Tags Archives: perfusionist

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Customized Priming Strategies for High-Risk Patients: Pediatric, Geriatric, and Renal Compromise Considerations.

Introduction Cardiopulmonary bypass (CPB) is essential in cardiac surgery, but high-risk patients—such as pediatric, geriatric, and renal-compromised individuals—require specialized priming strategies to optimize outcomes. A one-size-fits-all approach can lead to..

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Hemodynamic Management During Cardiopulmonary Bypass

Introduction Cardiopulmonary bypass (CPB) is a critical component of cardiac surgery, allowing the heart to be temporarily stopped while maintaining circulation and oxygenation. Proper hemodynamic management during CPB is essential..

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Optimizing Priming Solutions in Cardiopulmonary Bypass: Balancing Hemodynamics, Organ Protection, and Patient Outcomes

Introduction Cardiopulmonary bypass (CPB) is a life-saving technology that temporarily replaces the heart and lungs during cardiac surgery. The choice of priming solution plays a crucial role in maintaining hemodynamic..

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Cardioplegia: Classification, Evolution, and Strategies to Reduce Reperfusion Injury

1. Introduction Cardioplegia plays a crucial role in myocardial protection during cardiac surgery by inducing controlled cardiac arrest and minimizing ischemic injury. Over the years, various cardioplegia strategies have evolved,..

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Isolated Limb Perfusion (ILP) and Hyperthermia in Cancer Treatment

Introduction Isolated Limb Perfusion (ILP) is a targeted chemotherapy technique used primarily for treating locally advanced limb malignancies, such as soft tissue sarcomas and melanoma. By isolating the limb’s vascular..

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Hyperthermic Intraperitoneal Chemotherapy (HIPEC): A Revolutionary Approach in Oncologic Perfusion

Introduction Hyperthermic Intraperitoneal Chemotherapy (HIPEC) is an advanced oncologic perfusion technique designed to treat peritoneal carcinomatosis, a condition where cancer spreads within the peritoneal cavity (Sugarbaker, 1995). This innovative approach..

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Left Heart Bypass

Left Heart Bypass: An Overview Introduction Left Heart Bypass (LHB) is a surgical technique used to temporarily divert blood from the left side of the heart to maintain distal perfusion..

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The Untold Story of Cardiac Surgery in Pakistan.

Introduction The history of cardiac surgery in Pakistan is often credited to various institutions, but a lesser-known and largely undocumented fact is that the first open-heart surgery in Pakistan was..

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Managing Anticoagulation in Cardiopulmonary Bypass: Best Practices

Cardiopulmonary bypass (CPB) is a cornerstone of modern cardiac surgery, enabling complex procedures by temporarily taking over the heart and lung functions. However, one of the most critical aspects of..

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Review of the European Board of Cardiovascular Perfusion (EBCP) Guidelines: Implementation and Feasibility for Pakistani Perfusionists.

Introduction The European Board of Cardiovascular Perfusion (EBCP) establishes standardized guidelines to ensure quality and safety in perfusion practices across Europe. These guidelines provide a framework for clinical protocols, training,..

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Managing Serum Lactate During Cardiopulmonary Bypass

Serum lactate is a critical biomarker in cardiac surgery, offering insights into tissue oxygenation and metabolic status. Elevated lactate levels during cardiopulmonary bypass (CPB) can indicate inadequate perfusion, hypoxia, or..

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Alpha-Stat vs. pH-Stat Blood Gas Management During Cardiopulmonary Bypass

Introduction Blood gas management during cardiopulmonary bypass (CPB) is crucial for optimizing oxygen delivery and cerebral perfusion, especially in temperature-regulated surgeries such as deep hypothermic circulatory arrest (DHCA). Two primary..

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Common Mistakes in Perfusion and How to Avoid Them.

Perfusionists play a critical role in cardiac surgery and extracorporeal support, ensuring optimal oxygenation and circulation during procedures. However, given the complexity of the field, even experienced professionals can make..

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2024 EACTS/EACTAIC/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery

Preamble Clinical practice guidelines consolidate and evaluate all pertinent evidence on a specific topic available at the time of their formulation. The goal is to assist physicians in determining the..

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Development of a professional advancement model for perfusionists

Abstract Background: Improvement in professional advancement opportunities may reduce turnover and improve retention for perfusionists. However, the current literature lacks examples of professional advancement models (PAMs) for perfusionists.  Methods: This..

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Perfusionist education in Japan: A survey of challenges and current status

Abstract Introduction This study aimed to examine the educational challenges faced by perfusionists in Japan. Although Japan has over 400 cardiovascular surgery centers, it performs fewer surgeries than by countries..

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Adapting and applying student-centered learning in a perfusion clinical rotation

Abstract While the process of teaching student perfusionists has been in development since the 1950s, the publication of the processes to improve perfusion clinical education has been largely lacking. Publications..

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Using Digital Biomarkers for Objective Assessment of Perfusionists’ Workload and Acute Stress During Cardiac Surgery

Abstract The cardiac operating room (OR) is a high-risk, high-stakes environment inserted into a complex socio-technical healthcare system. During cardiopulmonary bypass (CPB), the most critical phase of cardiac surgery, the..

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Evaluation of attention, perception, and stress levels of clinical cardiovascular perfusionists during cardiac operations: a pilot study

Abstract Background: Performing cardiopulmonary bypass is a complex task which involves evaluating visual input from patient monitors and technical parameters displayed at the heart-lung machine console as well as reacting to..

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Outcome and Cost of Nurse-Led vs Perfusionist-led Extracorporeal Membrane Oxygenation

Abstract Background  (ECMO) is a resource-intense modality of care whose use has grown exponentially. We examined volume and utilization trends to identify the financial break-even point that might serve to..

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Using machine learning to predict perfusionists’ critical decision-making during cardiac surgery

Abstract The cardiac surgery operating room is a high-risk and complex environment in which multiple experts work as a team to provide safe and excellent care to patients. During the..

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A tool to assess nontechnical skills of perfusionists in the cardiac operating room

Abstract Objectives This study aimed to develop the Perfusionists' Intraoperative Non-Technical Skills tool, specifically to the perfusionists' context, and test its inter-rater reliability. Methods An expert panel was convened to..

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