The PerfWeb Podcast

Integration of the PrismaFlex CRRT Machine into Your ECMO Circuit: A Comprehensive Review of Pressure/Flow Relationships, Challenges, and Solutions. J. Basha, CCP, promises an in-depth review of integrating the PrismaFlex Continuous Renal Replacement Therapy (CRRT) machine with Extracorporeal Membrane Oxygenation (ECMO) circuits. This comprehensive seminar will cover the technical nuances, benefits, and potential complications of such integration, emphasizing the management of pressure and flow dynamics to ensure optimal performance and patient safety. Participants will learn: The fundamentals of ECMO and CRRT technologies and the rationale behind their integration. Detailed analysis of pressure and flow relationships within the combined ECMO-CRRT circuit, highlighting key parameters for successful operation. Common challenges encountered during integration and practical solutions, derived from real-world case studies and expert experience. Best practices for monitoring and adjusting the integrated system to prevent complications and enhance therapeutic efficacy. This webinar is designed for perfusionists at all stages of their careers, from novices seeking to broaden their knowledge base to seasoned professionals aiming to update their skills with the latest advancements in perfusion technology and practices. It will also benefit cardiac surgeons, anesthesiologists, and intensive care professionals involved in the care of patients undergoing cardiac surgery and critical care management.

Our day begins with a focused exploration into the management of hyperkalemia following the release of aortic cross clamping, a critical phase during cardiac surgery where precision in fluid management can dictate patient outcomes. Led by J. Basha, CCP, a renowned expert in the field of perfusion, this session will dissect the efficacy of Zero-Balance Ultrafiltration (Z-BUF) in managing hyperkalemia, an often-challenging condition that can lead to severe cardiac complications if not managed with expertise and care. Perfusion has become much safer than years past, however, it remains fraught with dangers. Joe discusses 4 cases that nearly ended in disaster and would likely have been career ending. Despite advancements in safety, the domain of perfusion continues to present significant challenges and risks. In this insightful webinar, Joe Basha will share personal experiences from four distinct scenarios that teetered on the brink of disaster. These narratives not only underscore the inherent dangers in perfusion but also highlight the crucial learnings and preventive strategies that safeguard against potential career-ending mistakes. This session promises to be an invaluable learning experience for perfusionists at any stage in their career, offering lessons in vigilance, preparedness, and the importance of learning from near misses.

PerfWeb 99 — Day 1, a webinar designed for perfusionists seeking to deepen their understanding and enhance their practice. This webinar is a part of our ongoing effort to provide valuable continuing education opportunities for perfusionists across the USA and Canada. By participating, attendees can earn CEUs towards their professional development and certification maintenance with the American Board of Cardiovascular Perfusion (ABCP). Our platform is renowned for hosting the largest knowledge resource for perfusionists worldwide, and we are committed to expanding this treasure trove of information with each event. The webinar is structured into two power-packed sessions, each an hour long, focusing on critical aspects of perfusion technology and its application. These sessions are meticulously designed to cater to both the seasoned practitioner and the emerging perfusion professional. Below is an overview of what to expect: The webinar is structured into two power-packed sessions, each an hour long, focusing on critical aspects of perfusion technology and its application. These sessions are meticulously designed to cater to both the seasoned practitioner and the emerging perfusion professional. Below is an overview of what to expect: IABP for Perfusion Faculty: J. Basha, CCP

