International Perfusion Association

Social:

Facebook Instagram Linkedin
IPA

Category: Safety

Clinician Prediction of Survival vs Calculated Prediction Scores in Patients Requiring Extracorporeal Membrane Oxygenation

This study compares the accuracy of clinician predictions versus established prognostic scores in determining survival to hospital discharge for patients on extracorporeal membrane oxygenation (ECMO). Conducted from January 2020 to November 2021, the study involved interviews with nurses, perfusionists, and physicians within the first 24 hours of ECMO initiation. The results showed that clinicians, particularly perfusionists and physicians, had better prediction accuracy compared to the RESP and SAVE scores. The findings suggest the potential for developing more accurate prediction tools to guide ECMO eligibility.

READ MORE
July 17, 2024
ECMO Safety

Sterility and Oxygenator Function in Pre-Primed Extracorporeal Membrane Oxygenation: A Prospective Clinical Study

This study explores the sterility and function of pre-primed extracorporeal membrane oxygenation (ECMO) circuits in a clinical setting. Conducted at Sahlgrenska University Hospital, the study assessed 107 ECMO circuits between 2019 and 2021, analyzing sterility through culture tests and oxygenator function through parameters like sweep gas flow and FiO2. Results indicated minimal bacterial growth and no significant impact of wet priming on oxygenator function, suggesting pre-priming is safe and effective for rapid ECMO initiation.

READ MORE
July 2, 2024
Perform Report

Perfusion Measures and Outcomes (PERForm) Registry: First Annual Report

The first annual report of the Perfusion Measures and Outcomes (PERForm) registry details patient characteristics and cardiopulmonary bypass (CPB) practices from 2019 to 2022 across 42 hospitals. Covering data from 40,777 adult patients, the report highlights trends in myocardial protection, glucose, anticoagulation, temperature, anemia, and fluid management. Key findings include the stability of hematocrit levels and increased pump sucker termination before protamine administration, indicating improved compliance with evidence-based guidelines but identifying areas for enhanced patient safety.

READ MORE
June 23, 2024
Kidney Protection

A Randomized Trial of Intravenous Amino Acids for Kidney Protection

This study investigated the efficacy of intravenous amino acids in reducing acute kidney injury (AKI) in patients undergoing cardiac surgery. A total of 3511 patients were randomized to receive either amino acids or a placebo. Results showed a significant reduction in AKI occurrence in the amino acid group (26.9%) compared to the placebo group (31.7%), with a relative risk of 0.85. The severity of AKI and the need for kidney-replacement therapy were also lower in the amino acid group. No major differences in other secondary outcomes or adverse events were observed.

READ MORE
June 12, 2024
Easy Flow Simulation

Easy Flow: An Eclectic Cardiopulmonary Bypass Simulation Model

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.

READ MORE
June 11, 2024
ECMO Team

Psychological Safety in an ECMO Retrieval Team: A Qualitative Study to Inform Improvement

This study explores psychological safety within an ECMO retrieval team at the Royal Brompton Hospital in London. By conducting semistructured interviews with consultants, nurses, and perfusionists, researchers identified factors influencing psychological safety. Key findings include the impact of the high-risk environment, structured team processes, and leadership behaviors on team communication and collaboration. Recommendations were made to enhance psychological safety by addressing these factors.

READ MORE
June 1, 2024

Hospital Readmissions in Patients Supported with Durable Centrifugal-Flow Left Ventricular Assist Devices

The study examines hospital readmissions in patients with centrifugal-flow left ventricular assist devices (CF-LVADs), highlighting the commonality and impact on patient outcomes. Analyzing data from 204 patients, 67.7% experienced heart failure (HF)/LVAD-related readmissions, mainly due to major bleeding, infection, HF exacerbation, and neurological dysfunction. Using machine learning models, several pre-, intra-, and post-operative factors were identified as predictors of readmission risk, which can guide strategies to improve patient management and outcomes.

READ MORE
May 28, 2024
Suction

Advancing Cardiotomy Suction Practices for Coronary Surgery via Multidisciplinary Collaborative Learning

This study focuses on a multidisciplinary quality-improvement intervention to standardize cardiotomy suction practices at the end of cardiopulmonary bypass during coronary artery bypass grafting. Conducted across 32 centers, the initiative showed significant improvements in adherence to recommended practices in Michigan centers compared to non-participating centers, with no adverse effects on clinical outcomes.

READ MORE
April 12, 2024
ECMO Hat

Impact of Center Volume on In-Hospital Mortality in Adult Patients with Out-of-Hospital Cardiac Arrest Resuscitated Using Extracorporeal Cardiopulmonary Resuscitation: A Secondary Analysis of the SAVE-J II Study

This secondary analysis of the SAVE-J II study evaluates the correlation between center volume and in-hospital mortality for patients with out-of-hospital cardiac arrest (OHCA) treated with extracorporeal cardiopulmonary resuscitation (ECPR). Analyzing data from 36 Japanese centers, the study categorizes centers into three groups based on ECPR volume. Findings reveal that high-volume centers (≥21 sessions/year) show a significantly higher survival rate at discharge (33.4%) compared to medium (24.1%) and low-volume (26.8%) centers. Adjusted analysis suggests that patients at high-volume centers are more likely to survive, indicating a positive correlation between center volume and ECPR success.

READ MORE
April 11, 2024
Lactic Acidosis

Association Between Lactic Acidosis and Multiple Organ Dysfunction Syndrome After Cardiopulmonary Bypass

The study investigates the link between lactic acidosis and multiple organ dysfunction syndrome (MODS) post-cardiopulmonary bypass (CPB). A post hoc analysis on cardiac surgery patients shows a correlation between lactic acidosis and higher incidences of MODS, with lactic acidosis patients experiencing the worst outcomes. The research suggests the need for intensive monitoring of lactic acidosis post-CPB to mitigate risks and improve patient care.

READ MORE
February 6, 2024
Load More

Post Categories