Immediate Post LVAD Implant Support; Two Approaches -
Phil Syracuse, MS, CCP
Mr. Syracuse presents a novel approach utilizing an intra-operative and temporary right heart assist system in order to stabilize the newly LVAD implanted patient.

Options for Postcardiotomy Support: Heparin-Coated ECMO vs. VADs - A Decision Analysis Modeling Approach - Jason R. Nance
Mr. Nance presents a unique decision making, mathematically-based model. This model is proposed to be used in deciding what treatment modalities will best serve the patient and the economy of the treatment.

Utilization of the HeartMate XVE Left Ventricular Assist System as Destination Therapy in a Patient with Ischemic Cardiomyopathy: A Case Report - Dennis M. Long
Mr. Long recounts his experience with the use of the HeartMate XVE device utilized successfully as a destination therapy in a patient. Background information on cardiomyopathy, specific clinical data, surgical procedure, and clinical course and outcome is discussed.

Filmed March 2005
43:32

Condensed/Miniaturized Circuits: Features, Benefits, and Risks - Richard Davila, CCP, LP, CRNFA

Mini-bypass with the COBE Synergy - Al Lione, CCP
The two clinicians presenting these lectures give clear explanations of the benefits of using mini-circuits from a theortetical view point. Additionally, Mr. Davila presents his clinical experience with the Terumo Mini-X Reduced Prime System and Mr. Lione discusses his clinical experience with the COBE Synergy circuit.

Filmed September 2005
62:37

Emerging Technology Topics – E (CD)

Clinical Experience with the Medtronic Resting Heart System - Brian McCloskey, BSc, CCP
Mr. McCloskey presents a very articulate lecture on his experience with Medtronic’s Resting Heart System. Complete with video of the functioning venous air removal device, he describes their group’s strategies for improving arrested heart surgery outcomes. Included are clinical pictures of the set-up to help the listener visualize the system.

Discussion Period: Al Stammers MSA, CCP, Richard Davila, CCP, Al Lione, CCP and Brian McCloskey, CCP
With Al Stammers acting as moderater, three perfusionists with experience in the clinical use of various miniaturized circuits field questions from the audience as well as discuss related issues between themselves.

Filmed September 2005
47:07

Achieving Hemostasis in Non-Hemophiliac Patients with rVIIa - Bruce Sachais, MD, PhD
Dr. Sachais, an assistant professor and Pathology and Laboratory physician in the Division of Transfusion Medicine continues his thorough discussion of the clinical, off-label use of rVIIa. He supports the discussion by presenting his own experience with the drug at his institution, The University of Pennsylvania.

The Use of rFVIIa During Cardiac Surgery: Successful Use in 12 Patients - Alfred H. Stammers, MS, CCP
A well- known speaker and researcher, Mr. Stammers discusses the use of rVIIa in his institution, Geisinger Medical Center. Stammers presents specific clinical data with regard to the management of relentlessly bleeding patients. The use of the TEG is presented as part of the assessment in determining the use of rfVIIA.

Question and Answer Period
Dr. Sachais, Al Stammers and moderator Cody Trowbridge handle a variety of comments and questions from the audience. A lively discussion ensues.

Filmed August 2004
85:49

Hemostasis Topics – D (CD)

Heparinase Induces an in Vitro State of Hyperfibrinolysis in the Thromboelastograph - Alfred H. Stammers MSA, CCP
Mr. Stammers presents an a very brief overview of Hemostasis and inflammation with particular attention to the role of plasmin. With the intent of dissecting compounding coagulopathies, Mr. Stammers presents the clinical data depicting a high false positive rate for the TEG to reflect hyperfibrinolytic activity.

Sensitivity of a Modified ACT Test to High Levels of Bivalirudin During cardiac Surgery - Marcia Zucker, PhD
Dr. Zucker discusses the use of new anticoagulants such as Bivalirudin and anticoagulation monitoring considerations. The ACTT test is presented as a simple and sensitive test that may be appropriate for clinical use.

Filmed March 2005
41:37

Hemostasis Topics – E (CD)

Hemochron RxDx vs Current Empirical Protocol - Tracey Dennis
Ms. Dennis discusses heparin and protamine dosing using the Hemochron RxDx system compared with the institution’s current protocol. The study presented was a prospective, randomized controlled study.

Filmed March 2005

A Novel Transfusion Algorithm for Microvascular Bleeding in Cardiac Surgery - Cody Trowbridge, MSP, CCP
Mr. Trowbridge, an articulate and compelling speaker, shares an extensive algorithm that had been developed and implemented at Geisinger Medical Center. The data presented demonstrates the positive impact that proper implementation of the algorithm has on clinical transfusion rates.

Filmed March 2005

The Use of the Hemobag to Improve Clinical Outcomes in Any Blood Management Program - Keith Samolyk CCP, LCP
Both a perfusionist and an inventor, Mr. Samolyk describes the use of the newly developed blood conservation device, the Hemobag. He presents clinical data to demonstrate the benefits to patients in terms of return of autologous blood in a simple and safe manner and decreased reliance on autologous blood.