PerfWeb 98 concludes with a compelling invitation to engage live in a day dedicated to unraveling the mysteries of cardiac and vascular function and refining the art of perfusion measurement. This live event, accredited with 2.4 Category 1 CEUs by the American Board of Cardiovascular Perfusion (ABCP), promises an interactive and insightful experience, offering a deeper connection to the content and experts leading the sessions. Live Sessions for Real-Time Insight Regulating the Beat: Dynamics of Cardiac and Vascular Function 0800-1000 | Faculty: V. Carlyle, RN, BSN-CCRN Join V. Carlyle, RN, BSN-CCRN, in a live exploration of the heart's intricate regulatory mechanisms. This session will delve into how the heart and blood vessels respond to physiological demands and pathological conditions. Carlyle's live presentation allows for real-time questions and discussions, making complex concepts more accessible and engaging. This interactive approach enhances understanding and application in clinical practice, providing a foundation for perfusionists to optimize patient outcomes. The Art of Perfusion: Ensuring Adequate Perfusion Live 1000-1020 | Faculty: J. Basha, CCP Experience the nuances of perfusion measurement with J. Basha, CCP, in a session that brings the critical role of the perfusionist into sharp focus. Discover live how to assess and ensure adequate perfusion, using state-of-the-art tools and techniques. Basha's presentation will include live demonstrations and real-time discussions, offering participants an unparalleled opportunity to deepen their knowledge and refine their skills in measuring perfusion adequacy. Why Participate Live? Immediate Engagement: Ask questions, share insights, and participate in discussions in real-time, enhancing your learning experience. Expert Access: Interact directly with seasoned professionals, gaining immediate feedback and clarifications on complex topics. Dynamic Learning: Engage with the content actively, making the educational experience more memorable and impactful. Community Connection: Be part of a live community of peers and experts, fostering relationships and collaborations that extend beyond the webinar. Registration Details To experience the full benefits of PerfWeb 98—Day 4, perfusionists are encouraged to register for live participation. This not only ensures access to the real-time interaction but also contributes to a more vibrant and engaging learning environment. Visit the official event website for registration information, including any applicable fees. PerfWeb 98—Day 4 represents a unique opportunity to engage live with leading experts and peers in the field of perfusion. This session is designed to offer an immersive educational experience, where live participation is key to maximizing learning outcomes. Join us live on March 21, 2024, for a day of dynamic exploration and professional growth in the heart of perfusion practice.

PerfWeb 98 Day 3, offering an in-depth exploration into the critical role of imaging in the field of perfusion. Scheduled for Wednesday, March 20, 2024, this session promises to enrich participants with a comprehensive understanding of various imaging modalities and the skills to interpret these images effectively. Accredited with 2.4 Category 1 CEUs by the American Board of Cardiovascular Perfusion (ABCP), Day 3 is designed to elevate the proficiency of perfusionists in utilizing imaging for diagnostic, monitoring, and therapeutic purposes. Event Overview Date: Wednesday, March 20, 2024 Time: 1500-1700 The focus of Day 3 is twofold, beginning with a session on the diverse range of imaging modalities used in perfusion and followed by a detailed guide on interpreting these images. This day is essential for perfusionists looking to enhance their diagnostic acumen and apply imaging insights to improve patient outcomes. The sessions promise to be both informative and transformative, equipping attendees with the knowledge and skills necessary for excellence in perfusion practice. Session Details 1500-1600: Imaging, Imaging, Imaging: What Imaging Is Used For Faculty: V. Patel, MD The first hour, led by V. Patel, MD, will delve into the various imaging modalities utilized in the field of perfusion, such as CT scans, MRIs, X-rays, and ultrasounds. This session aims to elucidate the specific applications of each imaging technique, highlighting their roles in assessing cardiovascular structures, monitoring perfusion, and guiding therapeutic interventions. Attendees will gain a clear understanding of the strengths and limitations of each modality, enabling them to select the most appropriate imaging technique for different clinical scenarios. 1600-1700: How To Read Imaging Faculty: V. Patel, MD Continuing the educational journey, V. Patel, MD, will provide a detailed guide on interpreting medical images. This session is designed to equip perfusionists with the essential skills for analyzing imaging results accurately, understanding normal versus pathological findings, and integrating this information into their clinical decision-making processes. The presentation will cover key principles of image interpretation, common pitfalls to avoid, and practical tips for enhancing diagnostic accuracy. CEU Accreditation PerfWeb 98—Day 3 has been approved for 2.4 Category 1 CEUs by the ABCP, recognizing the high educational value and relevance of this session to the perfusion community. This accreditation highlights the commitment to providing quality education that supports the professional growth and development of perfusionists. Why Attend? Expert Guidance: Learn from an experienced medical professional specializing in imaging, enhancing your understanding of various imaging modalities and interpretation techniques. CEU Accreditation: Secure 2.4 Category 1 CEUs to meet your professional development requirements and maintain ABCP certification. Skill Enhancement: Improve your ability to select appropriate imaging techniques and interpret images accurately, leading to better patient care and outcomes. Professional Growth: Engage with the latest advancements in imaging technology and practices, staying at the forefront of the perfusion field. Registration and Participation Perfusionists interested in attending PerfWeb 98—Day 3 are encouraged to register in advance to secure their participation. Detailed registration information, including any fees, can be found on the event's official website. Attendees will also benefit from access to session recordings after the event, allowing for continued learning at their convenience. PerfWeb 98—Day 3 stands as an invaluable resource for perfusionists eager to master the use of imaging in their practice. By offering a deep dive into the applications and interpretation of medical images, this session aims to empower perfusionists with the skills needed to leverage imaging technology for enhanced clinical...

