Heart Surgery in America: Saturday 4.0

Click HERE for the entire Series… Saturday 4.0 The Aftermath The inevitable, as myocardial tissue that had been used to buttress the repair, itself became ischemic, necrosed and died. With it went the repair, and with that, the dam that had helped this man survive- failed and was now beyond the point of fixing.  We […]

Heart Surgery in America: Friday 3.2

Click HERE for the entire Series… Friday 3.2 Getting it Together You know how we all have our personal perfusion comfort zones? Cell saver in one spot, heater cooler with drug box on it, a nook for your clip board, drugs loaded a certain way?  It’s a way for us to condition ourselves in times […]

Heart Surgery in America: Friday 3.1

Click HERE for the entire Series… Friday 3.1 Not Quite Primed Some days in this field are a little gray.  Or is that grey?  not sure really, but as we have been told, perfusion is 99% boredom and 1% terror, or sheer tragedy… Well there is another part to that 1%- and it’s not terror, […]

Heart Surgery in America: Friday 3.0

Click HERE for the entire Series… Friday 3.0 Yahoos, Cowboys, & Heart Surgeons … It isn’t that you really go from one place to another. It is more likely that the second your heart screeches to a sudden splat at 2:37 in the morning, the result of a storm you had no idea was brewing […]

Heart Surgery in America: Wednesday 1.4

Click HERE for the entire Series… 24 Hours… of ECMO Wednesday 1.3 Getting Past Midnight :   ACT’s & Clots … 11:00 pm Somehow during the initial debriefing from the previous ECMO coordinator that I had taken over for, the question of reliability regarding our ACT  (Activated Clotting Time) came to the forefront. What was […]

Heart Surgery in America: Wednesday 1.3

Click HERE for the entire Series… 24 Hours… of ECMO Wednesday 1.1 @ 9:00 pm Well it’s about that time.  The PICU is closed for business, onlookers, rubber-neckers, and pretty much any visitors not directly related to your patient, are ushered away- and the staff is settled in for the long haul. Typical “nesting” behavior…  […]

Heart Surgery in America: Wednesday 1.2

Click HERE for the entire Series… Editor’s Note: This piece was written by Ms. Weng Puno-Baldeo, a perfusionist in the Philippines. Going to a battle unarmed, clueless and unprepared- Yes that’s me. I entered the world of perfusion by chance. Last 2011, I was offered a training in perfusion at the Philippine Heart Center while […]

Heart Surgery in America: Wednesday 1.0

Click HERE for the entire Series… Day 1 Just one of those days.  Nothing scary on the horizon- and our desert world is getting watered 🙂 Loaded for Bear Torrential ?  Maybe not- but you never know when there will be some blood loss to be dealt with … One of those AAA cases with […]

Heart Surgery in America

Click HERE for the entire Series… Editor’s Note: I am planning on publishing a book regarding heart surgery in America- and all of the nuances that implies. I invite you to contribute your  comments or essays on how you feel about the process currently in place @ your institution. This book will be raw in […]