“Can Do!” Is DEFINITELY in LivaNova’s Dictionary!

“I am impressed.  I feel that in some ways, people and organizations define themselves and improve consumer confidence- more by the manner in which they  handle adversity as opposed to how they harness success.” Editor’s Note: When I was a Navy Hospital Corpsman, in charge of an ER somewhere in the Republic of the Philippines, […]

Customizing Your ECC

Editor’s Note: At some point in time, we have all had (or will have) the opportunity to customize our pump packs (ECC) in order to make them more efficient, adjust or integrate to new techniques, reduce cost, adjust to new clinical expectations from the surgeon, or minimize priming volume. So today, that was exactly what […]

Perfusion Art: “My Colleagues”

  “My Colleagues”    ________Click image to enlarge Photographer:  Suneel Lakki Equipment:  Digital Editing:  Photoshop:  Metal Gradient. Narrative: Eyes up & Eyes down Time & Place:   2014 Fortis Memorial Research Institute About The Picture:  Eye contact has been made… To View The Entire Gallery- Click the Image Below To Submit A Picture: email:  EccLog@gmail.com

Perfusion Art: “Transeptal RA to LA”

“Transeptal RA to LA”    ________Click image to enlarge Sketch Artist:  Brian White Equipment:  Pen & Projector Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative: Sometimes art is needed to understand the entire picture. Transeptal RA to LA off load cannula with VA ECMO. Time & Place:   2014  West Texas About The Picture:  Sometimes you gotta get artistic […]

Perfusion Art: “Timid”

“Timid”    ________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative: Scrubbed in for 1 hour- and gloves are totally clean… Time & Place:   2014  West Texas About The Picture:  During-Bypass To View The Entire Gallery- Click the Image Below To Submit A Picture: email:  EccLog@gmail.com

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 […]

Perfusion Art: “Heart Surgery in Texas”

“Heart Surgery in Texas”    ________Click image to enlarge Editor’s Note: This is a great picture- Nikki going to town right b4 a heart case. Photographer:  Nikki’s Friend Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative: Riding herd before a heart case. Time & Place:   2014  West Texas About The Picture:  Before-Bypass To View The Entire […]

Perfusion Art: “B F F”

“B F F”    ________Click image to enlarge Photographer:  Cik Abul Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative: Malaysian perfusionist:  “The Clamp is BFF” Time & Place:   The World: 2014 About The Picture:  Before-Bypass About The Artist: I Think this says it all 🙂 To View The Entire Gallery- Click the Image Below To […]

Perfusion Art: “Breakfast Club”

“Breakfast Club”    ________Click image to enlarge Photographer:  Dario Fichera Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative: Typical chats B4 Bypass Time & Place:   The World: 2014 About The Picture:  Before-Bypass About The Artist: I Think this says it all 🙂 To View The Entire Gallery- Click the Image Below To Submit A Picture: email:  EccLog@gmail.com

Perfusion Art: “Oximetry”

“Oximetry”    ________Click image to enlarge Editor’s Note: This is a great picture- but it is also a great addition to our practice. The CASMED FORE-SIGHT Cerebral Oximeter has definitely improved our insight (in terms of adequacy of cerebral perfusion). Click Here to see the Technical Specs… Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  […]

FORE-SIGHT: Anticipating and Mediating Cerebral Ischemia?

Click Image to view corporate site. Editor’s Note: I used the FORE-SIGHT cerebral oximeter, the other day on a patient with documented carotid disease.  I watched the monitor closely for changes as the changes were made while on bypass (Q, pressure, sweep gas, temperature, cardiac index, X-clamping, cardioplegia, and so forth). It is a sensitive […]

The Avalon Bi-Caval Dual Lumen Catheter

Have you used a percutaneous venous cannula like this? The AVALONELITE :  Bi-Caval Dual Lumen Catheter (Click image to visit website) A Discussion on Cannula Positioning Proper cannula positioning in single site veno-venous extracorporeal life support (vv-ELS) is cumbersome and necessitates image guidance to obtain a safe and stable position within the heart and the […]

When Your Valve Specialist- Becomes Your Teacher…

Matt Braga, Southwest Region Manager (Medtronic), getting us prepped for the Lab. Editor’s Note: There are a few things I have missed in my career development, one of which was direct hands-on experience 1st assisting on open-heart procedures, and and valve operations.  It seems I always 1st assisted at institutions that didn’t do open-hearts. Well, […]

VAD’s & Device Availability List

A ventricular assist device (VAD) is a mechanical circulatory device that is used to partially or completely replace the function of a failing heart. Some VADs are intended for short term use, typically for patients recovering from heart attacks or heart surgery, while others are intended for long-term use (months to years and in some […]

Cerebral Oximetry: FORE-SIGHT versus Hindsight

Click Image to view corporate site. Editor’s Note: I have used BIS monitoring forever, and have always found it a very valuable tool. So recently I get an email from a guy named Eric Sughrue, and some stuff about the FORE-SIGHT cerebral oximeter. At first I wasn’t that interested, but he was exceptionally polite, professional, […]

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 […]

Street_ECMO

Click images to enlarge Editors Note: I got an email from my overseas friend, Dario Fichera, an Italian perfusionist that is very involved in the international perfusion community. (Dario has been involved in perfusion mission work to Africa .) Below are some pictures of a mobile ECMO (Street ECMO) emergency aid station that the Italians […]

An Italian ECMO Transport

Click image to view source article Editor’s Note: I don’t know a lick of Italian, but the pictures were cool, the article was on an Italian perfusion FB group page, the concept is universal, and I wanted to put out an article in Italian to express the flexibility of this Circuit Surfers blog. It’s for […]

The Jena Universal Perfusion System

Click image above to view source article A Universal Cardiopulmonary Bypass Circuit for Cardiac Surgery The system was developed as a universal cardiopulmonary bypass circuit for cardiac surgery. The central part is a new type of reservoir, which is an assembly of two components:  the lower half is comparable to a standard hard-shell reservoir as […]

Perfusion Techniques: Parallel Oxygenators

Perfusion Techniques: Parallel Oxygenators  _____Click image to enlarge Perfusionist:  Randy Ransom, CCP Equipment:  FX25 Terumo Oxygenators x 2 / Tubing and “Y” connectors Issues:  None Narrative:  Large Patient:  Preoperative adjustment: Bumped up the ECC capacity  to 2 oxygenators setup as a parallel circuit. Time & Place:   2013 About The Perfusionist:  CCP Click to Donate Click […]