Filmed August 2004
59:37

Hemostasis Topics – F (CD)

Anticoagulation, HIT/TS and Cardiac Surgery - James J. Veale, BS, CCP
An experienced perfusionist with the use of bivalirudin, Jay Veale discusses the use of this heparin alternative. Beginning with an explanation of heparin-induced thrombocytopenia, Mr. Veale presents data on the leading studies concerning the use of bivalirudin in cardiac surgery. Specific protocols for dosing and monitoring levels of effectiveness are also presented.

Filmed October 2005
31:45

Hemostasis Topics – G (CD)

Refining Heparin Management Techniques to Improve Patient Outcomes-Mark T. Lucas, BS, CPS, CCP
Mr. Lucas presents a comprehensive look at the evolution of the blood management strategy at his hospital. Mr. Lucas looks at the interaction of aprotinin use, AT III levels, body weight and body mass index and the impact on anticoagulation status. He suggests a number of strategies to optimize patient outcomes.

Filmed September 2005
46:58

Hemostasis Topics - H (CD)

a. Activated Clotting Time Monitoring of Direct Thrombin Inhibitors in the CVOR - Marcia L. Zucker, PhD
Dr. Zucker’s easy-to-understand style yields an informative lecture that deals with current choices in ACT monitoring. She specifically addresses the use of these tests in the monitoring of anticoagulation status when the direct thrombin inhibiting drugs are used. She also discusses a novel test that is being trialed and that might prove to be an effective ACT monitoring test for the non-heparin drugs.

b. Incorporation of the Thromboelastograph into Clinical Practice - Jerry Fedorek
Mr. Fedorek reviews the current use of the TEG in clinical practice and discusses the specific strategies to introduce the technology to a hospital. The Baptist Hospital in Pensacola, Florida serves as his example.

c. Discussion session - Jerry Fedorek/Marcia Zucker/Mark Lucas

Filmed September 30, 2005
55:23

Legal Issues Topics - A (DVD)

The Legalities of Drug Administration - John Bennett BS, CCP
You will be amazed at the information presented in this talk. Mr. Bennett leads a thorough discussion of the legality of perfusionists giving drugs as well as the medico-legal issues involved. How do you document verbal orders? What abbreviations are now not accepted by JCAHO? This lecture is riddled with questions from the audience that are thought-provoking and stimulating. No perfusionist should do another case without reviewing this material.

Filmed July 2004
47:15

Legal Issues Topics - C (CD)

In Your Defense: How To Protect Yourself Prior To Litigation - James Ramsey, LCP, JD
Mr. Ramsey brings to the table a wealth of knowledge and personal experience. As a perfusionist, a hospital attorney as well as a plaintiff attorney, Mr. Ramsey can speak effectively about managing your perfusion practice in light of many legal issues. Watch this one with your perfusion group and jump start great discussion about safe-guarding your own practice.

Filmed April 2004
91:45 min

Legal Issues Topics - D (CD)

Regulations: What Is Required? Where Are We Going? - Jim Bowman CCP
Ever wonder what the real story is concerning federal and state regulations when it comes to perfusion practice? This is an extremely well-organized and well-developed lecture that will answer your questions. Whether you are interested in standards, indicators, deeming authority organizations or strategies for monitoring your performance, Mr. Bowman will cover the topic. This is a compelling talk encouraging the pursuit of excellence and compliance with regulation and absolutely essential for all perfusion managers.

Filmed April 2004
58:39 min

Legal Issues Topics - E (CD)

Legislators, Lawyers & Lobbyists: L³ and You - Dr. Scott L. Hopes
Every perfusionist should view this presentation, a well-delivered and informative talk concerning licensure, certification, and registration. Dr. Hope brings to the podium years of experience in health care administration and healthcare legislation. The CD also contains updates from the AmSECT GRC Chairman, Gary Beckman as well as the GRC Director, Bob Reinshuttle. The informative question and answer period is also included.

Filmed May 2004
94:20

Medical Errors from a Patient’s Perspective - Barbara Glidewell, MBS, CEC
As a patient advocate and ombudsman, Ms. Glidewell is able to speak effectively to the concerns of patients with regard to the care they receive. She presents a step-by-step process that her own hospital uses when an error does occurs or an unexpected outcome presents itself.

Legal Issues for Perfusionists in Congenital Heart Surgery - Scott Lawson, CCP

Drawing on years of experience as a pediatric perfusionist, Mr. Lawson presents a stimulating discussion on the liabilities that perfusionists encounter on a daily basis. He offers practical means and ways of protecting yourself and decreasing your legal exposure. Topics such as specific state regulations and essentials and guidelines are also discussed. All perfusionists, adult or pediatric, should review this presentation.