PerfWeb 98 continues its educational journey into Day 2, focusing on the pivotal aspects of Extracorporeal Life Support (ECLS) and its adverse effects. Scheduled for Tuesday, March 19, 2024, this session is a crucial convergence for perfusionists, offering deep dives into the complexities and challenges associated with ECLS treatments. Endorsed with 1.2 Category 1 CEUs by the American Board of Cardiovascular Perfusion (ABCP), this seminar underscores the commitment to providing cutting-edge education and fostering a deeper understanding of critical care in perfusion practices. Event Overview Date: Tuesday, March 19, 2024 Time: 1700-1900 PerfWeb 98—Day 2 is singularly designed to enrich the knowledge base of perfusionists with a comprehensive exploration of ECLS. This session aims to equip professionals with the insights needed to navigate the adverse effects of ECLS, enhancing patient care and outcomes. The seminar is an essential platform for those in the field seeking to bolster their expertise, stay updated with the latest research, and engage in meaningful discussions on overcoming ECLS challenges. Session Details Adverse Effects of ECLS Faculty: V. Carlyle, RN, BSN-CCRN The session will be led by V. Carlyle, RN, BSN-CCRN, a distinguished figure in the field of critical care nursing with extensive experience in ECLS. Carlyle’s presentation is set to cover the gamut of potential adverse effects associated with ECLS, including but not limited to thrombosis, bleeding, infection, and neurological complications. The session aims to not only outline these challenges but also to delve into preventive strategies, management techniques, and the latest research findings that can help mitigate these adverse effects. Participants will have the opportunity to engage in an interactive discussion, sharing experiences, strategies, and questions related to ECLS complications. This collaborative environment is designed to foster a community of learning and support among perfusionists and critical care professionals. CEU Accreditation This session has received the approval of 1.2 Category 1 CEUs by the ABCP, validating its educational merit and relevance to the perfusion community. This accreditation ensures that participants are recognized for their dedication to advancing their knowledge and skills, contributing to their professional development and the quality of care provided to patients. Why Attend? Expert Insights: Gain valuable knowledge from an experienced professional in the field of critical care and ECLS, enhancing your understanding of the adverse effects and management strategies. CEU Accreditation: Earn 1.2 Category 1 CEUs approved by the ABCP, supporting your professional development and maintaining your certification. Collaborative Learning: Benefit from the shared experiences and strategies of peers, enriching your practice and problem-solving skills. Critical Updates: Stay informed on the latest research and developments in ECLS, ensuring your practice is aligned with current standards and best practices. Registration and Participation Advance registration is encouraged for those planning to attend PerfWeb 98—Day 2. Complete details on how to register, including any associated fees, can be found on the official event website. Participants will also have access to post-event session recordings, offering flexibility in engaging with the material at their convenience. PerfWeb 98—Day 2 is an indispensable opportunity for perfusionists to deepen their understanding of ECLS, confront its adverse effects, and explore innovative solutions for enhancing patient outcomes. This seminar promises to be a valuable addition to the educational calendar of any perfusionist committed to excellence in their field. Join us on March 19, 2024, to partake in an educational experience that will shape the future of perfusion practices and patient care across North America.

