Our Experience with Two Cardioplegic Solutions: Dextrose versus Non-Dextrose in Adult Cardiac Surgery
Intraoperative hyperglycemia has been observed to be associated with increased morbidity and mortality after cardiac surgery. Dextrose cardioplegia is used for its cardioprotective effects but may lead to intraoperative hyperglycemia and more postoperative complications.
Validation of a Perfusion Registry: Methodological Approach and Initial Findings
Although regional and national registries exist to measure and report performance of cardiac surgical programs, few registries exist dedicated to the practice of cardiopulmonary bypass (CPB). We developed and implemented a cardiovascular perfusion registry (Perfusion Measures and outcomes [PERForm] Registry) within the structure of the Michigan Society of Thoracic and Cardiovascular Surgeons (MSTCVS) to improve our understanding of the practice of CPB.
Heparin Therapy during Extracorporeal Circulation: Deriving anOptimal Activated Clotting Time during Cardiopulmonary Bypass for Isolated Coronary Artery Bypass Grafting
The effect of heparin dose, sensitivity, metabolism, patient size, elective/urgent, protamine reversal regime, returned pump blood volume and heparin content, and average ACT during CPB with regard to postoperative blood loss and resternotomy was examined in a consecutive series of patients undergoing isolated coronary artery bypass surgery.
Endogenous Gas Formation – An In Vitro Study with Relevanceto Gas Microemboli during Cardiopulmonary Bypass
Gas embolism is an identified problem during cardiopulmonary bypass (CPB). Our aim was to analyze the potential influence from gas solubility based on simple physical laws, here called endogenous gas embolism.
The Effect of Acute Sleep Deprivation and Fatigue in Cardiovascular Perfusion Students: A Mixed Methods Study
Sleep deprivation as a result of long working hours has been associated with an increased risk of adverse events in healthcare professions but not in cardiovascular perfusion. The purpose of this study is to investigate the impact of sleep deprivation on cardiovascular perfusion students.
LVAD Placement in HITT Patient (EP Video)
Amanda Cerqua presents a case report on LVAD placement on a patient with HITT (29:04 minutes).
Right Ventricular Dysfunction and Left Ventricular Assist Device Implantation (EP Video)
Dr. Cedric Sheffield discusses right ventricular dysfunction and LVAD implantation (48:52 minutes).
Cardiac ECMO Series Report (EP Video)
Monica Olsen provides a summary report on cardiac ECMO (42:59 minutes).
Case Reports from the Swamp: VADS and TAVR (EP Video)
Dr. Charles Koldell discusses the state of VADS and TAVR at Shands Hospital in Florida (58:51 minutes).
Drug, Devices, Technologies, and Techniques for Blood Management in Minimally Invasive and Conventional Cardiothoracic Surgery: A Consensus Statement From the International Society for Minimally Invasive Cardiothoracic Surgery (ISMICS) 2011
The objectives of this consensus conference were to evaluate the evidence for the efficacy and safety of perioperative drugs, technologies, and techniques in reducing allogeneic blood transfusion for adults undergoing cardiac surgery and to develop evidence-based recommendations for comprehensive perioperative blood management in cardiac surgery, with emphasis on minimally invasive cardiac surgery.
Patient Safety Database – FLIPR (EP Video)
Mark Martin discusses the Florida Perfusion Society's new patient safety initiative (40:59 minutes).
Increasing Surgical Experience with Off-Pump Coronary Surgery Does Not Mitigate the Morbidity of Emergency Conversion to Cardiopulmonary Bypass
The incidence of emergency conversion during OPCAB has decreased with increasing surgical experience; however, the morbidity in these patients remains essentially unchanged. The outcomes in these patients remain worse than those in nonconverted patients. Safer bailout strategies during OPCAB are still warranted.