From Italy [ 7 ] Reshaping the Heart

Editor’s Note: Once again, just checking early morning news and chatter on Facebook, and another interesting link rears it’s head.   I found this article on an Italian perfusion FB page by CardioPeople- an Italian resource- very well organized, and very professional. Link:  https://www.facebook.com/universita.campobasso They provided an English version of the above cited topic- so […]

From Italy [ 6 ] Mitral Prosthesis, Implantation on the Beating Heart

Editor’s Note: Once again, just checking early morning news and chatter on Facebook, and another interesting link rears it’s head.   I found this article on an Italian perfusion FB page by CardioPeople- an Italian resource- very well organized, and very professional.  http://www.cardiopeople-network.com/social/index.php?do=%2Fpages%2F10%2F They provided an English version of the above cited topic- so I […]

A Unique Case Review:

Authored by Steve Sutton, LP, CCP Editor’s Note: Steve Sutton is well known and highly regarded into today’s Perfusion community.  He is a strong proponent for advancing Perfusion education and in pursuing that goal,  he has given numerous presentations at some of the most  premier Perfusion meetings held each year. Along with his dedication to […]

Adequacy of Perfusion:

Adequacy of Perfusion:  By Steve Sutton, LP, CCP Editor’s Note: Steve Sutton is well known and highly regarded into today’s Perfusion community.  He is a strong proponent for advancing Perfusion education and in pursuing that goal,  he has given numerous presentations at some of the most  premier Perfusion meetings held each year. Along with his […]

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 […]

Ventricular Hypertrophy & Perfusion

LVH :  Photo by:  Srinivas Rao @ Gruppo dei Perfusionisti!!! Ventricular Hypertrophy & Perfusion Subendocardial Q Determinants While subendocardial and sub-epicardial layers have the same determinants for blood flow, subendocardial layers are at greater risk from ischemia and infarction.  The deeper subendocardium is subjected to greater wall tension which then expresses as a metabolic requirement […]

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 […]

Long-Term Outcomes Favor Heart Surgery Over Stents and Angioplasty

Long-Term Outcomes Favor Heart Surgery Over Stents and Angioplasty Released: 1/23/2013 8:00 AM EST Embargo expired: 1/29/2013 3:05 AM EST Source Newsroom: Society of Thoracic Surgeons (more news from this source) Press conference: Tuesday, January 29, 2013 at 11:00 a.m. PT Room 512, LA Convention Center Newswise — Los Angeles—Patients who undergo coronary artery bypass […]

Slow Motion Calm: Stress During Open-Heart Surgery…

Cardiac Surgeon, William Springer-  running a half marathon. Editor’s Note: Have you ever noticed that when you are in a serious situation on bypass- or things start to go awfully wrong, that time seems to slow a bit, and you are actually accomplishing the tasks needed to fix the situation much faster than you perceive […]

CO2 Embolisms & What Not …

Editor’s Note: We encounter CO2 in the operating room every day.  With the advent of so many new OR procedures requiring the use of scopes, mini-incisions, and endoscopic approaches for things like saphenous vein grafting, robotic surgeries, and on and on, the CO2 tank is as necessary and recognizable as an oxygen tank. There are […]

From Italy [ 5 ] Transcatheter Aortic Valve Implantation

Editor’s Note: Once again, just checking early morning news and chatter on Facebook, and another interesting video link rears it’s head.  This video can be found below- or on the FB group Care of heart  founded by Manoj Sharma  an Indian perfusionist that I have interacted with occasionally online. Now this video is in Italian- so if […]

Refining Extracorporeal Support Strategy: Oxygen Pressure Field Theory IX

OPFT Part IX:   Using OPFT to Refine Extracorporeal Support Strategy. The anion gap is the difference in the measured cations and the measured anions in serum, plasma, or urine. The magnitude of this difference (i.e. “gap”) in the serum is often calculated in medicine when attempting to identify the cause of metabolic acidosis. If the […]

Interpretation of the Anion Gap: Oxygen Pressure Field Theory VIII

OPFT Part VIII:  Interpreting the Anion Gap The anion gap is the difference in the measured cations and the measured anions in serum, plasma, or urine. The magnitude of this difference (i.e. “gap”) in the serum is often calculated in medicine when attempting to identify the cause of metabolic acidosis. If the gap is greater […]

The Anion Gap: Oxygen Pressure Field Theory VII

OPFT Part VII:  The Anion Gap The anion gap is the difference in the measured cations and the measured anions in serum, plasma, or urine. The magnitude of this difference (i.e. “gap”) in the serum is often calculated in medicine when attempting to identify the cause of metabolic acidosis. If the gap is greater than […]

Microvascular Redistribution: Oxygen Pressure Field Theory VI

Part VI:  Microvascular  Redistribution (Click Image to View Online Power Point Presentation) Authored by:  Gary Grist,  BS, RN, CCP, LCP    To View all of Gary Grist”s Posts Regarding OPFT-  click here Mr Gary Grist delivered a seminar on this topic at The Missouri Perfusion Society 16th Annual Meeting titled “Beyond The Fick Equation”  on June […]

The Role of Carbon Dioxide: Oxygen Pressure Field Theory V

Part V:  The Role of Carbon Dioxide Which of these unlikely bypass candidates- ” Ain’t Gonna Make It? “ Authored by:  Gary Grist,  BS,  CCP, LCP    To View all of Gary Grist”s Posts Regarding OPFT-  click here Carbon Dioxide Pressure Field Theory The term Oxygen Pressure Field Theory is a misnomer if the perfusionist is […]

Axial Gradients: Oxygen Pressure Field Theory IV

Part IV:  Axial Gradients Authored by:  Gary Grist,  BS, RN, CCP, LCP    To View all of Gary Grist”s Posts Regarding OPFT-  click here Axial Gradients To review, Oxygen Pressure Field theory states that there is an oxygen pressure field established in the tissues around each capillary where oxygen is present in varying concentrations from as […]

ICPB: A Stroke Window

The 1st Stroke Window … Gauging & Avoiding & Being Smart About it… Bump up the age, notice the increased cerebral vascular issues, mix in a low body weight, a little calcium (in terms of deposits- here and there), a stiffened aorta, a low hemoglobin, and perhaps a significant hemodilutional drop once on bypass, and […]

To India: Long Distance Advice…

Editor’s Note: I was just kicking around Face Book when I got an online message from somewhere in India (I believe). Let me clarify 1st-  that I DO NOT represent myself or this blog as a Perfusion Help Line- but I do advocate that we use new media to facilitate situations exactly like this. So […]

MicroCircuits & Rapping : [Reprint]

MicroCircuits & Rapping (Click Here if you want to skip to a list of posts) In the last 15 months, our institution decided to get aggressive about reducing our transfusion rate, and the numbers of patients that had postoperative bleeding issues. Originally our aim was to reduce the circuit size and use the integrated microcircuits […]