The Hospital Lawyer’s Perspective - Cyndy Wickstrom, JD

Ms Wickstrom, a hospital-based lawyer, does a tremendous job in educating perfusionists about liability issues. Although her talk is short and not supported by slides, the time is well spent. Ms. Wickstrom also adds significant input into the question and answer period.

Question and Answer Period

Moderated by Dr. Ross Ungerleider, this discussion is lively and contains input from Mr. Lawson, Ms. Wickstrom and Ms. Glidewell.

Filmed July 2005
81:23

Pediatric Perfusion Topics – B (CD)

Database Review Evaluating Clinical Outcomes or Pediatric Cardiac Surgery with and without the Use of Aprotinin - Kerry A. Witherspoon MPS, CCP
Ms. Witherspoon discusses this retrospective, comparative study of patients who were either given Aprotinin or did not receive Aprotinin. A variety of procedural parameters and patient outcomes are discussed.

Recombinant FVIIA Dose Titration using Thromboelastography in Hemophiliac Patient with factor VIII Antibodies Cody - Trowbridge MPS, CCP
Mr. Trowbridge presents an interesting case study of treating a non-surgical hemophiliac patient with rFVIIa. A detailed explanation of the mechanism of action as well as the TEG analyses that were made to guide treatment is given.

Transfusion-free CPB in Neonatal JW Patients - Frank Merkle
Hailing from Germany, Mr Merkle brings a wealth of experience to the podium. In a center that does over 400 pediatric cases annually, Mr. Merkle describes and provides pictures of their set-up and clinical techniques.

A New 8 ml Low Prime Hemoconcentator for Pediatric Perfusion Consideration - Jorge Molina, PA-C, CCP
Mr. Molina shares his input and perspective on the development of a new, low prime hemoconcentrator. He offers the results of his clinical use of the hemoconcentrator and speaks to the effect that perfusionists can have on driving industry when one voice is heard.

Discussion period – The four speakers entertain questions from the floor.

Filmed March 2005
57:14

Pediatric Pefusion Topics – C (CD)

An Update on Pediatric Perfusion Practice in North America: 2004 Survey Results - Shane Froebe, CCP
Mr. Froebe presents the results of a survey which includes responses from 46 centers and represents 5280 cases. He aptly discusses, case volume, age, systems used, ECMO, use of safety devices, among others, and compares results to surveys from previous years.

Use of the Berlin Heart LVAD in a 7 Kg Patient - Justin Sleasman
Mr. Sleasman presents a fascinating look at an innovative LVAD device. Not yet approved for use in the USA but given special approval under compassionate use, Sleasman gives the listener insight into this intriguing case study.

Database Review: Clinical Outcomes of Non-Coated and Multi-Coated Cardiopulmonary Bypass Circuits in Infants - Carrie L. Whittaker, MPS, CP
Ms. Whittaker presents a retrospective analysis of results taken from their clinical database. She attempts to answer the question as to whether using a combination of coated circuit components improves clinical outcomes in infants.

Evaluation of Biocompatible Cardiopulmonary Bypass Circuit Use During Pediatric Open Heart Surgery - Joseph Deptula CCP
Mr. Deptula offers a very concise yet descriptive review on the proposed mechanisms of the attenuation of inflammation with the use of biocompatible circuits. More importantly, data is presented reflecting OR vent settings, operative transfusion rates, hemostatic values, post-op transfusion, lactate levels and other data. A compelling study of clinical significance.

Question and Answer Period
An interactive discussion between Deptula, Sleasman, Whittaker, and Froebe and the audience.

Filmed March 2005
65:27

Pediatric Perfusion Topics – D (CD)

Evaluation of a Miniature ECMO Circuit Consisting of the Latest Generation of Extracorporeal Components - Bryan Terry
Mr. Terry gives an overview on his research utilizing three sheep and an ECMO circuit consisting of the Sorin SIII, servoregulation, the Terumo Baby Rx, the COBE Revolution pump CDI monitoring and biocompatible surfaces.

2004 Survey of ECMO in the Neonate Following Open-Heart Surgery: Circuitry and Team Roles - Gordon Gunst
Mr. Gunst concisely describes the results of a practice survey given to 140 ECMO centers and completed by 70 centers. The survey includes demographic, circuitry and staffing questions. A great comparative tool to use as a benchmark with your own program.

Emergent Use of ECMO to Support a Pediatric Patient with Traumatic Avulsion of the Right Main Stem Bronchus - Alfred H. Stammers, MSA, CCP
Mr. Stammers presents the clinical path of a young child who was crushed under a massive log. A complete history, clinical presentation and findings, course of ECMO and clinical result will keep the listeners attention throughout the case study.

Hyperkalemic cardiac Arrest Requiring Immediate Rescue with Extracorporeal Life Support - Juan Tucker CCP
Mr. Tucker presents the unfortunate result of an accidental administration of potassium chloride to a post open-heart surgery child. Standard resuscitation efforts proved ineffective, requiring the emergent deployment of ECMO. This report describes the efforts and techniques used by the ECMO team.

