Circuit Surfers

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

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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…

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Letters From Pakistan: Questions on the CardioHelp System

Click image to view manufacturer’s information on this product- Editor’s Note: Hi Guys, I got this letter from a Pakistani perfusionist via LinkedIn.  If any of you have any Experience using the CardioHelp System, can you send replies here to ‘Surfers? I have no experience with the device, so it would be inappropriate for me…

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40th Annual Meeting of JASECT in Hiroshima: October 2014

Click Image to View Conference Details October 11-12, 2014 40th Annual Meeting of JASECT in Hiroshima International Conference Center HIROSHIMA, JAPAN Program 1. Special Lecture 2. Symposium 3. Case Conference Session 4. General Session 5. Co-sponsored Seminar 6. Others Contact Us Congress Secretariat Hiroshima University Hospital Department of Clinical Engineering Shigeyuki OKAHARA E-mail: [email protected]  Address:…

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Intracardiac Shunts

Principles of Intracardiac Shunts Significant hypoxemia can result from right-to-left intracardiac shunting through a patent foramen ovale, an atrial septal defect or a ventricular septal defect. Pulmonary embolus, congenital heart disease and pericardial tamponade are well-recognized causes of right-to-left shunting. With the continued presence of a congenital defect of the cardiac septum or great vessels…

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Wisconsin Perfusion Society : Spring 2014

(Click Image to View Website) WPS:  Wisconsin Dells, WI April 4th – April 6th, 2014 The Wisconsin Perfusion Society is pleased to announce the 21st Annual WPS Spring Conference, which will be held on April 4th – 6th, 2014 at Glacier Canyon Lodge in Wisconsin Dells, WI. The program directors for this year’s meeting have…

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It is NOT TOO LATE ! 15th annual Update on Perfusion Devices Workshop: Charleston, SC

Click image to view MUSC October 24th – 26th 2013 Medical University of South Carolina Charleston South Carolina The Medical University of South Carolina’s Update on Perfusion Devices Workshop will be held October 24-26. This is MUSC’s fifteenth consecutive year hosting the conference in downtown Charleston, SC. This year the conference is offering 21.6 CEUs.…

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Mitral Insufficiency

Mitral Insufficiency Six anatomical components must mesh synchronously to insure proper function of the mitral valve.  Disruption of the kinetic interrelationship between the left ventricular wall, the left atrial wall, valve leaflets, annulus, chordae tendineae, and papillary muscles, may lead to dysfunction of the valve.  Chronic mitral valve insufficiency (regurgitation) most often results from rheumatic…

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Do Not Toss ! (Don’t Miss it in Your Mailbox)

Editor’s Note: It’s a small brochure and I almost tossed it- so double check your mailboxes 🙂 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,…

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Right Ventricular Function

Right Ventricle The right ventricle is one of four chambers (two atria and two ventricles) in the human heart. It receives deoxygenated blood from the right atrium via the tricuspid valve, and pumps it into the pulmonary artery via the pulmonary valve and pulmonary trunk. It is triangular in form, and extends from the right…

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CREF 2014 34th Annual Cardiothoracic Surgery Symposium

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 cardiac surgery, cardiopulmonary bypass, and extracorporeal…

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2013 Fall Cardiovascular Perfusion Practice & ECMO Patient Management Meeting

Click image to view meeting details October 25-27, 2013 Marriott Hotel Rochester, MN 2013 Fall Cardiovascular Perfusion Practice & ECMO Patient Management Meeting The Minnesota Perfusion Society (MPS) is pleased to announce that this year’s meeting will be hosted in Rochester, MN from October 25-27, 2013. Please consider attending as focus will be on cardiovascular…

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AT3 Deficiency

Antithrombin III (AT III) is a plasma glycoprotein with a molecular weight of 58,000 daltons.  AT III deficiency may be noticed when the patient’s activated clotting time (ACT) does not respond to heparin administration as would be expected when given a standard dosage.  Also can be confirmed by a laboratory value of the patient’s AT…

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Heading Up North: 5th Annual Michigan Perfusion Meeting

Click image to view meeting details August 2 – 4, 2013 Crystal Mountain Resort Thompsonville, Michigan 5th Annual Michigan Perfusion Meeting This year meeting will have the first annual Dan Zwada Scholarship Award presented.  In an honor of a tremendous perfusionist who gave his heart and soul to the profession. We have a scholarship fund…

