I was a perfusionist from 1968 through 2014 when I retired from clinical practice. My career covered over four and one half decades when the evolution of extracorporeal circulation saw many advances. I saw the change from ponderous stainless steel and glass oxygenators used exclusively in the OR for heart surgery to portable ECMO pumps used at the patient’s bedside in the ICU for a wide variety of cardiac, respiratory and septic diseases.

Over the years I became an educator, a lecturer, a researcher and a skeptic.  I always questioned accepted dogma in perfusion practice knowing there was more to perfusion physiology than the text books were offering. Some patients died when perfusion physiology said they should have lived. And some patients lived when they should have died.  I knew that some unknown factor was missing from the knowledge base, but I did not know what it could be.

Then in 1990 I had an epiphany when I discovered August Krogh’s oxygen pressure field theory (OPFT).Sometimes new knowledge can only come from a new perspective, which is often the hardest thing to achieve.  I was able to apply the new perspective of OPFT to help me better understand the life and death of perfusion physiology.

I hope that this web site will help other perfusionists achieve a better understanding of perfusion physiology in such a way as to help more of their patients survive.

Employment History

Chief Perfusionist

June 1981 – December 2014

Children’s Mercy Hospitals And Clinics, Kansas City, MO

Chief Perfusionist supervising a staff of 10 (5 perfusionists and 5 perfusion assistants).  Responsibilities included open heart surgery perfusion, autotransfusion, ECMO, QC and maintenance responsibilities for point-of-care patient testing including blood gases, electrolytes, glucose, ACT equipment and cardiac homograft valve research.  Specific experience includes approximately 280 open-heart surgeries yearly (ages – newborn to adult), ~680 total ECMO cases.

Extracorporeal Technician

1968 to 1975

St. Luke’s Hospital,  Kansas City, MO

Extracorporeal Technician.  Responsibilities included open-heart surgery perfusion, chronic and acute hemodialysis, organ retrieval and preservation of kidneys for transplantation, hyperbaric oxygenation, ECG and EEG testing.

Education

The Heart Institute at St. Vincent Hospital and Medical Center School of Cardiopulmonary Perfusion (1990-1991)

Certificate in Cardiopulmonary Perfusion

Recipient Top Student in Didactic Classes

University of Michigan (1986)

ECMO Technical Specialist training

Penn Valley Community College (1983-1987)

Associate in Applied Science- Nursing

Graduated with Honors

University of Missouri (1967-1972)

BS Biology

Professional Credentials & Honors

Certified Clinical Perfusionist by The American Board of Cardiovascular Perfusion

Certificate # 920117-0485

Licensed as a clinical perfusionist by the state of Missouri

License # 100019

Licensed as Registered Nurse in Missouri

License # 107167

Excellence in Life Support Award from the Extracorporeal Life Support Organization

2006-2008, 2009-2010 & 2011-2012

Children’s Mercy Hospitals and Clinics was one of the first 7 ECMO programs to receive this international recognition. Perfusion Services of the Department of Cardiovascular Surgery is a primary participant in the ECMO program. The Extracorporeal Life Support Organization (ELSO) is an international consortium of health care professionals and scientists representing 115 ECMO programs worldwide who are dedicated to the development and evaluation of novel therapies for support of failing organ systems. The ELSO “Excellence in Life Support” award was created to recognize and acknowledge extraordinary achievement in the following three categories:

  1. Excellence in promoting the mission, activities, and vision of ELSO
  2. Excellence in patient care by using the highest quality measures, processes, and
  3. And excellence in training, education, collaboration, and communication that structures based upon evidence, supports the ELSO guidelines and contributes to a healing environment.

2015 American Society of Extra-Corporeal Technology (AmSECT) Award of Excellence

The Award of Excellence is presented annually to a perfusionist who demonstrates that work of excellence which best exemplifies creativity and intellectual honesty in perfusion. This award is presented for excellence in any area such as education, continuing education, research, publication or leadership. The person receiving this award must be active in the field of extracorporeal technology and be a member of AmSECT.