Filmed March 2005
63:08

Pediatric Perfusion Topics – E (CD)

Inflammation and Neuroprotection - James Tweddell, MD
Dr. Tweddell presents a very understandable but thorough discussion of neurological injury as it relates to CPB and inflammation. The data he presents has been extracted from the neonate and infant group of patients. Additionally, he discusses research findings of other groups and presents his specific clinical strategies for reducing the risk of injury associated with inflammation and the use of CPB.

Panel Discussion on Neuroprotection Strategies - T. Karl. MD, J. Tweddell, MD, E. Hickey, MD, R. Ungerleider, MD, C. Brabant, CCP
This panel of experts answers hard questions from the audience and enters into discussions between themselves on topics related to the neuroprotection of neonates and infants that are placed on CPB.

Filmed March 2005
46:32

Pediatric Perfusion Topics – F (CD)

Afterload Reduction in the Management of the Patient Undergoing the Norwood Procedure - James S. Tweddell, MD
Dr. Tweddell addresses the surgical goals of the Norwood procedure and discusses the problematic inadequate systemic oxygen delivery due to excessive pulmonary blood flow. He suggests various strategies for controlling Q p/Q s, one of which includes altering the PVR. Specific clinical data is shown to demonstrate and validate his conclusions.

Post-operative VAD Support Following the Norwood Procedure and Neurologic Outcomes - Carmen Giacomuzzi, CCP
Ms. Giacomuzzi offers a brief overview of congenital heart disease and the incidence of CNS injury. She furthers that discussion by presenting their institution’s protocol for placing infants on post-operative VAD support following the Norwood Procedure. Although still ongoing, the results of various cognitive, early learning, and behavioral scores obtained from this narrow patient population are also presented.

Minimizing the Deleterious Effects of CPB on the Cyanotic Infants - Irving Shen, MD
Dr. Shen looks at hospital mortality and proposes a list of patient characteristics that would predispose them to be at high risk. Presenting the research of others as well as his own, he focuses in on the particular challenges of cyanotic infants. He concludes with specific clinical suggestions of how to minimize reoxygenation injury in this set of patients.

Filmed July 2005
56:32

Pediatric Perfusion Topics – G (CD)

Cerebral Oximetry - Chris Brabant, CCP
Mr. Brabant discusses the need for neurologic monitoring in pediatric cardiac surgery due to the incidence of neurologic injury. After a discussion of available equipment and the theory of operation, Mr. Brabant demonstrates how they use the Somanetics INVOS instrument to monitor and respond to changes in cerebral saturations.

Factors Influencing Neurologic Outcome - Miniaturization and Post- CPB Hypoxemia - Edward Hickey, MD
As a research Fellow, Dr. Hickey shares his work on the influences of miniaturization of extracorporeal circuits on the incidence of neurologic injury. He includes information on the modified prime and components used. The issue of cerebral No-reflow and reperfusion issue is primary to the discussion as is hypoxemia during the reperfusion period.

Neurologic Injury in Pediatric Cardiac Surgery: When and How Does it Occur? - Tom Karl, MD
Building on his research and clinical practices in Australia and San Francisco, Dr. Karl uses data from patients with transposition of the great vessels with intact ventricular septum. Cerebral injury is evaluated in light of MRI studies, surgical procedure (septostomy), low flow CPB and circulatory arrest. CPB management is discussed and data is presented as to the IQ and cognitive development of these patients.

Filmed July 2005
56:00

Pharmacology Topics - C (CD)

Monitoring Implications for Alternative Anti-coagulation in Cardiac Surgery - Frank LaDuca, PhD

Dr. LaDuca addresses many of the questions that we all have concerning the use and monitoring of non-heparin agents for anticoagulation. He offers a thorough discussion of the various agents and then addresses issues in monitoring. Several approaches to monitoring are covered in addition to a new ACTT test that is in the development phase.

Filmed July 2004
48:27

Pharmacology Topics - D (CD)

Overview of Pharmacology for CPB: Principles and Basics - Julie Wegner CCP, PhD

Dr. Wegner presents the first of four pharmacology lectures. This first in the series deals with a basic overview of pharmacokinetics and pharmacodynamics, relating those principles to the impact that CPB has on them. Dr. Wegner also discusses the various CPB patient populations and how characteristics of each will alter pharmacologic impact. The question/answer period is also included.

From the perfusion student to the senior perfusionist, this CD will be very helpful in reviewing pharmacologic science. Since each of the subsequent lectures will rely on the groundwork established in this first lecture, it would be prudent to start your add this CD to your library in preparation for coming lectures.

Filmed August 2004
68:17

Pharmacology Topics - E (CD)

Cardiac Pharmacology: Part 2 of 4 – Review of Common Cardiac Drugs - Julie Wegner CCP, PhD
Dr. Wegner presents a comprehensive review of the drugs that are commonly used in the cardiac surgical suite. Whether you are a student, new graduate preparing to take your Boards or an experienced perfusionist, this CD will be sure to reinforce what you have learned in the past and may cause you to reconsider how, when and why these drugs are used.

