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Impella Man

Perfusion Art: “IMPELLA MAN…”

Perfusion Art: “IMPELLA MAN…” Photographer: Frank Aprile, BBA, LP, CCP Equipment: Iphone 8+ Editing: Photoshop Narrative: A long Operation where Attention to the Mitral Valve and Grafts Overcome a Low EF- With a Little bit of Help šŸ™‚ Time & Place: South of the Ohio River, 2020 About The Artist:Ā  Perfusionist Commentary:Ā  A new and…


Efficacy of Glyceryl Trinitrate (GTN) To Facilitate the Rewarming Process During Cardiopulmonary Bypass

Higher dose GTN infusion during rewarming on CPB does not improve peripheral-core temperature gradient post operatively and has no effect on post-operative lactate concentrations.


Effect of Antithrombin in Fresh Frozen Plasma on Hemostasis After Cardiopulmonary Bypass Surgery

Fresh frozen plasma administration increased antithrombin activity and caused activated clotting time prolongation, but then increased clotting ability. Thus, testing by rotational thromboelastometry after cardiopulmonary bypass could be valuable in the detection of comprehensive clotting ability.


Conventional Versus Minimally Invasive Extracorporeal Circulation In Patients Undergoing Cardiac Surgery: Protocol For A Randomised Controlled Trial (COMICS)

The trial is feasible but criteria for progressing to a full trial were not met on time. The Trial Steering and Data Monitoring Committees have recommended that the trial should currently continue.


Continuous Cerebral and Myocardial Selective Perfusion in Neonatal Aortic Arch Surgery

CCMSP is a safe and reproducible strategy for cerebral, myocardial and visceral protection in neonatal aortic arch repair, with or without VSD closure, resulting in low complication and mortality.


Effects Of Pulmonary Perfusion During Cardiopulmonary Bypass On Lung Functions After Cardiac Operation

Pulmonary artery perfusion during aortic crossā€clamping provides better oxygenation and preservation of the wall alveolar integrity after coronary artery bypass grafting surgery.

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Cardiovascular Manifestations and Treatment Considerations In COVID-19

COVID-19 contributes to cardiovascular complications, including acute myocardial injury as a result of acute coronary syndrome, myocarditis, stress-cardiomyopathy, arrhythmias, cardiogenic shock, and cardiac arrest.


Is There a ā€œBlind Spotā€ in Point-of-Care Testing for Residual Heparin After Cardiopulmonary Bypass? A Prospective, Observational Cohort Study

This difference suggests that an interference in the detection of residual heparinization with point-of-care methods exists right after the application of protamine, which seems to subside after a short time span.


Preoperative C-Reactive Protein as A Predictor of Postoperative Acute Kidney Injury in Patients Undergoing Coronary Artery Bypass Grafting

Owing to variability in acute kidney injury definitions and C-reactive protein levels for different cohorts in the observational studies reviewed, it is unclear from current evidence what serum C-reactive protein cut-off level is significantly associated with postoperative acute kidney injury.


Patient Blood Management: The Best Approach to Transfusion Medicine Risk Management

In an effort to maximise patient safety, transfusion medicine practice culture needs to shift towards a patient blood management approach, with hospitals implementing it as an important tool to minimize the risks of allogeneic blood transfusion.


A Canadian Perspective on The Use and Preparation of Cryopreserved Red Cell Concentrates

This method produces units that meet all Canadian regulatory standards. Introduction of extended outdates has allowed CBS to decrease operational costs and improve cryopreserved RCC product quality.


Direct 3D Bioprinting of Cardiac Micro-Tissues Mimicking Native Myocardium

This novel instrumented 3D cardiac microtissue serves as a physiologically relevantĀ in vitroĀ model system with great potential for use in cardiac disease modeling and drug screening.


Unilateral Is Comparable to Bilateral Antegrade Cerebral Perfusion in Acute Type A Aortic Dissection Repair

In ATAAD, both uni-ACP and bi-ACP are equally effective to protect the brain with low postoperative stroke rates and mortality in hemiarch to zone 3 arch replacement. Uni-ACP is recommended for its simplicity and less manipulation of arch branch vessels.


Invited Expert Opinion: Guidelines for improving the use and presentation of P values

We provide a background regardingĀ PĀ values and guidance regarding the optimal use ofĀ PĀ values for 3 specific common statistical study designs of manuscript submitted to theĀ Journal.


Hemodynamic Monitoring in Patients With Venoarterial Extracorporeal Membrane Oxygenation

This article provides an overview of VA-ECMO pathophysiology, and reviews current knowledge of hemodynamic monitoring assessments in patients with peripheral VA-ECMO.


Early Respiratory Outcomes Following Cardiac Surgery in Patients With COVID-19

Although early respiratory outcomes of asymptomatic COVIDā€19 patients who underwent early cardiac surgery appeared to be satisfactory, compared to the propensityā€scored matched nonā€COVID group, the postoperative outcomes were worse, especially in the ICU readmitted patients. We suggest postponing cardiac operations unless the patient requires emergency surgery.


Starch or Saline After Cardiac Surgery: A Double-Blinded Randomized Controlled Trial

This pragmatic double-blinded randomized controlled trial revealed a number of interesting hypothesis-generating trends and confirmed the feasibility of undertaking a logistically complex trial in a pragmatic fashion.


Risk Factors for Candidemia After Open Heart Surgery: Results From a Multicenter Caseā€“Control Study

Previous broad-spectrum antibiotic therapy and high NYHA class were independent predictors of candidemia in cardiac surgery patients with prolonged postoperative intensive care unit stay.


Renal Outcome in Patients Undergoing Cardiac Surgery Using Cardiopulmonary Bypass

The main predictor of poor renal outcomes for cardiac surgery is preoperative creatinine. While other factors, such as age, gender, body mass index, cardiopulmonary bypass time, diabetes, hypertension, and dyslipidemia, did not show any risk to the postoperative renal outcome.


Alternative Technique of Long Acting Cardioplegia Delivery Results in Less Hemodilution

Besides the safe delivery of del-Nido cardioplegia, the National University Hospital Technique reduces hemodilution and provides other technical benefits including a steeper temperature gradient, modification of circuit configuration to deliver another cardioplegia while on bypass, as well as re-configuration of clamps to spike the base solution.


Regional Oxygen Saturation Change Rate for Detection of Leg Ischemia in Minimally Invasive Cardiac Surgery

Ī”rSO2Ā measurement by near-infrared spectroscopy can facilitate distal leg perfusion monitoring and assist surgeons in preventing critical leg ischemia during minimally invasive cardiac surgery.

Crimson Misfits

Perfusion Art: “Crimson Misfits…”

Perfusion Art: “Crimson Misfits…” Photographer: Frank Aprile, BBA, LP, CCP Equipment: Iphone 8+ Editing: Photoshop Narrative: Errant Blood splatter during removal of an Aortic Root Cardioplegia Needle Time & Place: South of the Ohio River, 2020 About The Artist:Ā  Perfusionist Commentary:Ā  The blood droplets look like glossy ladybugs on a translucent sheet to Plastic šŸ™‚


Preoperative Anemia Correction in Cardiac Surgery: A Propensity-Matched Study

Anemia correction before cardiac surgery is associated with a reduction in both the RBC transfusion rate and the amount of units transfused.

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The Contact Activation System: Problems and Paradoxes for Cardiac Anesthesiologists

In searching for what might be a revolutionary way to manage CPB, understanding pathology of the contact activation system, such as HAE, represents a critically important point for cardiac anesthesiologists to consider.