2010 American Society of Extra-Corporeal Technology (AmSECT) Research Award

“In recognition of an exceptional article published in the Journal of ExtraCorporeal Technology on an original research project: Grist G, Whittaker C, Merrigan K, Fenton J, Pallotto E, Lofland G. Defining the late implementation of extracorporeal membrane oxygenation (ECMO) by identifying increased mortality risk using specific physiologic cut-points in neonatal and pediatric respiratory patients. J Extra Corpor Technol 2009;41(4):213-219”.

2002 American Society of Extra-Corporeal Technology (AmSECT) Perfusionist of the Year

This award which consists of a plaque and a cash prize is presented annually to a perfusionist making a significant contribution to the field of extracorporeal technology. Nominations from the AmSECT membership are submitted to the Awards Committee. From these nominations the AmSECT Board of Directors selects a recipient.

2001 University of Nebraska Medical Center Clinical Perfusion Education

Outstanding Clinical Rotation to Children’s Mercy Hospital 2001: “To the faculty and staff who have provided inspirations towards learning and demonstrated clinical excellence.”

Associate Editor, the Journal of Extra-corporeal Technology

2000-2014

Associate instructor at The School of Cardiopulmonary Perfusion at the University of Nebraska Medical Center

1999-2014 in Omaha, Nebraska. Teaching a class in pediatric perfusion, Oxygen Pressure Field Theory, ECMO and Long-term Perfusion Skills.

Chairman of the Pediatric Perfusion Committee

1997-2004.  Appointed first Chairman of the Pediatric Perfusion Committee of The American Society of Extracorporeal Technology. Remained active on the PPC until 2004.

1995 Recipient of Award for Clinical Excellence in Nursing

The Children’s Mercy Hospital, Kansas City, Mo.

Visiting instructor at The School of Cardiopulmonary Perfusion

1991-1995.  The Heart Institute at St. Vincent Hospital, Portland, Oregon.  Teaching a class in Oxygen Pressure Field Theory, ECMO and Long-term Perfusion Skills.

Organizations

American Society of Extracorporeal Technology (AmSECT)

Active Member and participant on the AmSECT Safety Committee

Extracorporeal Life Support Organization

Charter Member

American Association of Cardiopulmonary Perfusion

Associate member.

Missouri Perfusion Society

Board of Directors

PerfClass sponsored by the American Academy of Cardiovascular Perfusion

Instructor

Class: Oxygen Pressure Field Theory

(This was an on-line class taught over the Internet.)

Animal Laboratory

Sheep & Baboons

2004, 2005, 2006, 2007, 2008, 2009, 2010 – Participated in experiments involving prototype allograft valve conduits evaluated in the right ventricular outflow tract in sheep and baboons.

Adult Pigs

1995 – Participated in experiments inducing deep hypothermic arrest using peripheral cannulation in adult pigs.

Lambs

1986, 1987, 1988, 1989, 1990, 1991, 1992 – Supervised annual 5 day ECMO clinical training program for physicians and nurses using lambs which were recovered on the 5th day.

Feature Presentations

Extracorporeal Life Support Organization (Charter Meeting), Ann Arbor, Michigan.

Oct. 1-3, 1989

General Session – “Measurement of the net transfer of carbon dioxide by the artificial lung in assessing human lung function in neonates on ECMO. “

Innovations in Perfusion in Kansas City, Mo.

Sept. 3, 1991

Sponsored by The American Society of Extracorporeal Technology

Focus Session – “ ECMO and long-term perfusion skills.”

Region VII Meeting, Wichita, Ks.

Aug. 28, 1993

The American Society of Extracorporeal Technology

General Session – “Oxygen Pressure Field Theory”

Pediatric Perfusion

Sept. 29-Oct. 1, 1995

Sponsored by The American Society of Extracorporeal Technology and The Children’s Hospital of Boston

Focus Session – “Blood Sequestration”

and

General Session – “The Significance of Blood Anion Gaps and Venoarterial Carbon Dioxide Gradients as Risk Factors for Survival and Duration of Long-term Perfusion Support.”

