Easy Flow: An Eclectic Cardiopulmonary Bypass Simulation Model

June 11, 2024 No Comments

The “Easy Flow Cardiopulmonary Bypass Simulation Model” offers a cost-effective, innovative approach to perfusion training using standard CPB equipment found in operating rooms. Unique features include double reservoirs and two pumps, enhancing skill development, team management, communication, and disaster response training. This model, requiring an instructor, turns theoretical knowledge into practical competence, making it accessible and beneficial for global healthcare education.

New Approach to the Mitral Valve Through the Left Anterior Minithoracotomy for Combined Valve and Coronary Surgical Procedures

June 8, 2024 No Comments

A new technique for accessing the mitral valve via the left anterior minithoracotomy has been developed for patients requiring both mitral valve surgery and coronary artery bypass grafting. From October 2020 to September 2022, 24 patients underwent this procedure, which involved specialized exposure maneuvers and conventional surgical techniques. The approach proved successful with no need for conversion to sternotomy, no major complications, and no mortality within 30 days post-procedure.

A Modified Low-Priming Cardiopulmonary Bypass System in Patients Undergoing Cardiac Surgery with Medium Risk of Transfusion: A Randomized Controlled Trial

June 5, 2024 No Comments

This study evaluates the FUWAI-SAVE system, a modified low-priming cardiopulmonary bypass (CPB) system, in reducing perioperative blood transfusions in adult patients undergoing cardiac surgery with intermediate transfusion risk. Conducted as a single-center, single-blind, randomized controlled trial, 360 patients were divided into an intervention group (FUWAI-SAVE) and a control group (conventional CPB). Results showed the FUWAI-SAVE system significantly reduced red blood cell transfusion rates and amounts during the peri-CPB period without increasing major complications, indicating its potential in improving blood management in cardiac surgery.

Lung Transplantation in Controlled Donation After Circulatory-Determination-of-Death Using Normothermic Abdominal Perfusion

June 1, 2024 No Comments

The shortage of suitable lung donors remains a significant challenge in lung transplantation. While brain-death donors (DBD) currently provide most lung allografts, only 20% are suitable for transplantation. This review discusses the potential of using donors after circulatory-determination-of-death (DCD) to increase the donor pool. Emphasizing controlled DCD (cDCD) donors, the article outlines the importance of ICU management and expertise in organ procurement, presenting a protocol for lung retrieval using normothermic abdominal perfusion.

Safety and Quality Concerns with Getinge Cardiovascular Devices – Letter to Health Care Providers

May 12, 2024 No Comments

On May 8, 2024, the FDA warned healthcare providers about ongoing safety concerns with Getinge/Maquet cardiovascular devices, specifically the Cardiosave Hybrid and Rescue IABP devices and the Cardiohelp system with HLS Sets. Despite corrective actions, these devices pose significant risks. The FDA advises transitioning to alternatives and reporting adverse events. Multiple recalls and serious injury reports have highlighted persistent issues with these devices, leading to enhanced FDA oversight.

Impact of Miniaturized vs. Conventional Tubing on Inflammatory Response and Blood Transfusion in Congenital Heart Disease Surgeries

May 7, 2024 No Comments

This study compares inflammatory cytokine levels and blood transfusion rates in pediatric patients undergoing congenital heart surgeries using miniaturized or conventional extracorporeal circuits. Results indicate that miniaturized circuits may reduce certain cytokines and lower transfusion requirements, suggesting a potential advantage in reducing surgery-related complications.

A Modified Intraventricular Balloon Method for Functional Assessment of Hearts From Donation After Circulatory Death

May 6, 2024 No Comments

This study evaluates a modified intraventricular balloon method for functional assessment of hearts from donation after circulatory death. By using a saline-filled balloon in the left atrium, the study measures left ventricular pressure during reperfusion in juvenile pigs. Results show significant correlations between contractility and relaxation parameters measured by the modified method and those in working mode. This technique offers a mitral valve-sparing option for early heart viability assessment during ex-vivo heart perfusion.

The Impact of Cardiopulmonary Bypass Time on the Sequential Organ Failure Assessment Score After Cardiac Surgery

May 6, 2024 No Comments

This study investigates the effect of cardiopulmonary bypass (CPB) time on postoperative Sequential Organ Failure Assessment (SOFA) scores. The analysis of data from 1,032 patients reveals that longer CPB times correlate with higher SOFA scores, particularly affecting cardiovascular and renal functions. Prolonged CPB times (>200 minutes) are associated with an increased likelihood of severe dysfunction, emphasizing the predictive power of CPB duration on postoperative organ health.

Perfusionist Appreciation Week 2024

May 5, 2024 No Comments

**An Ode to Perfusionists** In the heart of the hospital, where the beat never stops, Perfusionists reign, on them no one tops. With valves and

Nosocomial Infections After Pediatric Congenital Heart Disease Surgery: Data from National Center for Cardiovascular Diseases in China

May 4, 2024 No Comments

This study evaluates nosocomial infections in pediatric patients post-cardiac surgery, analyzing data from the National Center for Cardiovascular Diseases in China. Out of 4776 patients, the nosocomial infection rate was 2.1%, with multidrug-resistant organisms (MDROs) found in 36 patients. Pneumonia and sepsis were the most common infections, with pneumonia showing an incidence density of 7.2/1000 patient-days. MDRO infections were associated with significantly longer intensive care unit stays compared to non-MDRO infections. The results highlight the impact of MDRO infections on surgical outcomes and the importance of infection prevention and control measures.

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Easy Flow: An Eclectic Cardiopulmonary Bypass Simulation Model

New Approach to the Mitral Valve Through the Left Anterior Minithoracotomy for Combined Valve and Coronary Surgical Procedures

A Modified Low-Priming Cardiopulmonary Bypass System in Patients Undergoing Cardiac Surgery with Medium Risk of Transfusion: A Randomized Controlled Trial

Lung Transplantation in Controlled Donation After Circulatory-Determination-of-Death Using Normothermic Abdominal Perfusion

Safety and Quality Concerns with Getinge Cardiovascular Devices – Letter to Health Care Providers

Impact of Miniaturized vs. Conventional Tubing on Inflammatory Response and Blood Transfusion in Congenital Heart Disease Surgeries

A Modified Intraventricular Balloon Method for Functional Assessment of Hearts From Donation After Circulatory Death

The Impact of Cardiopulmonary Bypass Time on the Sequential Organ Failure Assessment Score After Cardiac Surgery

Perfusionist Appreciation Week 2024

Nosocomial Infections After Pediatric Congenital Heart Disease Surgery: Data from National Center for Cardiovascular Diseases in China

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