Circuit Surfers

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

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A Day in the Life… [And Then Comes Sunday]

24 Hours… of ECMO Jesse  struggles to do a stretch during a therapy session with occupational therapist Megan Taylor on Tuesday, June 12, 2011. (Miranda Grubbs/ Lubbock Avalanche-Journal) Click Image Above to View Video Interview… The End and a new beginning This is the culmination of Jessie’s story.  His life is a new chapter now,…

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A Day In The Life… [6] Reprint

24 Hours… of ECMO To view the entire “Day In The Life” series Click Here Part VI:  A New Day & Definitely a New Beginning ! 8:00 am Coffee, Bugles, and McyDee’s I know it’s a bad example, but the hospital cafeteria is being remodeled, so I stocked on provisions for the long term.  There…

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A Day In The Life… [5] Reprint

24 Hours… of ECMO To view the entire “Day In The Life” series Click Here Part V:  Past Midnight… Ghost Stories & What-Not 3:00 am Ghost stories So it’s 3 a.m. and the STS paper work has become a mountainous blur, our ECMO patient is on “cruise control”, the hive activity is down to almost nothing,…

ecmo2|Space 1|Perfusione.net|ECMO Policy

A Day In The Life… [4] Reprint

24 Hours… of ECMO To view the entire “Day In The Life” series Click Here Part IV:  Past Midnight Saturday:  1:00 am STS and the Paperwork Deluge So at something like 1:00 am, it’s do or die time.  The patient is fine, but as an ECMO coordinator, I typically like to stay awake and support…

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A Day In The Life… [3] Reprint

24 Hours… of ECMO To view the entire “Day In The Life” series Click Here Part III:  Getting Past Midnight :   ACT’s & Clots … 11:00 pm Somehow during the initial debriefing from the previous ECMO coordinator that I had taken over for, the question of reliability regarding our ACT  (Activated Clotting Time) came…

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A Day In The Life… [2] Reprint

24 Hours… of ECMO To view the entire “Day In The Life” series Click Here Part II:  The Setting … 9:00 pm Well it’s about that time.  The PICU is closed for business, onlookers, rubber-neckers, and pretty much any visitors not directly related to your patient, are ushered away- and the staff is settled in…

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A Day In The Life… [1] Reprint

24 Hours… of ECMO To view the entire “Day In The Life” series Click Here Part I:  Getting Started … 24 hours to the finish line, and all you can do is just hope you don’t trip and fall.  That pretty much sums up this ECMO run.  Just trust your feet, and don’t lose sight…

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The Essential Ingredient: ECMO Nurses

(Meet An Amazing Nurse ) I met Shannon 3 1/2 years ago when doing my first ECMO shift here in Texas.  I was pretty clueless about ECMO, as despite 17 years of experience, I was new to this hospital, and I had only worked in adult perfusion programs throughout my career. I had gotten a…

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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) We are looking for a percutaneous cannula that transits the internal jugular to the superior vena cava, right atrium, and inferior vena cava. I have looked at this cannula online, but it looks like…

Jesse

And Then Comes Sunday …

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 Life” series Click Here The End and a new beginning This is the culmination of Jessie’s story.  His…

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Need Information ASAP on NOVALUNG

Talya Frey to Perflist show details 9:14 AM (15 hours ago) Need Information ASAP on NOVALUNG We have a 10 kg patient with pHTN that our team is interested in using the Novalung device to treat worsening RV function and chronic poor lung function. I am looking for any information regarding useage of this device,…

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CPS Support

CPS Support (Written with assistance from Thomas Doyle, MS, CCP) CPS used by EMS … Click to read article… An interesting paper on using expanding percutaneous cannulas with CPS. Click to read article… Procedure for CPS A.    Disposable Equipment: 1.  CPS Pack 2.  Percutaneous cannulae (arterial/venous) 3.  Membrane oxygenator with integral heat exchanger and holder.…

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VAD / ECMO Policy v. 1.0

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…

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Excerpts: So… You Want to Transport an ECMO Huh?

Editor’s Note: This book is NOW over 99% written and moving into the Editing Phase! The title of the book is “The Tips of Spears- An Inside Look At Heart Surgery in America” It is a rendering of the reality, sometimes sad and at times funny, emotional, and clinical vignettes of the many different aspects…