International Perfusion Association

Category: Perfusion

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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Simpson Transfusion

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

In on-pump cardiac surgery, a network meta-analysis revealed that crystalloid priming strategies are associated with fewer perioperative red blood cell (RBC) transfusions compared to albumin priming, although the difference in postoperative blood loss between the two was not statistically significant. The study suggests that while albumin priming might reduce postoperative blood loss, its use leads to more RBC transfusions and a higher blood management burden, indicating the need for careful consideration of its application in this context.

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Heart Transplantation

Donor Heart Preservation: Current Knowledge and the New Era of Machine Perfusion

Heart transplantation traditionally employs static cold storage for donor preservation, but this method carries a risk of early graft dysfunction due to ischemic and reperfusion injury. Emerging preservation techniques, such as hypothermic or normothermic machine perfusion, offer the promise of improved graft protection, the ability to repair organs, and the evaluation of graft function prior to transplantation, potentially expanding the donor pool with the aid of new pharmacological treatments.

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Simpsons OR 2

Mastering the Best Practices: A Comprehensive Look at the European Guidelines for Cardiopulmonary Bypass in Adult Cardiac Surgery

The European guidelines, developed collaboratively by EACTS, EACTA, and EBCP, address the critical role of cardiopulmonary bypass (CPB) management in cardiac surgery, encompassing training of clinical perfusionists, CPB procedures, and anticoagulation to improve patient outcomes. These comprehensive guidelines aim to standardize CPB practices across Europe, based on evidence and best practices, to reduce CPB-related complications and enhance the quality of life for patients undergoing cardiac surgery.

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Elderly Patient CPB

Risk Factors and Short-Term Outcomes of Postoperative Pulmonary Complications in Elderly Patients After Cardiopulmonary Bypass

This study on elderly patients undergoing cardiopulmonary bypass (CPB) found a high incidence (56.82%) of postoperative pulmonary complications (PPCs), identifying low serum albumin levels, specific types of surgery, prolonged CPB, blood transfusion, and pre-extubation intra-aortic balloon pump use as significant risk factors. These PPCs led to longer mechanical ventilation, extended hospital and ICU stays, increased mortality, and higher tracheotomy rates, highlighting the importance of recognizing these risk factors for better perioperative prevention in elderly CPB patients.

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LivaNova News

LivaNova to Wind Down Advanced Circulatory Support Business Unit

LivaNova PLC announced the strategic wind down of its Advanced Circulatory Support (ACS) Business Unit to focus on its core Cardiopulmonary and Neuromodulation units, with a complete transition expected by end of 2024. The company will integrate select ACS cannulae products into its Cardiopulmonary unit, while anticipating a positive impact on its 2024 operating income, despite expected restructuring charges.

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Hypoxic Cell

Prospective Clinical Study Testing the Efficacy and Safety of a New Formula to Increase the Precision of Oxygen Therapy in the Initiation Phase of Cardiopulmonary Bypass

This study developed a formula for tailored oxygen therapy during cardiopulmonary bypass (CPB) to prevent cellular hypoxia and minimize the risk of hyperoxemia. In a pilot study, the formula aimed for a specific arterial partial oxygen pressure (PaO2) range, but only 38.75% of patients achieved the target range, indicating a need for further adjustments to the formula to enhance its effectiveness in guiding oxygen therapy during CPB.

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The Employment Outlook for Perfusionists for the Next 10 Years

The job market for perfusionists is expected to grow significantly over the next decade, driven by an aging population requiring more cardiac surgeries and advancements in medical technology. This growth is tempered by a limited number of new professionals entering this specialized field, creating favorable job prospects and opportunities for expansion in roles and regions.

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What is a Perfusionist

A perfusionist is a skilled, allied health professional, trained and educated specifically as a member of an open-heart, surgical team responsible for the selection, setup, and operation of a mechanical device commonly referred to as the heart-lung machine.

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