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IBBM Certification for Blood Management Technoligists (A Letter in Opposition)
It has only of late become clear to me and many other Perfusionists I have heard from, that the IBBM, a wholly owned subsidiary of AmSECT has embarked upon a mission to offer certification to NON PERFUSIONISTS to perform medical procedures which are explicitly included within the scope of practice of perfusionists.
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Extracorporeal Membrane Oxygenation Support in Post-Traumatic Cardiopulmonary Failure: A 10-Year Single Institutional Experience
Patients with multiple traumas associated with cardiopulmonary failure have a high mortality rate; however, such patients can be temporarily stabilized using extracorporeal membrane oxygenation (ECMO), providing a bridge to rescue therapy.
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Acute Respiratory Distress Syndrome in the Perioperative Period of Cardiac Surgery: Predictors, Diagnosis, Prognosis, Management Options, and Future Directions
More research in the setting of ARDS after cardiac surgery is needed at multiple levels (risk factors, diagnosis, treatment options). Prevention of lung injury appears to be of the utmost importance, and a better characterization of the risk factors is needed. Avoiding excessive perioperative transfusions and the optimization of ventilation and hemodynamics seem to be the most modifiable risk factors. In patients who develop ARDS after cardiac surgery, extracorporeal techniques may represent a valid choice in experienced hands. The use of NMBAs, prone positioning, and iNO can be considered on a case-by-case basis, whereas aggressive lung recruitment and oscillatory ventilation probably should be avoided.
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