American Society of Extra-corporeal Technology 34th International Conference

March 9, 1996

Dallas, Texas, March 8-11, 1996

“Blood Anion Gaps and Venoarterial Carbon Dioxide Gradients as Risk Factors in Long-term Extracorporeal Support.”

American Society of Extra-corporeal Technology 35th International Conference

April 4, 1997

Phoenix, Arizona, April 3-6, 1997

“Oxygen Pressure Field Theory”

The Missouri Perfusion Society Annual Meeting

June 28, 1997

Kansas City, Missouri, June 27-29, 1997

“Oxygen Pressure Field Theory”

AmSECT Region VII Annual Meeting & Coagulation Management of the Surgical Patient

October 26, 1997

Omaha, NE

“Oxygen Pressure Field Theory”

Rush University School of Perfusion & Milwaukee School of Engineering (Perfusion)

Nov. 13, 1999

Waukegan, Wisconsin

“Oxygen Pressure Field Theory for Perfusionists”

The AmSECT Pediatric Perfusion Conference December 2-5, 1999

December 4, 1999

Palm Springs, CA.

“Hyperoxia: The Missing Puzzle Piece in Hypothermic Sweep Gas Strategy”

American Society of Extra-corporeal Technology 38th International Conference

April 13, 2000

Reno, NV

“OPFT: Hyperoxia Technique”

“Neonatal Panel Discussion: Circuitry, Prime Composition, Perfusion Management, Ultrafiltration, Staffing Issues.”

The 2001 Annual Meeting of The American Academy of Cardiovascular Perfusion

January 27 & 29th, 2001

New Orleans, LA

“Fireside Chat: Fluid Balance”

“Fireside Chat: Oxygen Pressure Field Theory”

AmSECT Region VII Annual Meeting & The 9th Annual Coagulation & Hemostatis

October 6 & 7th, 2001

Kansas City, MO

Management Of The Surgical Patient Symposium

“Hyperoxia and Cardiopulmonary Bypass: Pro & Con Debate”

“Pitfalls of Ultrafiltration: Reconsidering Accepted Practice”

The AmSECT Pediatric Perfusion Conference December 7, 2001

December 7, 2001

Baltimore, MD

“Oxygen Pressure Field Theory Educational Course”

The Missouri Perfusion Society Annual Scientific Meeting

June 8, 2002

Clayton, MO

“Oxygen Pressure Field Theory: An Old Concept Provides New Insight into the Physiology of Perfusion in Critical Cardiopulmonary Patients”

The AmSECT Pediatric Perfusion Conference

September 14, 2002

San Francisco, CA.

“Oxygen Pressure Field Theory Educational Course”

The Missouri Perfusion Society 8th Annual Scientific Meeting

June 6 & 7, 2003

Kansas City, MO

“Oxygen Pressure Field Theory for Perfusionists” Seminar

Gary Grist ,”The Great Debate: Current Perfusion Topics”

The AmSECT Pediatric Perfusion Conference

Sept. 16, 2003

Cocoanut Grove, Florida

“Hyperoxia, Cardioplegia and Reperfusion Injury”

“Myocardial Protection/ Modified Ultrafiltration; Background, Technique & Equipment”

15th Anniversary ELSO conference, Ann Arbor, Michigan

September 9-12, 2004

In conjunction with AmSECT Pediatric Perfusion Conference

Breakout Session: Oxygen Pressure Field Theory for ECMO Specialists

6th Annual Respiratory Care Symposium

June 17, 2005

Kansas City, Missouri

The Children’s Mercy Hospitals and Clinics

“Oxygen pressure field theory and the ECMO patient: A new paradigm in critical care thinking”

The Minnesota Perfusion Society Perfusion Practices 2006 Fall Meeting

September 22, 23 & 24, 2006

Millennium Hotel, Minneapolis, Minnesota

“The Great Debate: Normoxia Vs. Hyperoxia On Bypass: Pro Hyperoxia”

“Oxygen Pressure Field Theory”

The Missouri Perfusion Society 12th Annual Scientific Meeting

June 1 & 2, 2007

The Meyer Center for Wellness & Rehabilition, Springfield, Missouri

“Beyond Fick ~ Discussions on Advanced Perfusion Theory” 6 hour workshop

“The 3 P’s of Perfusion: Policies, Processes and Procedures”

AmSECT’s 15th Annual Symposium on New Advances in Blood Management

September 20-22, 2007

The Westin Crown Center, Kansas City, Missouri.

