Circuit Surfers

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

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

International CQI: USA: Cardioplegia Line Kinked

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 like to share. Please email details if you feel that your story…

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A Locum’s ScrapBook: Sometimes… The Bear Gets YOU…

“The simple fact that a centrifugal hand-crank is in the room, does not at all satisfy the “yes” box in the checklist” Editor’s Note: Just when you get to the comfort zone of thinking “you are pretty good”? You find out you’re pretty NOT! But don’t get knocked down and NOT get back up.  Shit…

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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…

Forane vaporizer

International CQI: Vaporizer Obstructing O2 Q

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 like to share. Please email details if you feel that your story…

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Perfusion CQI: Failed Heat Seal on Recirc Line Connection

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…

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Failed Hemonconcentrator: International CQI

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…

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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…

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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 ecclog@gmail.com 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…

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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…

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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…

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Perfusion Techniques: Parallel Oxygenators

Perfusion Techniques: Parallel Oxygenators  _____Click image to enlarge Perfusionist:  Randy Ransom, CCP Equipment:  FX25 Terumo Oxygenators x 2 / Tubing and “Y” connectors Issues:  None Narrative:  Large Patient:  Preoperative adjustment: Bumped up the ECC capacity  to 2 oxygenators setup as a parallel circuit. Time & Place:   2013 About The Perfusionist:  CCP Click to Donate Click…

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…

RCHWY

Post A Perfusion Event or Unique Issue…

  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. This is not an “Incident Report” section.  It’s really more of a registry of the odd things that can happen on bypass- as opposed to submitting a department report or…

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Current Survey Results: Perfusion Events or Unique Issues

Click Image Above to Add a “Episode” to the Perfusion Event 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. This is not an “Incident Report” section.  So Anyway, although the responses are not great in number- they…

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Perfusion Glitches: Waking Patient

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…

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Perfusion Glitches: Kink in 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…

Air Bolus RA

Perfusion Glitches: Re-Priming Venous Line: Air Bolus RA

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…

Pump Inlet Kinked

Perfusion Glitches: Kinking of Inlet Side of Arterial 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…

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Perfusion Glitches: Pressurized Sucker 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 has any sort of unusual event you would…

Air in Art Line|Air in Art Line

Perfusion Glitches: Fatigue & Air in Arterial 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 has any sort of unusual event you would…

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Failing Oxygenator

Case Report- Failing Oxygenator… Operation: Aortic Valve Replacement, End to End Graft from Aortic Root to Ascending Aorta. Pt. Data 55 years old Gender excluded 71 inches 95 Kilograms 2.15 BSA Baseline Hematocrit- 48% Pertinant Hx: Unremarkable. No coagulopathic issues No antiplatelet regimen Severe AI Mild AS Dilated Root No other issues-  patient appeared to…