Circuit Surfers

The Currents, Eddys & Riptides- of Open-Heart Surgery

ROTEM FAQ's|TEG|Rotem

TEG vs ROTEM? A Brief Comparison AND a Survey?

Click image above to take ROTEM Survey 🙂 Editor’s Note: I was asked by a reader to do an article on thromboelastograms.  Wasn’t sure what approach to take in this regards so decided to do a brief intro and switch the focus in particular to a comparison and differentiation between the two prevalent systems, the TEG and the…

IMG_3403|facebook_-399756352|facebook_-830439610|facebook_-911288525

An ECMO in OMAN: FB Discussion

Editor’s Note: I saw this discussion on the Perfusion.com Group FB page, and thought it merited a post here on ‘Surfes– to demonstrate how effective new media communication can be in real time. Please feel free to add to the discussion 🙂 Frank = Saleh Al Harthy Yesterday at 9:36am · Al Amarat, Oman –…

angiomax|cropped-FA-2016-1.jpg|V

Angiomax: Use and Dosing Regimen

Editor’s Note: The use of alternatives to heparin in terms of managing anicoagulation doesn’t come up often.  So many of us get a bit rusty when it comes to using exotic agents such as Ancrod (Hirudin), Angiomax and similar agents. So here is a brief refresher, and as always- a disclaimer here:  Use this information…

GoFundMe|kamaljeet in 2004|2014|2006

Plz Donate: Intervention Doesn’t Stop AFTER the Operation…

“This would make the realistic GoFundMe goal approximately $10,800- a sum that represents less than the purchase price of a used car…” Click Image Above to Donate 🙂 Editor’s Note: I was checking FB the other day, and spotted a compelling story on the page of a long distance friend (as well as colleague on this…

red

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…

foley 4|2

Using Occlusive Foley Catheters to Control Excessive Tumor-Related Bleeding

Dr.Harinder Singh Bedi = = The lowly Foley to the rescue – It was the 4th case . A meticulous  total arterial off pump bypass and and two hectic mitral and tricuspid valve repairs – the 2nd had required some extra  time as it was a young lad and I wanted to avoid a valve…

43

From Japan [ 11 ] Have a Safe Pump Run! “Taigaijyunkan anzen”

Facebook Thread Authored By: Hiroyuki Kuromitsu (Hiro) Editor’s Note: My friend Hiro has a Japanese Perfusion FB group page- perfusionist.JP founded by Hiroyuki Kuromitsu (Hiro) a Japanese perfusionist. I was on his site when I saw a very interesting object hanging on a Japanes pump.  So naturally… I had to ask… What is it- and WHAT…

photo(13)

CPB Techniques for ESRD/Hemodyalisis on Pt Awaiting Renal TX

Dr.Harinder Singh Bedi = = I have a 56 year old patient in ESRD on hemodialysis with a left radial AV fistula . He was being planned for renal transplant and was discovered to have critical and diffuse CAD- so being taken up for CABG . Plan so far : 1. avoid LIMA because of…

39

HAS THIS HAPPENED TO YOU ? H2O Outlet Deformity on Oxygenator:

Click on image to enlarge Have you seen this happen before?  This is my 3rd time.  Plz respond in the comments section below- or send an email privately to [email protected] to share your experience and identify if this is indeed a common issue. Editors Note: We are developing a database of common or not-so-common problems…

Japanes Art

JASECT 2014: A Japanese Perfusion Art Gallery

Click to view image Editor’s Note: I sent out a post on FB to get more people from the international perfusion community- to consider participating in the perfusion art gallery.  Here is one response: Dear Mr. Frank Aprile Please find attached a picture. This picture was taken by Takuma Douguchi. Please let me know if…

Transfer 1|1a|2a|3a|4a|5a|6a|8a|1|2|3|4|5|6|7|8|9

An International Perfusion CQI Registry: American, Asian, European, ALL Countries are Invited.

