International Perfusion Association

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TAVR 2024

Long-Term Impact of Cardiac Damage Following Transcatheter Aortic Valve Replacement

This study explores the prognostic implications of changes in cardiac damage following transcatheter aortic valve replacement (TAVR). Analyzing 1,863 patients from the SwissTAVI Registry, researchers found significant variations in cardiac damage stages pre- and post-TAVR, affecting long-term survival. Nearly half of the patients experienced changes in cardiac stage, highlighting the importance of cardiac damage evaluation for predicting outcomes after TAVR.

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Predication Models

A Systematic Review of Cardiac Surgery Clinical Prediction Models That Include Intra-operative Variables

This systematic review assesses clinical prediction models (CPMs) that incorporate intra-operative variables to predict outcomes following adult cardiac surgery. It highlights the identification of 24 CPMs, predominantly predicting acute kidney injury and peri-operative mortality, using common variables like cardiopulmonary bypass time. Despite acceptable discrimination in internally validated models, poor calibration and high bias risk limit their practical use. The review suggests potential improvement in model accuracy with intra-operative data, advocating for more robust studies.

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Noncompete

FTC Announces Rule Banning Noncompetes

The Federal Trade Commission (FTC) has issued a final rule banning noncompete agreements nationwide, aiming to enhance job mobility, increase innovation, and stimulate new business growth. The rule is anticipated to create over 8,500 new businesses annually and could raise worker wages by an average of $524 per year. It also projects to reduce healthcare costs by up to $194 billion over the next decade and potentially increase patent registrations significantly.

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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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ECMO Summary

A Comprehensive Review of Extracorporeal Membrane Oxygenation: The Lifeline in Critical Moments

Extracorporeal membrane oxygenation (ECMO) emerges as a crucial lifesaver in critical care for patients with severe respiratory or cardiac failure. This review delves into ECMO’s journey from its inception to the cutting-edge advancements and its profound impact in critical care. It highlights ECMO’s versatility in treating diverse conditions, the importance of patient selection, and managing complications. Technological progress, including miniaturization, innovative circuit designs, and remote monitoring, illustrates the evolving ECMO landscape. The article underscores ECMO’s significant role in enhancing survival rates, mobility, and leveraging remote expertise, portraying it as a beacon of hope and innovation in redefining life support boundaries.

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Donation Request

Empower a Heart, Save a Life: The Honduras Open Heart Surgery Initiative

Since 2019, a global health initiative in Tegucigalpa, Honduras, has been empowering local healthcare professionals to perform essential open heart surgeries, crucial in a country where such medical care is rare and desperately needed. Facing challenges like the high cost of surgeries against the backdrop of low average incomes, the program aims to develop local expertise while contending with economic barriers, and in 2024, it plans an ambitious mission with teams from Duke and Harvard, seeking contributions to continue saving lives and enhancing cardiac care in Honduras.

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Photo Safety GPT

Simulated Cardiopulmonary Bypass: A High Fidelity Model for Developing and Accessing Clinical Perfusion Skills

The study describes a simulated cardiopulmonary bypass (CPB) model integrated into a mock operative theater, aiming to enhance the training of novice perfusionists. Results from 81 participants indicated high fidelity and effectiveness of the simulation in replicating real CPB scenarios and skills, suggesting its potential for educational use in clinical perfusion training.

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Delirium CPB

Delirium after Cardiac Surgery-A Narrative Review

Postoperative delirium (POD) following cardiac surgery, potentially influenced by cardiopulmonary bypass, is linked to increased morbidity and mortality despite understanding its causative factors and risk mitigation strategies. This review article discusses the incidence, impact, and primary risk factors of POD in cardiac surgical patients, along with anesthetic and postoperative therapeutic approaches to reduce its occurrence.

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New Years

Hearts in Harmony: A New Year’s Tribute to Cardiac Heroes

“Hearts in Harmony: A New Year’s Tribute to Cardiac Heroes” humorously celebrates the dedication of cardiac surgery medical workers as they skillfully mend hearts, even on New Year’s Eve. It paints a picture of their teamwork and spirit, joyfully welcoming the new year while ensuring the well-being of their patients.

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Heartbeats on a Silent Night: A Christmas Ode to Cardiac Surgery

“Heartbeats on a Silent Night” is a reflective Christmas poem honoring the dedication of cardiac team members who work tirelessly through the holiday night. It juxtaposes the serene, festive atmosphere of a snowy Christmas Eve with the focused, life-saving efforts in the operating room.

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