Circuit Surfers

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

The COVID WARS: Is it Covid 19 “ISH” ? We Need a GamePlan!

The COVID WARS: Is it Covid 19 “ISH” ? We Need a GamePlan!

  YES… They are US! Editor’s Note:   I’ve been down South for a couple of months now.  I was standing on the side lines for 10 weeks- which in all honesty is a far sicker place to be than confronting this elusive snake- COVID 19 ISH. The reason that “ISH” is even in the…

Lungs 3

News Media Describes ECMO as… “Brutal”

Editor’s Note: I’m not used to turning on the TV and watching a news report discuss anything at all related to perfusion.  But these are the beginnings of NEW TIMES- where we all confront the hellish reality of a paradigm shift in our culture as a new and budding clarity settles in and we have…

G

Covid 19: ITALY Will Prevail !

Editor’s Note: All I can say is that I have known Giuseppe Salerno since I started this blog.  I love this man- because he is so very straight up and just a very decent human being. He cares- and that stands out in all things G (my short name for Giuseppe). We have never met-…

13c

Corona Virus: Surviving COMES With a Price?

Editor’s Note: I have to say that when I first started hearing about and thinking about the coronavirus, I pretty much categorized that into what I was most familiar with – which was the swine flu (H1N1). That particular epidemic I have pretty significant familiarity with, probably 250 to 300 hours of ECMO on swine…

G

CoronaVirus.Gov

Editor’s Note: Due Diligence:  Plz Visit CoronaVirus.Gov–  Just want to get it out there- God Bless Frank Click Image Above to View CoronaVirus.Gov

5

CoronoVirus = ECMO or Mass Hysteria?

Editor’s Note: Got up- and guess what?  It’s Super Bowl Sunday 🙂 But that is a side note for this article- as my first official act was to go on FB and check out the page- got a friend request from a perfusionist in Bangalore, India- Geetha Murugesan. Anyway I would like to thank Geetha…

(200129) -- BEIJING, Jan. 29, 2020 (Xinhua) -- Lyu Jun (L), a member of a medical team leaving for Wuhan of Hubei Province, says goodbye to his family at Xinjiang Medical University in Urumqi, northwest China's Xinjiang Uygur Autonomous Region, Jan. 28, 2020. (Xinhua/Wang Fei) (Photo by Xinhua/Sipa USA)

WHO Guidelines for Clinical Rx : CoronoVirus

Editor’s Note: Basic guidelines from WHO– Compliments of ELSO and my good friend Giuseppe Salerno– who is the founder of an Italian Perfusion FB Group-  Thanks G! An amazing father- man- and photographer!  G! https://www.facebook.com/groups/perfusione.ita/ Click Image Above to Download WHO PDF

(200129) -- BEIJING, Jan. 29, 2020 (Xinhua) -- Lyu Jun (L), a member of a medical team leaving for Wuhan of Hubei Province, says goodbye to his family at Xinjiang Medical University in Urumqi, northwest China's Xinjiang Uygur Autonomous Region, Jan. 28, 2020. (Xinhua/Wang Fei) (Photo by Xinhua/Sipa USA)

CoronaVirus: Our Heroic Chinese Colleagues, Brothers, & Sisters

Editor’s Note: The following pictures are very poignant and hard hitting.  They are of us- people- the Chinese people- our brothers and sisters.  What I see when I look at these images is not panic or fear, it is a resolute and concise determination to confront our fear and defeat not an unknown enemy– rather…

CardioHelp2|Cardiohelp

ECLS & Emergency Departments

Editor’s Note: A colleague of mine, Michael, asked me during a conversation if there was any information out there regarding the increased frequency or use of ECLS systems throughout the emergency departments in hospitals across the US.  Interestingly enough, I find myself later in the day, monitoring one of these devices in vivo. Below is…

IMG_0172

Unexpected Air: An ECMO Discussion

Editor’s Note: I was on FB and was visiting the Malaysian Perfusion Page, monitoring a discussion regarding venous air entrainment in an ECMO circuit, and the efforts made to save the patient.  This a true emergency, and with a closed system, much more difficult to resolve. The discussion however is what captured my interest because…

13

CARDIOHELP: An In-Service for MD’s, Perfusionists, & Nurses

Click Image to visit CARDIOHELP website Editor’s Note: We are looking at a new system to integrate into our ECMO program, and today we had an in-service from MAQUET, who owns, distributes, and supports the CARDIOHELP ECLS system. This was a 3.5 hour in-service designed to educate physicians, perfusionists, and nurses.  It was offered for three…

Chase Arterial Line Crystalloid out through Purge- to Waste Bag ...

