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Brought to you by PerfusionEducation.com. These programs are replays from our live PerfWeb series programs. The programs discuss all topics related to Perfusion and perfusion related topics. The ultimate podcast designed for perfusion, perfusionists, ECMO specialists, anesthesiologists and critical care nurses. This podcast is a grate source of knowledge for Critical Care Nurses, CRNAs, NPs, PAs, and Physicians. Our Apps: Critical Care App: https://mediweb.us/critical-care-app/ The ultimate perfusion mobile application designed for perfusion, perfusionists, ECMO specialists, anesthesiologists and critical care nurses. This helpful perfusion tool and critical care app is very useful to manage your patients on cardiopulmonary bypass, on ECMO and in the critical care unit. This tool is a multi functional perfusion calculator, mobile perfusion app, designed with the perfusionist, ECMO specialist and critical care nurse in mind. Categorized to easily find what you need, and includes the popular calculators that perfusionists, critical care nurses and ECMO specialists need on a routine basis. Free updates will be available for users of this perfusion tool, critical care nursing tool, and ECMO specialist tool. IV Medication Calculator https://mediweb.us/iv-medication-calculator/ The ‘IV Medication Dosage and Rate Calculators’ App is a quick and simple reference tool for Critical Care Nurses, CRNAs, NPs, PAs, and Physicians to calculate IV Medication Dosages and Rates. This all-purpose app will calculate critical care medications like Dopamine, Lidocaine and Heparin to anesthesia medications like Propofol, Vecuronium, and Precedex. It will calculate your IV single doses and infusion rates including weight-based medications. It will calculate IV rates in ml/hr and gtts/min. This straightforward app is operated easily from your devise without the need for WiFi.
Episodes
Thursday Jul 27, 2023
Joe Basha’s PerfWeb #92 — RAPP (Retrograde Autologous Pump Prime) — Perfusion
Thursday Jul 27, 2023
Thursday Jul 27, 2023
Emily Foreman, CCP reviews her peer-reviewed publication on RAPP as a transfusion management procedure. In this YouTube video, Emily Foreman, CCP presents the findings of a paper published towards the end of 2021. The paper is titled "To Wrap or Not to Wrap." The purpose of the study was a quality improvement project to determine if wrapping during cardiac surgeries was beneficial for their patients. The speaker explains that their institution has a low prime bypass circuit and a strict anesthesia preoperative protocol. They analyzed about 40 different data points on each patient and examined reported benefits and possible negative consequences of wrapping during cardiac surgeries. They conducted a retrospective study by comparing two groups of patients: those who were wrapped during surgery and those who were not. They looked at various factors, including red blood cell transfusion index, oxygen delivery, postoperative acute kidney injury, albumin administration, ventilator times, ICU length of stay, and 30-day mortality. The speaker presents their original theories, such as the belief that wrapping may negatively impact acute kidney injury incidence and reduce oxygen delivery. However, their analysis revealed that wrapping did not have a statistically significant impact on most of the studied parameters. The only notable finding was a higher post-operative albumin administration in the wrapped group. The conclusion drawn from the study was that wrapping during cardiac surgeries was not beneficial in their patient population, considering their specific preoperative fluid administration protocols and prime circuit. They also mention the need for further research, particularly in cases involving condensed circuits. Overall, the study did not support the idea that wrapping was advantageous for their patients, and the speaker highlights the limitations and challenges they faced during the analysis.
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