Optimizing Management of Hirudin Anticoagulation - Megan Measday, MA
Ms. Measday presents a concise discussion on the use of Hirudin within cardiac surgery and a novel approach to monitoring anticoagulation status.

Filmed August 2004 and April 2004
50:30

Pharmacology Topics - F (CD)

Cardiac Pharmacology - Part 3 of 4: Coagulation Pharmacology for Cardiopulmonary Bypass - Julie Wegner CCP, PhD
Dr. Wegner continues her comprehensive lectures with a discussion of pharmacology as it relates to coagulation. Extensive time is devoted to heparin as it relates to dose, rebound, and HIT as well as the role of protamine. Following the discussion of traditional anticoagulation, equal attention is given to alternative anticoagulant agents such as direct and indirect thrombin inhibitors and anti-platelet agents. The lecture is ended by discussing procoagulant agents as well as antifibrinolytics.

This current and up-to-date lecture is a must see and will be of great value to the student, new perfusionist or seasoned clinician.

Filmed July 2004
61:18

Pharmacology Topics - G (CD)

Clinical Applications of Hextend - Reid Rubsamen, MD
Dr. Rubsamen, a practicing anesthesiologist, discusses the use of Hextend as a replacement fluid in the operating room. He presents a comparison to the more common Hespan product and also presents some of the clinical research on the product. Dr. Rubasmen profiles several difficult orthopedic patient cases in which Hextend was used and also provides discussion on it’s specific use in cardiac surgery. His easy going style makes this an easy listen and is filled with valuable information.

Filmed July 2004
42:17

Pharmacology Topics – H (CD)

Pharmacology of CPB: Anti-inflammation, Anesthetic Agents and Fast Track Part 4/4 - Julie Wegner, CCP, PhD
Dr. Wegner completes her four part series on the Pharmacology of CPB with this lecture. In it, she makes a thorough presentation of anti-inflammatory strategies. She also reviews many of the anesthetic agents that are commonly being used and discusses the impact on fast-tracking patients through the peri-operative and post-operative periods.

Hemostatic Drugs: Monitoring with the TEG? - Julie Wegner CCP, PhD
Dr. Wegner gives yet another talk, this time dealing with the potential use of the thromboelastograph technology to monitor some of the newer hemostatic drugs. She begins with a quick discussion of the TEG and further addresses the acceptability of the TEG with drugs such as platelet inhibitors, aprotinin, direct thrombin inhibitors and anti-Xa drugs. Dr. Wegner also touches on coming technologies that may be used to monitor anti-coagulation status.

Filmed July 2004
54:15

Pharmacology Topics – I (CD)

“Blood Substitutes: Whose Idea Was it Anyway” - Rebekah Trittipoe CCP, LCP
Ms. Trittipoe takes a look at the historic uses of blood and blood transfusions, starting way back with the ancient Egyptians, Greeks and Romans. This fascinating walk through the development of transfusion medicine, replete with numerous stories and little-known facts, leads into a thorough discussion of current developments in perfluorocarbon-based and hemoglobin-based oxygen carriers.

Filmed August 2004
46:0

Use of Platelet Concentrate in Pediatric Cardiac Surgical Patients - Alfred H. Stammers, MS, CCP
Although the literature is nearly silent on the use of platelet concentrate in the pediatric population, Mr. Stammers does a great job of rehearsing the uses and advantages of platelet gel and shares his experience with 16 pediatric spinal surgery patients. He also discusses the possible advantages and challenges of using the technique in cardiac surgery.

Quantifying Platelet Gel Using Sonoclot and TEG - Lynsay Cassidy
In her quest to quantify the quality of the platelet gel product, Ms. Cassidy presents her research on the use of both he Sonoclot and TEG technology in analyzing the produced gel.

Filmed April 2004
49:05

The Effect of Autologous Platelet Gel Application on Wound Healing During Cardiovascular Surgery - Susan Englert, RN BSN CNOR CCP
Ms. Englert shares the data collected in this prospective, randomized, controlled study. She discusses the use of autolgous gel and the effect on wound healing.
(Filmed April 2004)

The Thrombin Processing Device – Evaluation of Thrombin Produced From the Patient’s Own Plasma - Dr. Elisabeth Semple
Dr. Semple discusses an autologous alternative to the use of bovine thrombin as the activator of platelets in the preparation of platelet gel concentrate. (Filmed April 2004)

The Biological Basis of Autologous Growth Factors: A Protein Story - May Jacobson, PhD
Dr. Jacobson presents the physiology behind the healing effects evidenced following platelet gel application. She also presents clinical examples of healing and the role of specific growth factors in the healing process. (Filmed August 2004)

Filmed April and August 2004
56:32

Clinical Application of Autogenous Growth Factors: Myth, Misconception and Proof of Efficacy

Mr. Hood presents a very clear and comprehensive discussion of the use and application of autogenous growth factors in a variety of surgical applications. Great care is taken to discuss the “urban legends” centering around platelet gel; what is fact and what is fiction. However, Hood also recites the firm science and research behind a multitude of clinical studies in the field.

