February PerfShareLive sessions are described below. The discussion sessions will last 30 minutes. You may choose to actively participate or remain anonymous and just listen to the discussion without commenting. There is no commitment of any kind. For those who cannot join the live session, they will be recorded for playback. The can be accessed at Perfusiontheory.com under the PerfShareLive drop down menu.
Session 1: “Goal Directed Therapy/Perfusion and Oxygen Pressure Field Theory: What's The Connection?”
Goal directed therapy and perfusion strives to meet the minimal oxygen delivery needed to prevent organ failure and promote healing. This can be done by calculating oxygen delivery as well as the CO2 production to O2 delivery ratio. If a patient is on pump this is done by controlling blood flow, hematocrit, SVO2 and some other variables such as temperature and pressure. Those are all good things to do, but they miss the point. The point is to achieve a safe level of tissue oxygenation and tissue CO2 to prevent patchy areas of anoxia and hypercapnea in tissues at the capillary level; i.e., OPFT. Both the tissue O2 and tissue CO2 must be controlled to prevent acute organ failure. The most important variable in this regard is perfused capillary density which is difficult to measure directly but can be measured indirectly.
February 15 Thursday at 1830 central standard time, Kansas City, Missouri, USA
February 16 Friday at 0730 central standard time, Kansas City, Missouri, USA
Session 2: “Cardioplegia home brew or pickles in your chili!?”
Putting pickles in chili is not something that is wise to do; like perfusionists mixing their own cardioplegia and other IV solutions and medications. Just what is compounding and are perfusionists and ECMO specialists qualified to do it? There is virtually nothing about this in the AmSECT Standards and Guidelines, demonstrating just how far out of the loop the perfusion profession really is. There are federal regulations concerning compounding that individual perfusionists or perfusion programs might be violating. We will be joined by Thomas N Muziani PA-C, CP, President/ CEO of Hemo-Stat Blood Management Consulting and Christopher Lomax, Pharm D., Sr. Marketing Manager, Pharmacy Advisor, Braun Medical Inc.
February 22 at 1830 central standard time, Kansas City, Missouri, USA. (This is the only live presentation for this session.)
INSTRUCTIONS TO ACCESS THE SESSIONS:
At the appropriate date and time, go to the Perfusiontheory.com web page, select PerfShareLive from the drop down menu, then select the red "Join Meeting" button and wait for it to load. It might take a few minutes.
If that doesn’t work, you can access the sessions at the appropriate date and time by entering the following address into your web browser :
< https://join.me/PerfShareLive >
You should be taken directly to the meeting room on my computer. There is no software to download onto your computer or tablet. I don’t know if it will work with smart phones on Wi-Fi. Try it and we’ll see what happens. You may only get the audio portion.
I think this web conference tool will work with most browsers, but some older browser versions may not support audio or video. If that happens, I am sorry. Try to update your browser for the next session.
I think the controls that appear on your screen are very intuitive. But if you would like an instructional video you can find it here:
< https://www.youtube.com/watch?v=zZNkRC0IRdA >
If you are not sure about the date and time of the sessions in your part of the world, access this site to help you:
You can also get to the meeting from my website, http://perfusiontheory.com/perfshare-live/, and pressing the join meeting button at the appropriate date and time.
I am located in Kansas City, Missouri, USA.
If you are a perfusion school director or instructor and would like to set-up special times just for your students I will be happy to do that.
If you have any questions I can be contacted at [login to unmask email]
-Gary Grist RN CCP Emeritus