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ICEBP Newsletter #7 - Janurary 2011

ICEBP Newsletter # 7 January 2011

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International Consortium for Evidence-Based Perfusion

This is the seventh Newsletter from the International Consortium for Evidence-Based Perfusion. Besides our best wishes for 2011, we would like you to join in on our First Online Journal Club, to update you on an interesting publication in Anesthesia and Analgesia and give you a taste for the 2011 Best Practices Perfusion Safety Meeting in San Antonio, October 5-8, 2011.

In this Newsletter:

- Best Wishes from the Executive Committee of the ICEBP
- First online Journal Club
- Publication in A&A
- Best Practices and Perfusion Safety Meeting – “Bringing it Home”

Best Wishes from the Executive Committee of the ICEBP

All the members of the Executive Committee of the International Consortium for Evidence-Based Perfusion wish you all a healthy and productive 2011!

First online Journal Club - hosted by the ICEBP

On December 20th, 2010, the First Online Journal Club was organised by the ICEBP. Participants from all the member societies were invited into this trial of the online critical discussion of a recent publication(1) around cardiovascular perfusion. Thanks to innovative online technology, participants were able to discuss the article through desktop-sharing, and web-based audio- and video-conferencing. The meeting was recorded and can be playbacked through this link: https://dhvideo.webex.com/dhvideo/ldr.php?AT=pb&SP=MC&rID=16315112&rKey=c4dbcc8bfcf80bb3

PLEASE NOTE: Advance to 08:50 minutes as the former recording consists of static and meeting and greeting of participants.

This initiative will be repeated and you will be posted upon these future Online Journal Clubs in this Newsletter. Please feel free to contact the Executive Committeeexeccommittee@icebp.org with ideas for an article to discuss.

1. Ottens J, Tuble SC, Sanderson AJ, Knight JL, Baker RA Improving Cardiopulmonary Bypass: Does Continuous Blood Gas Monitoring Have a Role to Play? JECT 2010; 42: 191-9

Publication in A&A

A recent publication in Anesthesia and Analgesia by Eugene A. Hessel and Jerrold H. Levy(2), discuss the survey (that was mentioned in the previous ICEBP Newsletter) on the effects of the Ferraris Practice Guidelines on Perioperative Blood Transfusion and Conservation in Cardiac Surgery(3).

Although the results of it were disappointing (namely an apparent lack of effect of the Ferraris guidelines in real-world practice) , the survey is appreciated because it touches on some burning issues that are worthwhile discussing. While surveys have inherent limitations, and the surgical profession chose not to participate, Drs. Hessel and Levy provide a critical look at the existing guidelines that are produced today.

Due to the growing ‘popularity’ of modern guidelines (everybody likes them, all for different (misused) reasons), the developers of guidelines often base them on lower levels of evidence; leading to guidelines that may not improve outcome, but even more tragic, lead to worse outcomes. Therefore, the whole process of guidelines developing should be reviewed.

Although the authors do not question the use of clinical practice guidelines, they do object to [...the promulgation of guidelines that are based on low-level evidence that sometimes proves to be wrong and gives the whole process a bad reputation that leads to skepticism, lack of trust, and poor adoption by medical practitioners].

The emphasis should lay first on producing more evidence, then produce stronger guidelines. But the (correct) developed guidelines should not be abandoned, because they point out the hiatuses in existing eveidence.

In their closing remarks, the authors conclude that there is an obligation to improve the quality of the guidelines, and that for the implementation of them into clinical practice, the collaboration of three professional groups is required - anesthesiologists, surgeons and perfusionists.

2. Hessel EA, Levy JH Guidelines for Perioperative Blood Transfusion

and Conservation in Cardiac Surgery: Lessons and Challenges Anesth Analg 2010; 111 (6): 1555–9

3. Likosky DS, FitzGerald DC, Groom RC, Jones DK, Baker RA, Shann KG, Mazer D, Spiess BD, Body SC. Effect of the perioperative blood transfusion and blood conservation in cardiac surgery clinical practice guidelines of the Society of Thoracic Surgeons and the Society of Cardiovascular Anesthesiologists upon clinical practicesAnesth Analg 2010; 111: 316–23

Best Practices and Perfusion Safety Meeting – “Bringing it Home”

The 2010 Toronto meeting was quite successfull in achieving its goals with interesting presentations, exciting discussions and a very fruitful, high fidelity simulation session day with 4 concurrent, fully equipped operating rooms with perfusion simulator. Thanks to everyone who made this a success. Special thanks to our colleagues in and outside of perfusion for supporting the simulation session by loan and transporting the equipment. We are especially grateful to the Michener Institute for Applied Health Sciences for the use of their fantastic simulation suites.

We hope to have audio recordings and presentations in PDF ready online in short notice.

In the meantime, we want to incite you to mark your calendars for our 2011 Best Practices and Perfusion Safety Meeting. This will be held from 4-8 October 2011 in the Grand Hyatt in San Antonio, Texas, USA. The motto for this meeting will be “Bringing it Home”, where the focus will lie on how the participant can take home the necessary skills and knowledge.

We hope you have enjoyed this Newsletter and look forward to providing you with our next edition!

The Communications Subcommittee

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ICEBP - Mission & Vision

The International Consortium for Evidence-Based Perfusion (ICEBP) is a partnership and collaboration between perfusion societies, medical societies, clinicians and industry to improve continuously the delivery of care and outcomes for our patients. To achieve this mission, we will focus our energies in two principle areas:

Registry

• Create an international perfusion registry and facilitate its implementation
• Identify gaps between current and evidence-based clinical practice

Guidelines

• Review, comment, and/or endorse evidence-based guidelines concerning the practice of cardiopulmonary bypass
• Collaborate with medical societies in the development of guidelines concerning the practice of cardiopulmonary bypass

In order to succeed, the ICEBP will foster communication amongst its membership through a web portal, scientific conference, and internal and external publications.

Last Modified: 16-Aug-2013

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