Filmed August 2004
50:43 min

Antibody Generation Resulting From Re-exposure to Bovine Thrombin During Surgery: Report of Two Complex Cases - Alfred H. Stammers CCP, MS

Mr. Stammers will make you reconsider the use of bovine thrombin in your platelet gel practice. Mr. Stammers presents two cases where a second exposure to bovine thrombin precipitated very serious complication, including death.

The Use of Platelet Gel in Cardiac and Thoracic Surgery: Report on 400 Cases - Jerry Kirchoff CCP, LP

Mr. Kirchoff uses his vast experience in performing platelet gel procedures to guide his lecture. His approach is very practical and applicable to clinical practice. He also presents the data collected at his institution in reference to the 400 cases discussed.

Filmed August 2004
48:27 min

Preparation of Autologous Gel: A Comparison - May Jacobson, PhD

Dr. Jacobson offers the results of her research comparing the use of the SmartPReP 1, 3iPCCS, Sequire, CATS, Sequestra, and Interpore Cross platelet preparation systems. She addresses platelet concentrate quality, platelet viability and growth factor production.

Establishment of a Quality Control Program for Platelet Gel Preparation: A Comparison of Four Commercial Devices - Alfred Stammers, CCP, MS

Mr. Stammers presents his data comparing the Gen I, CATS, Magellan, and GEN II platelet processing systems. He looks specifically at platelet counts, fibrinogen levels, white blood cell count, platelet yield, and TEG analysis.

Filmed August 2004
40:19 min

Platelet Gel Topics – G (CD)

The Use of Autologous Platelet Concentrate in Podiatric Medicine - Stephen L. Barrett, DPM, FACFS, CWS
Dr. Barrett, a podiatric surgeon who has fast experience with the use of platelet concentrate, presents a fascinating 50 minute lecture. In the lecture, Dr. Barrett gives specific uses for platelet gel, the physiologic rationale for doing so, and the specifics of the techniques. He presents case studies of diabetic ulcer healing and the use of this treatment in musculoskeletal uses such as Achilles tendenosis, post-traumatic degenerative arthritis, plantar fasciosis and the acceleration of bone healing.

Filmed March 2005
50:03

Platelet Gel Topics – H (CD)

Developing and Expanding a Platelet Gel (Sealant) Service - Al Stammers, MSA, CCP
A proficient speaker, Mr. Stammers again takes the podium to present a very thorough discussion of platelet gel. He interposes data from his own institution with the basics of platelet gel science, wound healing, a discussion of available vendors and concluding remarks about benefits of a platelet gel (sealant) program as well as reimbursement issues. A brisk question/answer period is also included.

Filmed March 2005
63:21

Platelet Gel Topics – I (CD)

Autologous Platelet Gel in the Cardiovascular Arena Michael J. Gough, LP, CCP
Michael Gough presents a very thorough discussion concerning the clinical use of platelet gel. He describes the mechanics of wound healing, both surgical and chronic wounds. As a part of that discussion, explanation of specific growth factors are as they relate to the healing process is given Mr. Gough presents the protocols for platelet gel use in cardiac surgery that are used in his practice. Video from the OR is included of platelet gel use in EVH harvesting as well as sternal closing.

Filmed March 2005
42:51

Platelet Gel Topics – J (CD)

Stability of Autologous Human Thrombin Produced Using the Thrombin Processing Devices – TPD TM - Vijay Kumar, PhD
Dr. Kumar, a scientist for Thermogenics discusses the advantages of using autologous thrombin as opposed to bovine or pooled human thrombin. The technique developed for producing autologous thrombin with very small quantities of plasma is presented. The effect of temperature on the clotting activities and stability of the product is also discussed in detail.

Retrospective Analysis of Platelet Gel in Cardiac Cases: Its Effect on Length of Stay and Blood Product Usage - Mark D. Gilpin, MS, CCP
Mr. Gilpin discusses the results of a study on the use of platelet gel in cardiac surgery at the Indiana Heart Hospital. He discusses the results in terms of the clinical effect that the application of platelet gel had on patient length of stay and the use of blood products. The data is presented in a very organized, easy to understand fashion and includes the question/answer period at the conclusion of the talk.

Filmed March 2005
42:24

Platelet Gel Topics – K (CD)

Robert Marx, DDS

"Perhaps one of the most comprehensive lectures on the topic, Dr. Marx, a professor of Surgery and Director of Reseach at the University of Miami Miller School of Medicine begins the talk with a brief review of the history of platelet rich plasma (PRP). He continues with the platelet's role in healing and its role in medicine. With numerous clinical slides and photos, the following specific areas of use are addressed: Enhancement of autolgous bone grafts, sinus lifts using autologous bone, sinus augmentations in woman over 60 years of age, sinus lifts using bone substitutes, healing of skin grafts, dermal fat grafts, facial cosmetic surgery, severely resorbed mandibles, and naso-alveolar cleft grafts. He finishes up his lecture with a presentation of data comparing various PRP producing devices. This CD will become an invaluable tool to the clinician involved in the field."

