia

Editor’s Note: I got a message quite awhile ago regarding del Nido cardioplegia.  I posted it a year or so ago- but saw a great post regarding this on Perflist, and contacted Jorge Molina, CCP for his opinion… Frank, “I wanted to post a question on your site asking if anyone has experience, protocols or […]

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]. […]

The A1C : “Say Hello To My Little Friend…”

Glycosylated Hemoglobin Called also hemoglobin A1c. Hemoglobin A with a glucose moiety attached to the amino terminal valine of the beta chain. This type of hemoglobin is made at a slow constant rate during the life span of the erythrocyte. Increased levels correlate with glucose intolerance in diabetes. With adequate insulin treatment, levels return to […]

Sickle Cell Anemia & CPB

I.    DESCRIPTION: Sickle Cell hemoglobinopathy is a single gene recessive disorder that involves an abnormality of the hemoglobin (Hgb) molecule.  This disorder causes the red cell to sickle under certain circumstances.  A sickled cell cannot undergo normal respiratory functions and they interfere with normal blood circulation. Sickle cell disease is genetic and a patient may […]