International Perfusion Association

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Category: Perfusion

TP Perfusion

Beating Heart Transplant Procedures Using Organs From Donors With Circulatory Death

This study evaluates the safety and efficacy of the beating heart method for heart transplantation using donors deceased after circulatory death (DCD). Conducted on 10 male patients with end-stage heart failure, it found 100% survival without the need for postoperative extracorporeal membrane oxygenation (ECMO). This method, which potentially reduces ischemia reperfusion injury, suggests a promising approach to DCD heart transplantation that may lower the incidence of primary graft dysfunction. The findings are significant for institutions considering the use of DCD donors for heart transplants.

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March 12, 2024
Europe Perfusion

Perfusion Education and Training in Europe Anno 2023

This article reviews the current state of perfusion education and training across Europe, highlighting the lack of uniform European regulations and accreditation. The European Board of Cardiovascular Perfusion (EBCP) aims to standardize training in line with national regulations. Data from 31 countries reveals diverse training practices. The EBCP’s efforts to define educational standards and competencies for perfusionists and to accredit dedicated schools are crucial for the profession’s recognition in Europe.

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March 5, 2024
Inflammation Patient

High Preoperative Systemic Immune-Inflammation Index Values Significantly Predicted Poor Outcomes After on-Pump Coronary Artery Bypass Surgery

This retrospective study at the National Cardiovascular Center Harapan Kita analyzed 1056 on-pump CABG procedures from January 2019 to December 2022, finding that high preoperative systemic immune-inflammation index (SII) values were significantly associated with poor perioperative outcomes. Patients with an SII value ≥528.715 × 103/mm3 experienced longer surgery and cardiopulmonary bypass times, prolonged mechanical ventilation, ICU and hospital stays, and an increased risk of postoperative complications such as atrial fibrillation, cardiac arrest, acute myocardial infarction, and mortality. The study underscores the importance of preoperative SII values as predictors of morbidity and mortality in on-pump CABG surgery

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February 14, 2024
Surgery Prime

Effects of Albumin and Crystalloid Priming Strategies on Red Blood Cell Transfusions in On-pump Cardiac Surgery: A Network Meta-analysis

This network meta-analysis evaluates the impact of albumin and crystalloid priming strategies on red blood cell transfusion requirements in on-pump cardiac surgery. The study reviewed 830 studies and included 10 in the final analysis. The findings suggest that crystalloid priming may significantly decrease total perioperative red blood cell transfusions compared to albumin. However, the difference in postoperative transfusions was not statistically significant. Both direct comparisons and network meta-analysis indicate that albumin priming results in higher transfusion rates, suggesting a reconsideration of its use in cardiac surgery for optimal blood management.

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February 8, 2024
VAVD

Vacuum Assisted and Gravitational Venous Drainage in Aortic Valve Surgery: A Propensity-Match Study

This study compared the early outcomes of isolated aortic valve replacement using Vacuum Assisted Venous Drainage (VAVD) and Gravity Venous Drainage (GVD). Data from 521 patients were analyzed through propensity match analysis, resulting in two cohorts of 129 patients each. The findings suggest that the use of VAVD is not associated with increased risks of postoperative complications or in-hospital mortality compared to GVD, with similar or better outcomes in certain aspects such as acute kidney injury. The study highlights the safety and efficacy of VAVD in cardiac surgery.

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February 6, 2024
Goal Directed

What Are the Minimal Criteria of Goal-Directed Perfusion (GDP) in Adult Cardiac Surgery?

The goal-directed perfusion (GDP) strategy is increasingly adopted in cardiac surgery to maintain optimal perfusion, improving patient outcomes by serving as a quality control tool for monitoring the practice of perfusionists and the use of equipment and disposables. It emphasizes intensive monitoring of respiratory-related parameters, optimal flow, and management of intraoperative parameters to protect end-organ function and enhance surgical outcomes, with the findings advocating for its superiority over traditional perfusion strategies and highlighting the importance of developing protocols within international guidelines.

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February 2, 2024
Perfusion Education

How to Become a Perfusionist in the United States

Perfusionists are specialized healthcare professionals trained in operating heart-lung machines during open-heart surgeries and various auxiliary devices. Their education involves diverse pathways, including undergraduate courses in sciences, post-baccalaureate certificates, and master’s degrees, all leading to eligibility for certification and consistent job opportunities across different educational levels.

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January 30, 2024
PerfusionGPT

PerfusionGPT Beta Launched on iPerfusion.org

PerfusionGPT is an AI-powered chatbot based on ChatGPT-4, specifically designed to provide expert knowledge for perfusionists in cardiac surgery. It serves as a critical resource for both clinical decision-making and educational purposes in the field of perfusion.

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January 26, 2024
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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January 20, 2024
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