PICU Nursing: Honing Your ECMO Skills

Editor’s Note: So I was @ Women’s & Children’s Hospital – here in West Texas, doing some platelet gel cases, when I decided to drop by the PICU to visit friends I hadn’t seen in awhile. The PICU staff was pretty thin- so I asked where everybody was- and found out they were conducting an ECMO wet…

photo 3(2)

Plz Take This Survey: The impact of Influenza on Your ECMO Program for 2013-2014

  The impact of Influenza on Your ECMO Program for 2013-2014 Can you please take this short eight question survey on the impact of the recent influenza season on your ECMO program. We will share the results. Click link below to take this survey: https://www.surveymonkey.com/s/RFPNN79 = Thank you. David Palanzo, CCP, LP Penn State Hershey…

photo 3(2)

Roundworms & ECMO ? Any Advice, Experience, or Literature?

Editor’s Note: I got an email from a perfusion colleague regarding the impact (if any) of roundworms on the oxygenator for an ECMO run. Please help?  Any information- please forward to the comments section of this blog post, my email, or  Amanda’s email who is running the ECMO. Very much appreciated 🙂 Hey Frank, Do…

1

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…

Jesse

And Then Comes Sunday …

24 Hours… of ECMO New Beginnings   (To view the entire “Day In The Life” series Click Here) Jesse Shipman struggles to do a stretch during a therapy session with occupational therapist Megan Taylor at TrustPoint Hospital in Lubbock, Texas Tuesday, June 12, 2011. (Miranda Grubbs/ Lubbock Avalanche-Journal) To view the entire “Day In The…

photo 3(2)

H1N1- ARDS- & ECMO (Current Literature)

Editors Note: A big thank you to Marianne Veir Pilger, CCP, and her colleague John @ Meriter Hospital in Madison, Wisconsin for helping out so quickly and hooking us up with the below listed articles on ECMO management for ARDS and H1N1. This is something we are all facing- so I hope it helps. Again-…

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

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…

1

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…

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

VAD / ECMO Policy: Generic & Universal

Editor’s Note: This is a disclaimer: As with all material presented on this site,  please use your own judgement as to what you feel is clinically safe, vetted, and makes sense to you.  This blog is NOT peer reviewed or sanctioned by any perfusion associated review board or academic body. That is not to say…

2

What Doesn’t Kill You- Makes You Stronger

Click to View…  It’s DEFINITELY Inspiring. This was a link that one of our PICU nurses left on her Facebook page. It totally reminded me of our PICU and the great ECMO nurses we have working there! Ash …  Man she is the greatest !  She linked the YouTube video above. Awesome Murals and Colors…

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

An ECMO Lecture : Outstanding !

PART 1 of 2. Hergen Buscher, a German intensivist who lives and practices in Sydney, gives an excellent presentation on extra corporeal membrane oxygenation in the modern era of ICU. This was presented at a Sydney Intensive Care Network meeting on the 17th March 2011. Go to www.intensivecarenetwork.com for more information about who we are…

Space 1|12|12.5

What Doesn’t Kill You- Makes You Stronger

[youtube=http://www.youtube.com/watch?v=ihGCj5mfCk8&sns=fb] = Click to View…  It’s DEFINITELY Inspiring. This was a link that one of our PICU nurses left on her Facebook page. It totally reminded me of our PICU and the great ECMO nurses we have working there! Ash …  Man she is the greatest !  She linked the YouTube video above. Awesome Murals…

ecmo2|Space 1|Perfusione.net|ECMO Policy

The Role of Perfusionists During ECLS ?

Hi Frank, How are you? I need your help because I’m collecting some data about the role of perfusionist during ECLS in US, to compare with the role of perfusionist in Italy. Could you help me sending some data, protocols and other stuffs? Thanks in advance. Emiliano. emiliano@perfusione.net I got the above email from a…