PerfWeb 98 presents an educational milestone for perfusionists across the United States and Canada, offering an unparalleled opportunity to earn continuing education units (CEUs) while enhancing professional knowledge and skills. Scheduled for Monday, March 18, 2024, this event promises to be a pivotal gathering for professionals seeking to stay at the forefront of perfusion technology and medical advancements. PerfWeb 98—Day 1 is meticulously organized into two sessions, each focusing on critical areas of perfusion science and practice, accredited with 2.4 Category 1 CEUs by the American Board of Cardiovascular Perfusion (ABCP). This seminar is designed not just as a means to fulfill continuing education requirements but as a platform to foster discussions, encourage the exchange of ideas, and enhance the professional competency of perfusionists. The sessions are tailored to both seasoned professionals and those new to the field, providing insights into technological advancements and clinical applications. Session Details 1700-1800: Design of an EMR Perfusion Platform Faculty: T. DiSalvo, CCP The first session, led by the distinguished T. DiSalvo, CCP, focuses on the critical topic of Electronic Medical Records (EMR) in the realm of perfusion. This session aims to delve into the intricacies of designing a perfusion-specific EMR platform, addressing the unique needs and challenges faced by perfusionists in documenting and managing patient data. Participants will gain insights into the latest trends in EMR technology, best practices for EMR system design, and strategies for integrating these systems into their daily practice to improve patient care and operational efficiency. 1800-1900: How the Oxyhemoglobin Dissociation Curve Affects NIRS Faculty: T. DiSalvo, CCP Continuing the educational journey, T. DiSalvo, CCP, will lead the second session, exploring the significant impact of the oxyhemoglobin dissociation curve on Near-Infrared Spectroscopy (NIRS) measurements. This presentation aims to unravel the physiological and clinical implications of the oxyhemoglobin dissociation curve, providing perfusionists with a deeper understanding of how NIRS can be used to monitor and optimize patient oxygenation during cardiovascular surgeries. Attendees will engage in a comprehensive discussion on interpreting NIRS data, integrating physiological principles into clinical practice, and enhancing patient outcomes through informed decision-making. CEU Accreditation PerfWeb 98—Day 1 has been approved for 2.4 Category 1 CEUs by the ABCP, underscoring its educational value and relevance to the perfusion community. This accreditation affirms the quality and depth of the content presented, ensuring that participants receive recognition for their commitment to continuing education and professional development. Why Attend? Educational Excellence: Learn from seasoned professionals and thought leaders in the field of perfusion, gaining valuable insights and knowledge that can be directly applied to your practice. CEU Accreditation: Fulfill your continuing education requirements with sessions approved by the ABCP, ensuring your professional credentials remain current. Networking Opportunities: Connect with peers and experts within the perfusion community, fostering relationships that can support your professional growth and development. Cutting-Edge Topics: Stay ahead of the curve with discussions on the latest technological advancements and clinical practices in perfusion science. Registration and Participation In conclusion, PerfWeb 98—Day 1 represents a critical platform for perfusionists aiming to enhance their professional skills, stay abreast of the latest developments in the field, and meet their CEU requirements. Through engaging lectures, interactive discussions, and comprehensive educational content, this event promises to be an invaluable resource for the perfusion community. Join us on March 18, 2024, for an enriching experience...

This session, presented by the renowned V. Carlyle, RN, BSN-CCRN, is a deep dive into the complexities of hemodynamic waveform analysis. Understanding these waveforms is crucial in critical care and perioperative settings, as it aids in accurate patient assessment and management. Key learning points: Fundamentals of hemodynamic waveform generation and interpretation. Techniques to analyze different waveforms and what they signify about cardiac function. Application of waveform analysis in diagnosing and managing patient conditions. Educational Objectives: Enhance knowledge of hemodynamic monitoring principles. Develop skills in interpreting complex waveforms. Understand the clinical applications and implications of waveform analysis in patient care. Who Should Attend: This session is highly beneficial for perfusionists, cardiac nurses, cardiovascular technologists, and other medical professionals involved in cardiac care and surgery. It offers an opportunity to understand a critical aspect of patient monitoring that directly impacts treatment decisions and outcomes. Benefits of Attending: Deepen your understanding of hemodynamic principles. Learn from an experienced healthcare professional with extensive knowledge in cardiac care. Gain valuable insights into advanced diagnostic techniques. Opportunity to earn continuing education units (CEUs) for professional development. Registration and More Information: For registration details and further information about this session and other offerings in the PerfWeb 97 series, please visit our website. Enhance your professional skills and join a network of experts dedicated to improving cardiac care.

