International Perfusion Association

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IPA

Category: Teamwork

Surgery vs. PCI

Comparing Percutaneous Coronary Intervention and Coronary Artery Bypass Grafting in Non-ST-Segment Elevation Acute Coronary Syndromes: A Systematic Review and Meta-Analysis

This systematic review and meta-analysis compared percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) for treating non-ST-segment elevation acute coronary syndromes (NSTE-ACS). Analyzing data from 15 studies with 48,891 patients, results showed no significant mortality difference between PCI and CABG. However, CABG reduced the risk of myocardial infarction (RR = 0.56) and repeat revascularization (RR = 2.94), while PCI was associated with a lower risk of cerebrovascular accidents (RR = 0.58). These findings emphasize individualized treatment strategies based on patient-specific risk profiles.

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November 29, 2024
VA ECMO

A Comparative Study of Femoral Artery and Combined Femoral and Axillary Artery Cannulation in Veno-Arterial Extracorporeal Membrane Oxygenation Patients

This study investigates the clinical outcomes of two cannulation strategies—femoral artery (FA) cannulation and combined femoral and axillary artery (FA+AA) cannulation—in patients receiving veno-arterial extracorporeal membrane oxygenation (VA-ECMO) after cardiac surgery. The FA+AA group showed significant benefits in reducing chronic renal failure, platelet drop, and creatinine levels. Despite similar 30-day mortality rates, the combined approach led to fewer complications and faster recovery.

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October 5, 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.

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June 23, 2024
Perfusion Learning

Adapting and Applying Student-Centered Learning in a Perfusion Clinical Rotation

This study outlines the transformation of perfusion clinical education from a teacher-centered to a student-centered model. By incorporating reflective practice, self-evaluation, and problem-based learning, the Mayo Clinic’s Perfusion Work Group aims to enhance the clinical training of student perfusionists. Changes include reversing student preceptor evaluations, biweekly student-led educational sessions, and establishing clear skill levels. These methods foster reflective practice, self-assessment, and evidence-based learning, ultimately promoting lifelong reflective perfusionists.

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June 22, 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.

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June 11, 2024
ECMO Survival Rates

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

This study compared clinician predictions of survival to hospital discharge versus established ECMO survival prediction scores (RESP and SAVE). Conducted from January 2020 to November 2021, it involved interviews with nurses, perfusionists, and physicians within the first 24 hours of ECMO initiation. Results showed that clinicians, especially perfusionists and physicians, often had more accurate survival predictions than the RESP and SAVE scores. The study highlights the need for improved prediction tools.

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June 9, 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.

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June 1, 2024
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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April 30, 2024
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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April 26, 2024
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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April 24, 2024
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