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

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

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 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

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

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 - 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

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

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