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ICEBP Newsletter #10 - August 2012





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Dear friends and colleagues,

It has been a long time since we have given you un update on the achievements and on-going projects of the ICEBP. But that was only because everyone was too busy doing them. So here you go, updates on our on-going projects, the Registry, and an invitation to join us in San Diego for our Best Practices in Perfusion Conference from 10-13 October 2012.

Enjoy the read!

Best Practices in Perfusion October 10-13th, 2012

Sheraton San Diego Hotel and Marina San Diego, California
Online Registration is open NOW!! The 2012 Best Practices in Perfusion meeting is poised to be our most exciting meeting yet. This year, the conference organising committee of the ICEBP has put together a stellar faculty includingDr Richard Prager, Professor of Cardiac Surgery, Head Section of Adult Cardiac Surgery. Dr Prager leads the Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative Initiative and is Chair of the Society of Thoracic Surgeons National Adult Audit Task Force, and Chair of the Society of Thoracic Surgeons Task Force on Quality Initiatives and Chair of the STS Work Force on Associate Members. He is a Director of the University of Michigan's Cardiovascular Center.
He will be presenting his keynote address on Wednesday the 10th October at 1.10 pm “A Roadmap for Bridging the Quality Chasm in Cardiac Surgery”. He will also be participating in sessions on Thursday and Friday so take this chance to get to know Dr Prager.

Our sessions this year cover a broad range of topics:

  • Bridging the Gap
  • Simulation – A Key Ally in Bridging the Gap
  • The Role of Perfusion Registries Safety
  • Perfusion Taskforce Update: Perfusion Guidelines
  • Simulation and Workshops
  • Decision Making - Patient Care vs. Fiscal Responsibility
  • Pediatric Perfusion
  • Abstracts
  • Simulation Wrap-up
  • Bridging the Simulation-Clinical Practice Gap
  • Essentials and Guidelines for Perfusion

This year we have continued our commitment to exposing and involving the community with simulation, and we have two didactic, and two hands on sessions. Complimenting these sessions will be a number of workshops following on from last year’s successful formula. A new feature this year will be three pro-con debates focusing on technology and how we spend the perfusion dollar. On Saturday morning you can have your say in the development of the revised Essentials and Guidelines for AMSECT in an interactive session to debate suggested changes to this important document. Finally, everyone is welcome to attend the Steering Committee Meeting for the ICEBP which will be held Wednesday morning at 0900-1100 before the meeting gets underway. Visit the Amsect website for more information on the full program, registration and accomodation. So don’t miss out, see you in San Diego! Rob Baker for the Conference Organising Committee

The PERForm Registry (previously the ICEBP Registry)

Since our last newsletter, a lot has gone on with the development of a perfusion registry. As you may recall, at last year’s October meeting in San Antonio, we discussed the need to not centralize the registry activities that are on-going throughout the world, but rather coordinate and keep each other abreast of what each other is doing. With that in mind, we wanted to update you on the PERForm Registry (previously called the ICEBP registry). The PERForm Registry is now officially a separate entity from AmSECT, and embedded within the Michigan Society of Thoracic and Cardiovascular Surgeons (MSTCVS). We have 15 of the 33 sites within MSTCVS contributing data, and a number of other sites outside of Michigan that have requested to join. We recently submitted a paper reflecting on our initial experience, including efforts to validate the registry (a formal presentation on this experience will be presented in October at our Best Practices conference, as well as an update on other registries throughout the world). In short, we looked at a year’s worth of data from 2011, and linked the PERForm data to data submitted by each institution to the Society of Thoracic Surgeons (STS) Adult Cardiac Database. We also validated the value of 20 fields at 3 hospitals. We additionally were interested in understanding the set of factors that enable best practices for the collection of data. With that in mind, we queried database managers at all 14 medical centers. Nearly 100% of the cases submitted to PERForm matched to STS records, and vice versa. Sites using electronic data capture had more favorable performance, as did those who have a perfusionist as the STS database manager. We look forward to increasing the number and location of centers contributing to the PERForm registry. If you have interest in participating, please feel free to contact either Theron Paugh (tpaugh@gmail.com), or Donald Likosky (likosky@umich.edu).

Ongoing Work @ ICEBP

Goals of the ICEBP over this past year have been to continue developing our guidelines (in and outside of the STS/SCA), develop our pediatric survey into a manuscript and we been working on the task ask of us by AMSECT to review and update AmSECT’s Guidelines and Essentials document.

The mission of the Guideline Writing Subcommittee is to develop evidence-based clinical practice guidelines for cardiovascular perfusion. To this end, over the past year we have leveraged our strengths and partnerships in developing a series of guidelines that relate to cardiovascular perfusion. We continue to utilise an online tool developed by the Flinders Medical Centre group that is called “Guideliner”. “Guideliner” organizes and collects structured searches developed on PubMed to facilitate individuals and teams in reviewing and grading the peer-reviewed literature (see Figure below).

We are currently in the process of the following:

  • Collaboration with the Society of Thoracic Surgeons and Society of Cardiovascular Anesthesiologists in the development of perfusion guidelines.
  • Development of the perfusion guidelines by the ICEBP, especially related to the inflammatory response.

Guideline and Essentials

The ICEBP was asked to review and update AmSECT’s Guidelines and Essentials document. The ICEBP committee presented its first iteration at AmSECT’s International meeting in March 2012. Since that time, we have continued to amend the document based on this valuable feedback. We anticipate having the final document for presentation in October at the Best Practices in Perfusion conference in San Diego.


The ICEBP Pediatric Subcommittee completed an international survey of pediatric and congenital programs. This survey was done in conjunction with Mr. Bob Groom, who has previously reported surveys of North American programs. The manuscript was recently submitted to JECT for peer review.

Thanks to all our worldwide colleagues who helped bring this project to fruition.

We hope you have enjoyed this edition and look forward to seeing you in San Diego and providing you with the next issue!


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Last Modified: 16-Aug-2013

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