Filmed October 2005
50:47

Platelet Gel Topics - L (CD)

a. Use of PRP Therapy in Sports Medicine Michael A. Scarpone, DO
Dr. Scarpone, the director of Sports Medicine at Riverside Medical of Ohio and a team orthopod for the Pittsburg Pirates, speaks to the use of PRP injections in his practice. He specifically discusses a variety of uses in the treatment of tendon and other soft tissue injury.

b. Discussion session Michael Scarpone, DO, Robert Marx, DDS, Rick Smith CCP
Drs Scarpone and Marx, moderated by Rick Smith, field a variety of questions offered by the audience.

Filmed Oct 2005
71:54

Platelet Gel Topics – M

a. Introduction of Gel into Private Practice Perfusion – Tom Johnston, RN, CP
Mr. Johnston, a perfusionist who established a non-cardiac platelet gel business, presents a very common-sense approach to introducing the platelet gel into your own medical community. You will want to listen carefully as you consider doing the same.

b. Discussion period – Tom Johnston RN, CP, Alfred Stammers, MSA, CCP, Cody Trowbridge, MPS, CCP
The three speakers participate in a short discussion period, answering questions from the audience about platelet gel practices.

Filmed October 2005
43:36

Mr. Treanor presents a fascinating look at protecting the heart by monitoring myocardial pH. Presenting not only good science but a myriad of compelling case reports, Treanor captures the audience with his relaxed and free-wheeling style of speaking. This title is guaranteed to stimulate you to re-think your clinical techniques and explore this approach to myocardial preservation.

Filmed July 2004
53:36

Filmed July 2004

Improved Outcomes During Cardiac Surgery: A Multi-factorial Enhancement of CPB Techniques - Cody Trowbridge CCP

Once again, Mr. Trowbridge presents an excellent talk that addresses improving patient outcomes. Trowbridge presents research that describes a number of changes in clinical practice that effect outcomes. The case is made that a myriad of changes may be necessary to positively alter the patient’s course.

Filmed April 2004
51:18

Techniques/Clinical Topics – E (CD)

Is Leukocyte Depletion a Reality for Improving Outcomes in Cardiac Surgery? - AH O-Yurvati, DO, FACOS,FICS, FAHA
Dr. O-Yurvati presents a substantive lecture on the use of leukodepleting filters in cardiac surgery. After giving a brief recap of pertinent studies in the literature, Dr.O-Yurvati describes his own clinical research and the far-reaching implications of the results. With 100 slides incorporated into this presentation, the listener will acquire a tremendous amount of information in a relatively short period of time.

Techniques for Optimizing Fluid Management During Pediatric Surgery - Joseph Deptula, MS, CCP
An experienced pediatric perfusionist, Mr. Deptula presents the results of a number of his own clinical studies. The multi-faceted approach for optimizing fluid management looks at the use of prime reduction, whole blood, aprotinin, cerebral oximetry, and various surface coatings.

Filmed September 2005
61:57

Techniques/Clinical Topics –  F (DVD and CD)

VAD Patient Selection - Dr. Benjamin Sun
Presented by an outstanding leader in the filed of cardiac surgery and VAD research, Dr. Sun gives a comprehensive review of the present, past and future assist devices.

Filmed May 2003
54:27 min

Quality Topics – D (CD)

Evidence-Based Guidelines for the Practice of Cardiovascular Perfusion: Improving the Practice of Cardiopulmonary Bypass in Adults - Kenneth G. Shann, CCP
Mr. Shann presents a fascinating discussion of his efforts in formulating guidelines for the conduct of cardiopulmonary bypass. He develops his ideas through examples of the lack of consistency of practice in the literature. Mr. Shann presents a grid of evidence-based criteria for the conduct of bypass along with suggesting specific clinical practices. Thought-provoking through and through.

Optimization of Quality: Two Roads Diverge in a Yellow Wood - Rebekah Trittipoe CCP, LCP
Speaking about her favorite topic, Ms. Trittipoe introduces ideas pertaining to quality, excellence and the development of new technologies and techniques. Multiple examples from industry and from the clinic are used to demonstrate the key points. This is a “sit back and listen” type of talk. You will find yourself evaluating the “whys” and “whats” of your practice.

Filmed August 2004
67:05

Quality Topics – E (CD)

Quantification: What to Measure and How To Measure It - Filip De Somer, CCP, PhD
Dr. De Somer, hailing from Belgium, brings his vast knowledge and experience to the session. He presents a wide array of physiologic markers that have traditionally been used to evaluate perfusion efficacy and challenges the use of some of them. Dr. De Somer may give you reason to reconsider your clinical research and the parameters that are measured.

