Circuit Surfers

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

Hemetech 2013 Review

WebCast ! Hemetech’s Clinical Applications Science Review: September 2014

Click image to view meeting details September 27 & September 28, 2014 Webcast LIVE Online weblink to be provided prior to event Perfusion Basic Science Review CEU’s: CEUs to be applied for (expect 20.1 Category 1 and 8.8 SDCEs) Registration: To register: reviewcourse@hemetech.com or 740-396-8787 About Hemetech The Course Saturday morning through Sunday afternoon: Our…

Hemetech 2013 Review

WebCast ! Hemetech’s Perfusion Basic Science Review: September 2014

You Can STILL Register & Get 20 Cat I CEU’s !   Click image to view meeting details September 13 & September 14, 2014 Webcast LIVE Online weblink to be provided prior to event Click HERE to view Course Details Perfusion Basic Science Review CEU’s: CEUs to be applied for (expect 20.1 Category 1 and 8.8…

Perfusion Job Shadow

My Perfusion Job Shadowing Experience: Day 3

Click HERE to view entire series 🙂 Editor’s Note: This is part 3 of what is a 3-part series- two posts are presented by a young, soon-to-be medical professional who job shadowed for two days with me.  This last post will be a re-post of something I had written- that was about this particular case- that reflects…

Perfusion Job Shadow

My Perfusion Job Shadowing Experience: Day 1

Click HERE to view entire series 🙂 Editor’s Note: This is part 1 of what is going to be a 3-part series- the first two posts presented by a young, soon-to-be medical professional who job shadowed for two days with me.  The last will be a re-post of something I had written- that reflects the…

Clouds

Heart Surgery in the PI: My Pump Support Drama

The Republic of the Philippines. Heart Surgery in the PI: The Republic of the Philippines Click image to view Weng’s FB page… My Pump Support Drama By Weng Puno-Baldeo = it was just a regular day in the o.r. after a vsd case the team dismantled the hlm, charged all the supplies used and preparing a…

salmon-580

Protamine

Protamine Protamine, a polycationic protein derived from salmon milt, possess strong alkalinity because of an amino acid composition consisting of 67% arginine.  In its natural state, the numerous positive charges on the protamine molecule bind with the negatively charged phosphate groups of the nucleoprotein material of salmon sperm.  Heparin, a polyanion, binds ionically to protamine…

aortic-valve-stenosis-heart-1|aortic-stenosispicture-275|AS

Aortic Stenosis

Aortic Stenosis Rheumatic heart disease and calcification deposits due to age (senile calcific aortic stenosis) are the most common pathologic conditions associated with aortic stenosis.  Congenital malformations such as a bicuspid aortic valve with a small annulus, or unicuspid valve usually develop symptoms at an early age but occasionally surface in later years.  Calcification of…

BF001 coronary anatomy|h1

Cardiac Blood Flow & O2 Consumption

“The major vessels of the coronary circulation are the left main coronary that divides into left anterior descending and circumflex branches, and the right main coronary artery.” Source: Cardiovascular Physiology Concepts Richard E. Klabunde, PhD The major vessels of the coronary circulation are the left main coronary that divides into left anterior descending andcircumflex branches, and the right main coronary artery.…

EKG|Timing of CPB after MI|Question Mar4k|1

Myocardial Ischemia: The Best Timing for Engaging CPB for Revascularization

Editors Note: Having been in the field for awhile, and being an STS data coordinator, the timing of surgery for patients suffering from an acute evolving myocardial infarction (AEMI) has always intrigued me. The STS data form is very specific in tracking these intervals, and I am naturally curious as to what the impact on…

perfusionpic(1)|Steve Sutton

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…

RoadMap

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…

teg-report|1|Protocol|Protoco Rx|TEG report|Definitions|TEG Rx|Graphic Analysis|Platelet Mapping

The TEG (Thromboelastogram)

Editor’s Note: Recently we began employing the TEG routinely for all of our open-heart procedures.  Now I am relatively familiar with the concept, having discussed and written about it before.  However there is an array of numbers and categories that come with the TEG analysis that I wasn’t certain about, so to clear it up…

Hemetech 2013 Review

WebCast ! Hemetech’s Perfusion Basic Science Review: 2014

Click image to view meeting details September 13 & September 14, 2014 Webcast LIVE Online weblink to be provided prior to event Perfusion Basic Science Review CEU’s: CEUs to be applied for (expect 20.1 Category 1 and 8.8 SDCEs) Registration: To register: reviewcourse@hemetech.com or 740-396-8787 About Hemetech The Course Saturday morning through Sunday afternoon: Our…