“Extracorporeal CardioPulmonary Resuscitation: It’s Time For Perfusionists To Get Prepared”

Mechanisms of Perfusion – XXIII

May 15-18, 2008

The Hyatt Regency Grand Cypress in Orlando, Florida.

“BREAKING THE REPERFUSION BARRIER: Perfusion’s 21st Century Challenge”

“HYPEROXIA ON BYPASS: Friend And Foe Alike”

The Missouri Perfusion Society 13th Annual Scientific Meeting

June 6-7, 2008

Sheraton Clayton Plaza Hotel

St. Louis, Missouri

“BREAKING THE REPERFUSION BARRIER: Perfusion’s 21st Century Challenge”

“HYPEROXIA ON BYPASS: Friend And Foe Alike”

The Missouri Perfusion Society 14th Annual Scientific Meeting

June 12-13, 2009

Kansas City Improv Comedy Club

Kansas City, Missouri

“BUBBLES IN THE PUMP: The Risk Of Gaseous Microemboli”

The Society for the Advancement of Blood Management Annual Meeting

September 11-13, 2009

Marriott Downtown

Kansas City, Missouri

“LIMITATION OF DONOR EXPOSURE BY TRANSFUSING PRBC AND PLASMA FROM THE SAME DONOR”; poster abstract.

The California Perfusion Society 26th Annual Tahoe Symposium

September 18-20, 2009

Harvey’s Resort and Casino

South Lake Tahoe, CA

  1. “UNDERSTANDING THE OXYGEN PRESSURE FIELD USING THE KROGH CYLINDER MODEL”
  2. “DEEP HYPOTHERMIC ARREST WITH OXYGEN LOADING TO EXTEND THE SAFE ARREST TIME”
  3. “VIABILITY INDEX SCORING FOR PERI-EXTRACORPOREAL SUPPORT PATIENTS”
  4. “BREAKING THE REPERFUSION BARRIER”
  5. “HYPEROXIA: FRIEND AND FOE ALIKE”

The AmSECT 17th Annual Symposium on New Advances in Blood Management

October 1-3, 2009

Westin Crown Center

Kansas City, Mo.

  1. “THE EFFECT OF NON-WASHED AND WASHED ECMO BLOOD PRIME ON INFANT CEREBRAL INFARCTS AND CREATININE LEVELS: A QUALITY CONTROL AND QUALITY IMPROVEMENT INITIATIVE”
  2. “SOLUTIONS, MICROCIRCULATION AND SOLVENT DRAG DURING EXTRACORPOREAL SUPPORT”

The Greater Kansas City Chapter of the American Association of Critical-Care Nurses 23rd Annual Visions Symposium

March 4, 2010

Ritz Charles

Overland Park, Ks.

“EMERGENT ECMO IN THE CODING PATIENT”

The Missouri Perfusion Society 15th Annual Scientific Meeting

June 11 & 12, 2010

The Meyer Center, 3545 S. National Ave.

Springfield, Missouri

“Solutions, Microcirculation and Solvent Drag During Extracorporeal Support”

The Illinois State Perfusion Society 15th Annual Scientific Meeting

October 9 & 10, 2010

Marriott Oak Brook Hills Resort

Oak Brook, Il.

“Breaking the Reperfusion Barrier: Perfusion’s 21st Century Challenge”

“Hyperoxia: Friend and Foe Alike”

The Missouri Perfusion Society 16th Annual Scientific Meeting

June 10, 2011

The Lodge Des Peres, 1050 Des Peres Road

Des Peres, Missouri

“Clinical Perfusion Workshop: Beyond Fick: Discussions on Advanced Perfusion Theory”

Perfusion Safety & Best Practices Meeting

October 5-8, 2011

Sponsored by The American Society of ExtraCorporeal Technology in joint collaboration with the International Consortium for Evidence-Based Perfusion (ICEBP).

