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Blood Transfusions. Contemporary use of blood transfusions in medicine.

Joe Basha, CCP lectures on the history and the contemporary use of blood transfusions in medicine.   

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Blood Transfusions review and little known facts. Benefits of blood transfusions

Joe Basha, CCP and John Ingram, CCP lecture and discuss the risks and benefits of blood transfusions and also explore and discuss the blood banking industry.     

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Passive antibody therapy in the treatment of COVID-19.

Minh Tran, CCP and Joe Basha, CCP discuss the use of passive antibody therapy, also referred to as convalescent plasma.  An old therapy making a resurgence in the treatment of..

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Pump Standby When and How.

Joe Basha, CCP and Nathanial Bedair, CCP discuss the use of pump standby and the need to remain vigilant as things can happen quickly.  

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SAVR - Surgical Aortic Valve Replacement (SAVR).

Stephanie Ibus, CCP and Joe Basha, CCP provide lecture and discussions on the perfusion management of Surgical Aortic Valve Replacement (SAVR) patients.   

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TNOC 2019 Day 2. Sutureless valves: An excellent option SAVR

Dr. Borut Gersak lectures on the benefits of minimally invasive aortic valve surgery and describes the Perceval sutureless valve implantation.    

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Advanced hemodynamic monitoring in the critical care unit - Katie Kim, RN

Katie Kim, RN describes and discusses hemodynamic monitoring in the critical care unit.  Katie and the panel dive into advanced hemodynamic monitoring and how these monitoring practices help improve outcomes..

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Acute Kidney Injury (AKI). Drivers Of Urine Production.

The learner will be able to describe the physiologic principles of urine production and discuss how cardiopulmonary bypass effects urine production and the potential development of Acute Kidney Injury (AKI)...

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The Practice of Continuous Renal Replacement Therapy (CRRT) in the Critical Care Unit

Joe Basha, CCP discusses the use of Continuous Renal Replacement Therapy CRRT in the critical care unit and how in selected patients, CRRT (Continuous Renal Replacement Therapy) may be superior..

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Long Term Outcomes After Off Pump Versus On Pump.

Excellent discussion and review of opinions and data from key opinion leaders in the area cardiac surgery.  Discussions about patient outcomes, safety, effectiveness, advantages, disadvantages, appropriateness and when an off..

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Management of Common Electrolyte Disturbances - Juan Carlos Zubieta, MD

Intensivist, Juan Carlos Zubieta, MD discusses common electrolyte disturbances seen in the critical care unit patient and how to address these for improved patient outcomes.  Dr. Zubieta discusses how to..

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What is AKI Acute Kidney Injury explained RIFLE AKIN and KDIGO Criteria for assessing AKI

The learner will be able to discuss what Acute Kidney Injury (AKI) is and factors that influence its development. The learner will be able to discuss the RIFLE, AKIN, and..

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Organ Crosstalk: Cardiorenal Syndromes Heart Lung Kidney Interactions. Hormonal signals

John Ingram, CCP lectures and discusses how organs interact with each other with hormonal signals.  

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How ECMO contributes to maintaining kidney dysfunction Acute Kidney Injury (AKI)

How ECMO contributes to maintaining kidney dysfunction and casually participates in the development of AKI (Acute Kidney Injury).      

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Common Problems of the ICU Patient. Continuous Renal Replacement Therapy

Super lecture and discussion around management of the Critical Care Unit patient.  Common problems if the ICU patient.  What is the role of the CRRT (Continuous Renal Replacement Therapy).   

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Differences between Continuous Veno-Venous Hemofiltration (CVVH) and Intermittent Hemodialysis (IHD)

Joe Basha, CCP and Minh Tran, CCP review what Continuous Veno-Venous Hemofiltration (CVVH) is and the differences between CVVH and Intermittent Hemodialysis (IHD).  Also described are the differences in diffusive..

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Continuous VenoVenous Hemofiltration CVVH - Part 2

Nathan Bedair, CCP and Joe Basha, CCP take a deeper look at Continuous Veno-Venous Hemofiltration and examine the advantages of CVVH over Intermittent Hemodialysis for the removal of pro-inflammatory mediators..

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Allocating scarce intensive care resources during the COVID-19 pandemic: practical challenges to theoretical frameworks

Summary The COVID-19 pandemic strained health-care systems throughout the world. For some, available medical resources could not meet the increased demand and rationing was ultimately required. Hospitals and governments often..

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Should we ration extracorporeal membrane oxygenation during the COVID-19 pandemic?

The COVID-19 pandemic has raised challenging questions about the rationing of intensive care unit (ICU) beds, mechanical ventilators, and extracorporeal membrane oxygenation (ECMO).    Experts have recommended that ECMO be..

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Cardiopatías congénitas con y sin modelos 3D: ¿Qué podría haber sido diferente?

Caso clínico   Paciente mujer de 2 años diagnosticada con doble salida del ventrículo derecho.   En los monitoreos de control, la paciente presentó signos y síntomas de hipoxemia: agitación,..

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Patients Submitted to Myocardial Revascularization with the Use of Bilateral Internal Thoracic Arteries: Diabetics vs. Non-Diabetics

Abstract Introduction: Use of bilateral internal thoracic artery (BITA) as graft in coronary artery bypass grafting (CABG) is controversial because it is related to higher in-hospital mortality, incidence of sternal..

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Prevention of Cerebral Lesion in Asymptomatic Carotid and Vertebral Artery Stenosis in Urgent Cardiac Surgery

Abstract Carotid artery stenosis (CAS) and vertebral artery stenosis (VAS) are associated with cerebral infarction after cardiopulmonary bypass (CPB). We read with great interest the article “Cerebral Lesions in Patients..

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Risk Score Elaboration for Stroke in Cardiac Surgery

Abstract Introduction: Stroke is a complication that causes considerable morbidity and mortality during the heart surgery postoperative period (incidence: 1.3 to 5%; mortality: 13 to 41%). Models for assessing the..

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Atrial Septal Aneurysm and Atrial Septal Defect Association – an Uncommon But WellRecognized Association

Abstract Atrial septal aneurysm (ASA) is an uncommon but wellrecognized cardiac abnormality. This educational text reviews the case of a 54-year-old female presenting an ASA related to a small ostium..

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Palliative Care Referrals in Cardiac Disease

Abstract OBJECTIVES:  With evidence of benefits of pediatric palliative care (PPC) integration, we sought to characterize subspecialty PPC referral patterns and end of life (EOL) care in pediatric advanced heart..

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Myhre Syndrome Misdiagnosed as Marfan Syndrome: an Educational Presentation

Abstract A 32-month-old girl with patent ductus arteriosus, false tendon of left ventricle, mild pulmonary hypertension, and chronic cardiac insufficiency (cardiac function level I-II) was misdiagnosed with Marfan Syndrome and..

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Argatroban Anticoagulation for Adult Extracorporeal Membrane Oxygenation: A Systematic Review

Abstract Background: Heparin is the widely used anti-coagulation strategy for patients on extracorporeal membrane oxygenation (ECMO). Nevertheless, heparin-induced thrombocytopenia (HIT) and acquired anti-thrombin (AT) deficiency preclude the use of heparin..

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Lessons Learned From the First Pilot Study of the Compensatory Reserve Index After Congenital Heart Surgery Requiring Cardiopulmonary Bypass

Abstract Background: Early warning systems that utilize dense physiologic data and machine learning may aid prediction of decompensation after congenital heart surgery (CHS). The Compensatory Reserve Index (CRI) analyzes changing..

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