International Perfusion Association

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IPA

Day: March 17, 2024

Perfusion Comm

Fostering Open Communication in Perfusion and Cardiothoracic Surgery: A Critical Call to Action

The article emphasizes the importance of open communication within the perfusion and cardiothoracic surgery community to improve patient safety and outcomes. It advocates for all team members, including nurses, anesthesiologists, and perfusionists, to actively share insights and concerns. A culture that encourages speaking up without fear of repercussions, coupled with the use of debriefs, root cause analyses, and data management systems, is essential for continuous improvement. The adoption of the WHO surgical safety checklist and a strong speak-up culture are highlighted as crucial steps for elevating perfusion care standards and enhancing patient care.

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March 17, 2024
Health.edu

Exploring Online International Health Professions Education: A Mixed Methods Review

This study investigates the feasibility and early outcomes of online international health professions education, specifically in Cardiovascular Perfusion. Using mixed methods, the research identified barriers, facilitators, and initial results of implementing an online Extracorporeal Science (ECS) program compared to traditional in-person training. Qualitative analysis highlighted primary and subthemes leading to targeted interventions in the ECS program design. Quantitative data showed no significant difference in student performance and satisfaction between online and traditional cohorts, indicating that online international education in health professions can achieve outcomes comparable to conventional methods.

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March 17, 2024
ECPELLA

Temporary Extracorporeal Life Support: Single-Center Experience with a New Concept

This study explores the efficacy of a novel ECMELLA setup combining veno-arterial extracorporeal membrane oxygenation (va-ECMO) with a micro-axial flow pump in treating cardiogenic shock (CS). Analyzing data from 67 patients treated between December 2020 and December 2022, the study found the technique feasible and effective, with a 27% myocardial recovery rate and a 24% transition rate to durable LVADs. Despite a 49% mortality rate on support, the single-artery cannulation approach showed relatively low access-related complications. This single-center experience suggests ECMELLA 2.0/2.1 as a promising therapy for severe CS with a focus on reducing complications related to access sites.

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March 17, 2024
Valve Knot

Efficacy of Automated Fasteners Versus Hand-Tied Knots in Cardiac Surgery: A Systematic Review and Meta-Analysis

This systematic review and meta-analysis compares the efficacy of COR-KNOT® automated fasteners to hand-tied knots in cardiac valve surgery. Analyzing data from 1,411 participants across eight observational studies and two randomized controlled trials, the findings indicate that COR-KNOT significantly reduces aortic cross-clamp (AXT) and cardiopulmonary bypass (CPB) times, as well as the incidences of valvular regurgitation and need for prolonged ventilatory support, without negatively impacting mortality, atrial fibrillation, left ventricular ejection fraction, or renal failure rates. These results support the use of COR-KNOT devices in cardiac surgery to enhance surgical efficiency and patient outcomes.

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March 17, 2024
Microbubbles

The Number of Microbubbles Generated During Cardiopulmonary Bypass Can Be Estimated Using Machine Learning From Suction Flow Rate, Venous Reservoir Level, Perfusion Flow Rate, Hematocrit Level, and Blood Temperature

This study introduces a neural network-based model to estimate the count rate of microbubbles (MBs) in cardiopulmonary bypass (CPB) systems, using suction flow rate, venous reservoir level, perfusion flow rate, hematocrit level, and blood temperature. Through perfusion experiments and clinical applications, the model demonstrated high accuracy (R2 > 0.95) and a strong correlation in clinical settings (R2 = 0.8576). This innovation could significantly enhance patient safety and outcomes by enabling precise monitoring and potentially reducing the risk of MB-associated complications in cardiac surgery.

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March 17, 2024

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