Join us for an insightful and educational day at PerfWeb 97 on Thursday, February 22, 2024, as we delve into critical aspects of perfusion practice. This webinar, approved for 2.4 CEUs by the American Board of Cardiovascular Perfusion (ABCP), offers a comprehensive exploration of two vital topics: Treating Hemodynamic Disturbances and Weaning from Cardiopulmonary Bypass (CPB). 1500-1600: Treating Hemodynamic Disturbances - V. Carlyle, RN, BSN-CCRN The first session, led by esteemed faculty member V. Carlyle, RN, BSN-CCRN, focuses on treating hemodynamic disturbances. This segment will provide an in-depth understanding of the dynamics of blood flow, pressure, and resistance in the cardiovascular system. Participants will learn about the latest techniques and strategies for managing hemodynamic instabilities, including pharmacologic and mechanical interventions. Key learning points: Understanding the physiology and pathophysiology of hemodynamic disturbances. Identifying common causes and their impact on patient outcomes. Exploring contemporary management strategies, including drug therapy and innovative devices. 1600-1700: The Pressure is on Weaning from CPB - T. DiSalvio, CCP The second hour features T. DiSalvio, CCP, an expert in the field, discussing the critical process of weaning from cardiopulmonary bypass. This session will offer a detailed examination of the protocols, techniques, and challenges encountered during the weaning phase. Participants will gain valuable insights into optimizing patient stability and ensuring a successful transition from CPB. Key learning points: Overview of CPB weaning protocols and criteria for readiness. Techniques for balancing hemodynamics during the weaning process. Addressing common complications and strategies for their resolution. Who Should Attend: This webinar is ideal for perfusionists, cardiac nurses, cardiovascular technologists, and other healthcare professionals involved in cardiac surgery and patient care. Whether you are seeking to deepen your expertise or update your skills, this webinar provides a valuable opportunity for professional development.

Welcome to Day 2 of our esteemed PerfWeb 97 series, a continuation of our commitment to providing top-tier educational content for perfusionists. Today's webinar focuses on a fundamental yet crucial topic in the field of perfusion: Intra-Aortic Balloon Pump (IABP) Basics. This session is specially designed to cater to both emerging and experienced perfusion professionals, aiming to enhance their understanding and skills in this critical area. Our distinguished faculty for this session is V. Carlyle, RN, BSN-CCRN, a renowned expert with extensive experience and knowledge in cardiac care and perfusion techniques. Carlyle's expertise in the field, coupled with a passion for teaching, makes this session an invaluable opportunity for attendees to learn from one of the best in the industry. This webinar is not just an educational journey; it's an investment in your professional growth. As a participant, you'll gain insights into the principles and practical aspects of IABP, understand its clinical applications, and learn about the latest advancements and best practices. The session will cover a range of topics, including the physiological principles behind IABP, patient selection criteria, management strategies, and troubleshooting common issues. Moreover, the interactive format of the webinar encourages participants to engage with the faculty, ask questions, and participate in discussions. This format ensures a comprehensive learning experience that goes beyond just theoretical knowledge, fostering a deeper understanding of IABP's role in patient care. Recognizing the importance of continuous education in the field of perfusion, this webinar has been approved for 1.2 Continuing Education Units (CEUs) by the American Board of Cardiovascular Perfusion (ABCP). This approval highlights the session's adherence to high educational standards and its relevance to the ongoing professional development of perfusionists. As you join us for this informative session, we remind you that our platform is more than just a webinar series. It's a community where knowledge meets passion, where professionals come together to learn, share, and grow. Our goal is to empower perfusionists across the USA and Canada with the knowledge and skills they need to excel in their field. With our extensive video library, we proudly stand as the largest knowledge resource for perfusionists worldwide. We look forward to having you with us for this enlightening session. Together, let's continue to elevate the standards of perfusion practice and patient care.