To Join the International Perfusion CQI Registry-  cick image above Editors Note: This is a new platform for Quality Improvement. We are trying to develop a database of common or not-so-common problems encountered by perfusionists during CPB.  We are inviting perfusionists, groups, and institutional participation to develop a universal platform for identifying areas of concern…

23

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…

21

Perfusion Glitches: Deprimed Cardioplegia Line

Click Image Above to Add a “Glitch” to the Perfusion Database … Editors Note: This is a new Section. We are trying to develop a database of common or not-so-common problems encountered by perfusionists during CPB. Please join us by clicking the Link Above if you have had any sort of unusual event you would…

Japanes Art

Art from Japan [ 10 ] JASECT

Click to view image Editor’s Note: I sent out a post on FB to get more people from the international perfusion community- to consider participating in the perfusion art gallery.  Here is one response: Dear Mr. Frank Aprile Please find attached a picture. This picture was taken by Takuma Douguchi. Please let me know if…

8|1|2.1|3|5.1|6.1|10|11|12|A|photo(9.1)|photo(6)|photo(15)|photo(3)|photo(12)|photo(14)|photo(16)|photo(10)|Stryker

Hybrid OR [3] Day 1 Debut

In Technicolor or Black & White ? Editor’s Note: Over the past year or so, a Hybrid room as been under construction, here in West Texas.  Being very close to one of the cardiac operating rooms- during this process, the sounds of drilling and hammering mix in with Pink Floyd, Annie Lennox, some “ya-done-me-wrong” Texas…

43

A Discussion from Japan [ 9 ] An Adult ECMO Circuit

Facebook Thread Authored By:  Hiroyuki Kuromitsu (Hiro) Editor’s Note: Once again, just checking early morning news and chatter on Facebook, and another interesting discussion rears it’s head.  This discussion can be found on this Japanese FB group- https://www.facebook.com/groups/perfusionist.JP/ This thread was started by one of our Japanese colleagues, Hiroyuki Kuromitsu (Hiro) And… The Discussion… Any…

Domeb|IMG_2053|Adam2

Jehovah’s Witness & Open Heart Bypass

Jehova’s Winesses:  A Background Jehovah’s Witnesses believe that the Bible prohibits ingesting blood and that Christians should therefore not accept blood transfusions or donate or store their own blood for transfusion.[1] Watch Tower Society publications teach that the Witnesses’ refusal of transfusions of whole blood or its four primary components—red cells, white cells, platelets and…

Chase Crytsalloid out through Oxygenator ...

Hybrid OR [1] The Genesis of

Meet Andrea…  One part of the beginning of the process- Editor’s Note: Over the past year or so, a Hybrid room as been under construction, here in West Texas.  Being very close to one of the cardiac operating rooms- during this process, the sounds of drilling and hammering mix in with Pink Floyd, Annie Lennox,…

Vacuum

Perfusion Glitches: Loss of Vacuum VAVD : Request for Your Opinions

Click Image Above to Add a “Glitch” to the Perfusion Database … Editors Note:  This is a new Section.  We are trying to develop a database of common or not-so-common problems encountered by perfusionists during CPB. Please join us by clicking the Link Above if you have had any sort of unusual event you would…

43

A Thesis from Japan [ 8 ] Pediatric Q Rates ?

Presentation authored by:  Hiroyuki Kuromitsu (Hiro) Editor’s Note: Hiro Kuromitsu is very active as a Japanese perfusionist, and has been an on-line FaceBook friend for quite some time.  He will be presenting a paper on Pediatric Flow Rates / CPB at the 21st Annual Meeting of the Asian Society for Cardiovascular and Thoracic Surgery in…

43

From Japan [ 8 ] We ARE Japanese Perfusionists !

Facebook Thread Authored By: Hiroyuki Kuromitsu (Hiro) Editor’s Note: Once again, just checking early morning news and chatter on Facebook, and another interesting discussion rears it’s head. This discussion can be found on the FB group perfusionist.JP founded by Hiroyuki Kuromitsu (Hiro) a Japanese perfusionist. It’s a group of Japanese perfusionists having fun after a…

IMG_2793

The “Hot Shot” : A Layman’s Approach Part II

Editor’s Note: The 1st post on this topic generated some good discussion- which is related below. To see Part 1– Click Here… The Discussion Got an Opinion ? Care to share it ? 🙂

IMG_0221

The “Hot Shot” : A Layman’s Approach to Myocardial Protection

A Salient Point from a Perfusionist: “I will give one good example of how a warm/hot shot worked for us. We finished up a normal 4 banger and before doing the proximals with the cross clamp on we routinely give a short hot shot, actually its room temperature shot, but I digress. The clamp was…

43

A Question from Japan [ 7 ] Why Do You Use Albumin?

Facebook Thread Authored By:  Hiroyuki Kuromitsu (Hiro) Editor’s Note: Once again, just checking early morning news and chatter on Facebook, and another interesting discussion rears it’s head.  This discussion can be found on the FB group Gruppo dei Perfusionisti!!!  founded by Giuseppe Salerno an Italian perfusionist that I have worked with on several projects and…