Hemetech 2013 Review

WebCast ! Hemetech’s Clinical Applications Science Review

Click image to view meeting details September 27 & September 28, 2014 Webcast LIVE Online weblink to be provided prior to event Perfusion Basic Science Review CEU’s: CEUs to be applied for (expect 20.1 Category 1 and 8.8 SDCEs) Registration: To register: reviewcourse@hemetech.com or 740-396-8787 About Hemetech The Course Saturday morning through Sunday afternoon: Our…

32

Heart Surgery in India: “I Tied My Turban Myself”

Editor’s Note: This is a story written by an Indian cv surgeon I have written to on FB. It has a “Lawrence of Arabia” feel to it, and I enjoyed reading it very much- Thank you sir for the time and effort to share this tale 🙂 Dr. Harinder Singh Bedi  MCh,FIACS (Gold Medallist) Head…

photo 1-1|photo 1|photo 2-1|photo 4-1|photo 5-1

#Driving_To_SanDiego_CREF_Day_2

Survival of the Fittest Editor’s Note: 1,100 miles, 2 days, and intermittent decent weather salvaged some ominous moments from potential doom. Got here- with 22 pieces of art, and 84 mile trip getting to 4000 + feet and back down again (Laguna mountains, CA), multiple border patrol inspections, and a San Diego that has definitely…

photo(2)

Why go to CREF San Diego 2014?

#DrivingToSanDiegoToday = That’s why 🙂 = Click image to view meeting details February 5 – 8, 2014 Hilton San Diego Bayfront San Diego, California USA CREF 2014 The premier San Diego perfusion meeting, focuses on cardiopulmonary bypass and extracorporeal perfusion. It offers cutting-edge presentations, discussions, and hands-on workshops and extracurricular education on topics related to…

11

CNS & CPB

CNS & CPB The major postoperative neurological complication associated with open-heart surgery and cardiopulmonary bypass is stroke, which is defined as a sudden onset of a focal deficit of the central nervous system lasting longer than 24 hours.  While this clinical finding occurs in approximately 1-5% of cardiac surgery patients, 70% of cerebrovascular sequelae occur…

23

Intracardiac Pressures

Intracardiac Pressures = Right ventricular systolic pressure Right ventricular systolic pressure (RVSP) can be easily assessed in most subjects who present some degree of tricuspid regurgitation. The velocity recorded across the regurgitant jet corresponds to the right ventricular-right atrial gradient (RV-RA ΔP), so that, this value added to mean right atrial pressure (RAP) represents the…

Hemetech 2013 Review

LIVE ONLINE: Hemetech’s Perfusion Basic Science Review: 2014

Click image to view meeting details January 25-26, 2014 LIVE Online weblink to be provided upon registration Perfusion Basic Science Review CEUs applied for (expect 17.6 Category 1 and 8.8 SDCEUs) Saturday morning through Sunday afternoon, our Basic Science Review includes: Anatomy / Physiology, Embryology, Congenital Cardiac Defects, Pathophysiology, Instrumentation / Analysis, Perfusion Safety, ECC…

Hemetech 2013 Review

LIVE ONLINE: Hemetech’s Clinical Applications Science Review: 2014

Click image to view meeting details March 1-2, 2014 LIVE Online weblink to be provided upon registration Hemetech’s Clinical Applications Science Review CEUs applied for (expect 17.6 Category 1 and 8.8 SDCEUs) Saturday morning through Sunday afternoon, our Clinical Perfusion Applications Review includes: ECC Modeling for Case Response Anticipation, Chart Review and Case Preparation, CABG,…

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

Heart Surgery in Pakistan: An Interview with Abdul Qadeer Khan

Pakistan. Editor’s Note: This is part 1 of an introduction from Abdul Qadeer Khan, and his experiences as a perfusionist in Pakistan.  It is a very nice, well written letter and I want to thank you personally Mr. Khan, for you kindness and the time you took to share this with the rest of us…

cropped-dawgz.jpg|Oxygenators

Letters From the Philippines: Improving O2 Transfer?

Editor’s Note: Hi Guys, I got this letter from a Filipino  perfusionist via FaceBook.  If any of you have any engineering insights into the mechanics of increasing Oxygenator surface area for improving O2/CO2 exchange , can you send replies to Kevin Tabamo’s FB page? Thanks ! = = 🙂 Frank Click image to respond directly…

Saudi|1|1.1

Letters From Saudi Arabia: Plz Recommend a Perfusion Program

Editor’s Note: Hi Guys, I got this letter from a graduating nursing student from Saudi Arabia. If you have any suggestions for a great perfusion school you would like to recommend- please respond here in the comments section, or directly to Mr. Wafe at his listed email address. I need your help from Saudi Arabia…