The ABC of ABG. Ph stat vs. Alpha stat ABG for Profound Hypothermia. Welcome to our upcoming webinar, a pivotal educational event tailored for perfusionists seeking to expand their knowledge and expertise in arterial blood gas (ABG) analysis and management during profound hypothermia. This webinar is part of our commitment to providing continuous education and valuable resources for perfusionists, enabling them to earn CEUs while enhancing their professional skills. Part 1: The ABC of ABG - Presented by J. Basha, CCP The first segment of our webinar, "The ABC of ABG," will be led by the esteemed J. Basha, CCP, a renowned expert in the field. This session aims to demystify the complexities of ABG analysis and provide a solid foundation for understanding its critical role in patient management. Understanding ABG: We begin with the basics, explaining the components of ABG, including pH, PaCO2, PaO2, HCO3-, and SaO2. This foundational knowledge is crucial for perfusionists to make informed decisions during cardiopulmonary bypass procedures. Clinical Relevance: The session will delve into the clinical significance of each component of ABG, illustrating how they directly impact patient outcomes. Real-world case studies will be used to demonstrate the practical application of ABG analysis in various clinical scenarios. Interpreting Results: A comprehensive guide on interpreting ABG results will be provided. This includes understanding acid-base balance, recognizing common disorders like acidosis and alkalosis, and applying this knowledge in clinical practice. Part 2: Ph Stat vs. Alpha Stat ABG for Profound Hypothermia - Presented by B. Bolkacav, CCP The second part of our webinar, led by B. Bolkacav, CCP, focuses on the critical decision-making process in managing ABG during profound hypothermia, a common scenario in cardiac surgeries. Ph Stat and Alpha Stat - A Comparative Overview: This session will offer an in-depth look at both Ph Stat and Alpha Stat strategies, discussing their principles, methodologies, and clinical implications. Impact on Perfusion Strategy during Hypothermia: The choice between Ph Stat and Alpha Stat management during profound hypothermia can significantly influence patient outcomes. We will explore how these strategies affect cerebral blood flow, oxygen delivery, and overall patient stability. Case Studies and Best Practices: Drawing from a wealth of experience, Bolkacav will present case studies highlighting the application of both strategies. This practical approach will help perfusionists understand the nuances and best practices for managing ABG during profound hypothermia. Interactive Q&A Sessions: Both sessions will conclude with a live Q&A segment, allowing participants to engage directly with our experts. This interactive component is designed to clarify doubts, discuss complex scenarios, and share experiences among peers. Why Attend This Webinar? Enhanced Knowledge: Gain an in-depth understanding of ABG analysis and its critical role in perfusion, along with specialized knowledge in managing ABG during profound hypothermia. Expert Insights: Learn from seasoned professionals who bring a wealth of experience and practical insights. Networking Opportunity: Connect with fellow perfusionists, fostering a community of learning and professional growth. Earn CEUs: This webinar is accredited by the ABCP, offering valuable CEUs to help meet your professional development requirements. Join Us: This webinar promises to be an enriching experience, combining theoretical knowledge with practical insights. It's an essential addition to the professional toolkit of every perfusionist who strives for excellence in patient care. We eagerly look forward to your participation in this enlightening and engaging session. Faculty: J. Basha, CCP B. Bolkacav, CCP

A review of ECMO (Extracorporeal Membrane Oxygenation) usage and outcome before, during, and post-COVID. Hosted by Thomas DiSalvio with cohost Joe Basha.

Discussions about the use of Goal Directed Perfusion and balancing the needs of the surgeon and the needs of the patient. Using DO2i as a tool to determine perfusion adequacy and justify flows, temperature, and transfusions. Hosted by Joe Basha with co-host Thomas Desalvio.

Transfusions carry risks, anemia causes morbidities: Discussions surrounding the use of transfusions, transfusion management, and when transfusions are just a necessity. Discussions about liberal vs. restrictive transfusion thresholds and outcomes. Hosted by Joe Basha, CCP, and Thomas Disalvio.