“The Role of Extracorporeal Interventions on Optimizing Perfusion” – Discussion period (De Somer, Trowbridge, Shann , Trittipoe, Audience)
This lively discussion between the audience and speakers gives the listener further clinical issues to ponder. The dialogue is free-flowing with many questions, answers and rebuttals flying back and forth. Be sure to watch the presentations of all the speakers so that viewing the discussion period will have even deeper meaning.

Filmed August 2004
65:35

A Single Center’s Results of a Best Practice Protocol for Perfusion - Alfred Stammers, MSA, CCP
Mr. Stammers addresses his own institution’s journey to establish an evidence-based foundation for clinical practice. Taking a multifactorial approach, Mr. Stammers presents the specific class I and II and A- type levels of evidence recommendations for autologous donation, pharmaceuticals, mechanical collection, and miscellaneous methodologies. Additionally, he presents patient directed treatment algorithms. The result of the work is the evolution of the Incremental Perfusion Improvement Plan (IPIP) that can be used to guide practitioners as adjusting their practices based on proven clinical evidence.

Discussion Session - Alfred Stammers, MSA, CCP/Donald Likosky, PhD
Mr Stammers and Dr. Litosky lead an informative discussion period with the audience members. Topics such as the importance of reporting bad results as well as good results and the importance of making evidence-based clinical decisions are discussed.

Filmed September 2005
54:39

Quality Topics - G (CD)

"Find Your Voice" - The Perfusionist's Role in Patient Safety Tammy Hoffman, MJ, CCP
Ms. Hoffman’s thoughtful and articulate presentation makes this lecture a must for every healthcare worker. She is able to efficiently convey insightful data concerning medical errors and establishes contributing reasons for those errors of commission and omission. The presentation is made very real as she emotionally conveys her experience with medical errors and mismanagement of her own newborn twins.

Filmed September 2005
41:03

Quality Topics – H (DVD and CD)

From Paper to Computers: How Did We Get Here? - Jeff Riley
Mr. Riley takes a look at the advancement of automated technology in the medical fields as well as coming regulations concerning electronic record keeping. Every chief perfusionist needs to view this lecture and plan their strategies.

Filmed June 2003
57:21 min

Historical Topics - A (DVD)

50 Years of Cardiopulmonary Bypass - Richard Jensen
Speaking from his personal perspective, Mr. Jensen takes an intriguing look into the early years of cardiopulmonary bypass. Every perfusionist should take the time to reflect on the work of early pioneers in the field.

Filmed March 2003
57:20 min

Historical Topics – B (CD)

A Tribute to Frank F. Allbritten Jr, MD - Kelly Hedlund, MS, CCP

The First Perfusion Record - Marl Kurusz, BS, CCP
Every perfusionist – students as well as practicing and even inactive perfusionists- should view both of these lectures. These gentlemen have a gift for effective and fascinating research, peeling back the decades to discover the truth about the very first cardiac surgical cases done with the heart-lung machine. These men used first person interviews and meticulous inspection of documents to create these presentations. This is an absolute must-see! It will give the viewer a new appreciation of the work of these medical pioneers.

Filmed September 2005
62:0 min

Business Practice Topics- A (CD)

“Management Engineering – Demonstrating Your Worth” - James Trzcinski BSIE, MBA
This CD is a definite must-have for every perfusion department manager or business owner. Mr. Trzcinski brings his vast experience in the world of hospital management and finance to the perfusion community. His extensive lecture covers topics such as the strategic management model, labor productivity management, labor budget management, and benchmarking strategies. He provides the listener with specific examples and spreadsheets/charts of data that demonstrate the point. At the conclusion of this lecture, you will be better equipped to provide your customer proof of your worth and contribution to the organization.

Filmed May 2004
1:41:40

Business Practice Topics- B (CD)

Basics of Employment Law - James J. Ramsey, LCP, JD
Having experience in both perfusion and the practice of law, Mr. Ramsey offers an overview of employment law.  He covers such topics as age discrimination, hostile work environments, retaliation, discharges, and protections.

The Future of the Perfusion Record – automated Data Collection vs. Manual Recording - Jane Ottens, BSc, CCP (Aust)
Every perfusion department manager or perfusion service provider considering a shift to automated record keeping should view this presentation.  Ms. Ottens presents her considerable experience with automated charting and shares data comparing the reliability of such record keeping compared to manual record keeping.  It is a thought-provoking topic and should be entertained due to the many legal, quality, and patient care issues that are involved.

Filmed March 2005
46:0

Business Practice Topics- C (PDF)

Perfusion Services Management Manual

Originally released in 2000, the Perfusion Services Management Manual provides a very practical guide on setting up and managing a perfusion department. With five major sections, this manual will provide information on responsibilities, job descriptions, regulatory standards and documentation requirements, business planning, reimbursements and additional resources including helpful forms.

This manual is a .pdf file. At your discretion, the Manual may be printed in its entirety by the purchaser but may not be reproduced. (Printed or electronic version.)

PDF Format (This is not a video CD.)