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Cold Agglutinins

Literature: Click image to view source article Cold Agglutinins in Cardiac Surgery: Management of Myocardial Protection and Cardiopulmonary Bypass CAs are autoantibodies to RBC antigens [3], which can causesystemic thrombosis and hemolysis. The cause of these CAs maybe primary/idiopathic, or more commonly, secondary to an infectiveprocess (eg, mycoplasma, human immunodeficiency virus) or alymphoproliferative disorder [2].…

FFP and Heparin

Heparin: Factors Affecting & it’s Effects [Reprint]

HEPARIN ONSET: Maximal at 1 minute past atrial delivery: Measured at radial artery.  Note:  10-20% reduction in svr without affecting c.o. and or h.r. LUNG VS MUCOSAL: Mucosal requires larger doses- but can be reversed with 25-30% less protamine:  greater postoperative blood loss associated with mucosal heparin- speculated to result from lower molecular weight &…

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1st Jilin Heart Academy Workshop in China: Summer 2013

Surfer’s Co-Editor Anna Lou Villena, perfusionist (Right) with friend @ prior event- June 8th  2013 Jilan Heart Center Changchun, China 1st Jilan Heart Academy Summer Workshop A leadoff in Cardiovascular medicine transpired last April 20-22, 2013, which was participated by a large number of Chinese medical practitioners all throughout Jilin Province. Medical breakthrough specifically in…

Click Me

Around the (Distant) Pump Room by Martin Gill, CCP.

An AMAZING Perfusion Publication ! (Contact Martin on how to Subscribe) Media Journalism by… Martin Gill: Perfusionist Editor (former), ANCZP Gazette email for subscription: [email protected] (Children’s Hospital at Westmead, Sydney Australia) Editor’s Note: Martin Gill is a gifted writer and supporter of perfusion international relations and improving perfusion practice- wherever it may be. He has…

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Protamine Reaction

“It binds to heparin to form a stable ion pair which does not have anticoagulant activity; on its own, protamine has a weak anticoagulant effect.”   Protamine sulfate is a drug that reverses the anticoagulant effects of heparin by binding to it. Protamine was originally isolated from the sperm of salmon and other species of…

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Malignant Hyperthermia

Editor’s Note: Just a brief primer on Malignant Hyperthermia, should the need ever arise to place a patient on CPB who has been diagnosed with this condition. It is an unusual co-morbidity and should be approached and treated with an abundance of clinical respect and caution.  Any insight or recommendations from readers would be greatly…

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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…

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Sickle Cell Anemia & CPB

I.    DESCRIPTION: Sickle Cell hemoglobinopathy is a single gene recessive disorder that involves an abnormality of the hemoglobin (Hgb) molecule.  This disorder causes the red cell to sickle under certain circumstances.  A sickled cell cannot undergo normal respiratory functions and they interfere with normal blood circulation. Sickle cell disease is genetic and a patient may…

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Career Perfusionist: [13] The Extracorporeal Circuit

The Extracorporeal Circuit Diversion of blood from the operative site, via an extracorporeal circuit (ECC) is necessary to proceed with open heart surgery .  Vascular access leading to the right side of the heart (venous) and ejecting from the left side of the heart (arterial) is shunted from the patient to the heart lung machine.…

Rome 2013

GESTIONE DELL’INSUFFICIENZA CARDIO-RESPIRATORIA IN ETA’ NEONATALE E PEDIATRICA CON SUPPORTI EXTRACORPOREI

Click to View Details Contact: Segreteria Organizzativa: Ufficio Organizzazione Eventi Ospedale Pediatrico Bambino Gesù Piazza S. Onofrio, 4 ‐ 00165 Roma Tel: 06‐6859.2290‐2411‐‐3770 Fax: 06/6859.2443 E‐mail: [email protected] www.ospedalebambinogesu.it

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Coagulation Issues: Fibrinolysis & HIT: Helpful Graphics

Fibrinolysis Fibrinolysis is the dissolution of the clot formation process involving the plasma protein plasminogen.  This system of enzymes dissolves blood clots by the lysis of fibrin.  Fibrinolysis plays a role as well in other biological processes such as tissue repair, macrophage activation and function, ovulation, and embryo implantation.  Fibrinolysis is mediated by plasmin and…