Understanding the Physics of Intra-Aortic Balloon Pumps. Learn the 8 phases of the cardiac cycle and how to accurately time the IABP. IABP, Impella, and ECMO; when are they appropriate to use? "Mastering Intra-Aortic Balloon Pumps: Decoding the Physics and Timing for Optimal Cardiac Support" Welcome to our channel, where we delve into the fascinating world of cardiovascular physiology! In this comprehensive video, we invite you to embark on an enlightening journey to understand the physics of Intra-Aortic Balloon Pumps (IABP) and explore the critical role they play in supporting the cardiac cycle. 🫀 Understanding the 8 Phases of the Cardiac Cycle 🫀 We begin by demystifying the cardiac cycle, the rhythmic dance that orchestrates every heartbeat. Through clear and concise explanations, we explore the intricacies of each of the eight phases, from atrial contraction and isovolumetric contraction to ventricular ejection and isovolumetric relaxation. This knowledge serves as a solid foundation to comprehend the mechanisms behind the IABP's operation. 💡 Decoding the Physics of Intra-Aortic Balloon Pumps 💡 Next, we dive into the core of this video, as we decipher the physics behind Intra-Aortic Balloon Pumps. Gain insights into the principles that govern the IABP's actions, how it augments cardiac function, and its impact on aortic pressure and coronary perfusion. Through engaging animations and real-life examples, we illustrate these concepts to ensure you grasp the underlying physics. 🎯 Accurate Timing: The Key to Effective IABP Assistance 🎯 Timing is everything when it comes to IABP therapy. In this segment, we share invaluable tips and techniques on how to accurately time the IABP to the cardiac cycle. Discover the synchronization methods and the art of selecting the optimal inflation and deflation points, maximizing the device's assistance to the heart and enhancing patient outcomes. 📈 Mastering IABP: Clinical Applications and Future Trends 📈 Beyond the basics, we explore the clinical applications of IABPs, including its use in cardiogenic shock, unstable angina, and high-risk cardiac surgeries. Moreover, we provide an overview of the latest advancements in IABP technology, shedding light on potential future trends and innovations in this life-saving field.

Emily Foreman, CCP reviews her peer-reviewed publication on RAPP as a transfusion management procedure. In this YouTube video, Emily Foreman, CCP presents the findings of a paper published towards the end of 2021. The paper is titled "To Wrap or Not to Wrap." The purpose of the study was a quality improvement project to determine if wrapping during cardiac surgeries was beneficial for their patients. The speaker explains that their institution has a low prime bypass circuit and a strict anesthesia preoperative protocol. They analyzed about 40 different data points on each patient and examined reported benefits and possible negative consequences of wrapping during cardiac surgeries. They conducted a retrospective study by comparing two groups of patients: those who were wrapped during surgery and those who were not. They looked at various factors, including red blood cell transfusion index, oxygen delivery, postoperative acute kidney injury, albumin administration, ventilator times, ICU length of stay, and 30-day mortality. The speaker presents their original theories, such as the belief that wrapping may negatively impact acute kidney injury incidence and reduce oxygen delivery. However, their analysis revealed that wrapping did not have a statistically significant impact on most of the studied parameters. The only notable finding was a higher post-operative albumin administration in the wrapped group. The conclusion drawn from the study was that wrapping during cardiac surgeries was not beneficial in their patient population, considering their specific preoperative fluid administration protocols and prime circuit. They also mention the need for further research, particularly in cases involving condensed circuits. Overall, the study did not support the idea that wrapping was advantageous for their patients, and the speaker highlights the limitations and challenges they faced during the analysis.

RAPP is a technique utilized to minimize hemodilution-associated anemia on cardiopulmonary bypass. Risks associated with RAPP include hypotension, acute hypovolemic shock, and hypo-perfusion. The program will explore the data supporting RAPP and explore the limitations of the data.

Pulsatile perfusion: What are the benefits, and do they outweigh the risks? The program will examine the use of pulsatile perfusion. Physiologic pulse pressure and circuit limitations will be discussed.

SARS-CoV-2 Versus Influenza-associated Acute Respiratory Distress Syndrome Requiring Veno-venous Extracorporeal Membrane Oxygenation Support.

CRRT, CVVH is a useful tool for managing patients with fluid, electrolyte, metabolite and acid-base imbalance. Patients on ECMO requiring CVVH may benefit by integrating the CRRT into the ECMO circuit versus having a line placed in a central vein. We will discuss the advantages and potential risks associated with integrating the CRRT machine into the ECMO circuit.