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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
Monday Jun 14, 2021
Monday Jun 14, 2021
Patient and Hospital physical and financial benefits of avoiding sternotomy. Median sternotomy is one of many incisions that can be made in the thorax and gives a wide view of the thoracic cavity. Other incisions which involve the sternum, providing access to the thoracic cavity include the hemisternotomy (upper or lower), bilateral thoracosternotomy (clamshell), thoracosternotomy (hemi clamshell) and modified thoracosternotomy.
Friday Jun 11, 2021
Friday Jun 11, 2021
Early goal-directed therapy was introduced by Emanuel P. Rivers in The New England Journal of Medicine in 2001 and is a technique used in critical care medicine involving intensive monitoring and aggressive management of perioperative hemodynamics in patients with a high risk of morbidity and mortality.
Thursday Jun 10, 2021
Wednesday Jun 09, 2021
Wednesday Jun 09, 2021
Case studies in success Avoiding sternotomy. - Faculty Mark Mettauer, MD Minimally aortic valve surgery avoiding sternotomy.
Median sternotomy is one of many incisions that can be made in the thorax and gives a wide view of the thoracic cavity. Other incisions which involve the sternum, providing access to the thoracic cavity include the hemisternotomy (upper or lower), bilateral thoracosternotomy (clamshell), thoracosternotomy (hemi clamshell) and modified thoracosternotomy.
Tuesday Jun 08, 2021
Monday Jun 07, 2021
Monday Jun 07, 2021
An informative lecture and lively discussion about ultrafiltration and Acute Kidney Injury (AKI) Does ultrafiltration on Cardiopulmonary Bypass (CPB) alter urine production?
Friday Jun 04, 2021
Friday Jun 04, 2021
John Ingram, CCP lectures and discusses how organs interact with each other with hormonal signals.
Thursday Jun 03, 2021
Thursday Jun 03, 2021
The learner will be able to describe how fluid overload is an independent contributor and indicator of mortality.
Wednesday Jun 02, 2021
Wednesday Jun 02, 2021
How ECMO contributes to maintaining kidney dysfunction and casually participates in the development of AKI (Acute Kidney Injury)
Tuesday Jun 01, 2021
Tuesday Jun 01, 2021
The learner will be able to describe the physiologic principles of urine production and discuss how cardiopulmonary bypass affects urine production and the potential development of Acute Kidney Injury (AKI). Urine Production. Renal Anatomy. Nephron What is Acute Kidney Injury? It is the SUDDEN decrease in renal function that leads to the build-up of waste in the blood, fluid overload, and electrolyte imbalances. What are the causes of Acute Kidney Injury? There are three causes, which are based on location. The first is known as prerenal injury and this is an issue with the perfusion to the kidneys that leads to decreased renal function. A second cause is known as intrarenal injury, and this is due to damage to the nephrons of the kidney. Lastly, postrenal injury is due to a blockage located in the urinary tract after the kidney that can extend to the urethra. This is causing the backflow of urine, which increases the pressure and waste in the kidneys. Stages of Acute Kidney Injury: There are four stages of acute kidney injury, which include initiation, oliguric, diuresis, and recovery stage. The initiation stage starts when a cause creates an injury to the kidney and then signs and symptoms start to appear. This leads to the oliguric stages. The patient will void less than 400 mL/day of urine during this stage and will experience increased BUN/creatinine levels, azotemia, hyperkalemia, hypervolemia, increase phosphate, and decreased calcium levels along with metabolic acidosis. After this stage, the patient can progress to the diuresis stage and this is where the patient will void 3-6 Liters of urine per day due to osmotic diuresis. The patient is at risk for hypokalemia, dehydration, and hypovolemia. The last stage is recovery and the patient's glomerular filtration rate has returned to normal. Therefore, the kidneys are able to maintain normal BUN and creatinine levels, electrolyte, and water levels.