Grand Hyatt, San Antonio, Texas

“Hyperoxygenation During CPB: When Should We Use It”

Annual Critical Care Nursing Symposium

March 8, 2012

Sponsored by the American Association of Critical Care Nurses, Greater Kansas City Chapter

Ritz Charles, Overland Park, KS

“Blood gas analysis in the univentricular patient: The need for a different perspective”

The Missouri Perfusion Society 17th Annual Scientific Meeting

June 9, 2012

Embassy Suites Hotel, Kansas City, Missouri

“EMERGENCY PREPAREDNESS: THE NEED FOR A CARDIOPULMONARY BYPASS FAILURE MODE EFFECTS ANALYSIS”

Illinois State Perfusion Society 17th Annual Meeting, Oct. 19-21

Oct. 19, 2012

Hyatt Lodge and Hamburger

University, McDonald’s Campus, Oakbrook, Ill.

“Beyond Fick: Discussions On Advanced Perfusion Theory”

The Missouri Perfusion Society 18th Annual Scientific Meeting

June 8, 2013

Drury Plaza Hotel

Chesterfield, Missouri

“SHOULD WE PUT STEROIDS IN THE ECMO PUMP?”

The Missouri Perfusion Society 19th Annual Scientific Meeting

June 6 & 7, 2014

Mercy Hospital,

Springfield, Missouri

“PERFUSION SAFETY: THE FORGOTTEN PRIORITY

The Vanderbilt University Medical Center Clinical Perfusion Workshop: Beyond Fick: Discussions on Advanced Perfusion Theory

April 9, 2015

 

Sponsor: Nicole M. Michaud, MS, CCP, LP, PBMT, Cardiovascular Perfusion Program Director

Vanderbilt Theater, Vanderbilt University Medical Center, Nashville, Tenn.

The Missouri Perfusion Society 20th Annual Scientific Meeting

June 5 & 6, 2015

Embassy Suites, Country Club Plaza, Kansas City, Missouri

“PERFUSION SAFETY: THE FORGOTTEN PRIORITY

Publications

Primary Author

  • Grist G. Oxygen or Nitrogen: Which is the lesser of Two Evils? Letter to the Editor. J Extra Corpor Technol, Mar, 2013;45(1):61-3
  • Grist G, Whittaker C, Merrigan K, Fenton J, Worrall E, O’Brien J, Lofland G.  The Correlation Of Fluid Balance Changes On Cardiopulmonary Bypass To Mortality In Pediatric And Congenital Heart Surgery Patients. J Extra Corpor Technol, Dec, 2011;43(4):215–226
  • Grist G, Whittaker C, Merrigan K, Fenton J, Pallotto E, Molitor-Kirsch E, Ostlie D, O’Brien J, Lofland G. Identifying Neonatal and Pediatric Cardiac and Congenital Diaphragmatic Hernia
  • Extracorporeal Membrane Oxygenation Patients at Increased Mortality Risk. J Extra Corpor Technol. Sep 2010;42(3):183-190.
  • Grist G, Whittaker C, Merrigan K, Fenton J, Pallotto E, Lofland G. Defining the late implementation of extracorporeal membrane oxygenation (ECMO) by identifying increased mortality risk using specific physiologic cut-points in neonatal and pediatric respiratory patients. J Extra Corpor Technol. Dec 2009;41(4):213-219.
  • Grist G. Extracorporeal membrane oxygenation (ECMO) or extracorporeal cardiopulmonary resuscitation (ECPR): A critical life or death choice. Progress in Pediatric Cardiology; 2008 January; 24(2):113-116.
  • Grist G. Gaseous Microemboli and Hyperoxia. JECT 2006 ; 38(4):367-369.
  • Grist G. The Viability Index: A survival score for perfusion patients (Guest article). Canadian
  • Perfusion Canadienne, 2006 September; 16(3): 115-124. (Reprinted with permission in Progress in Pediatric Cardiology, 2008 January; 24(2):101-111)
  • Grist G. Oxygen Pressure Field Theory: A detailed description of vital gas exchange at the capillary level for perfusionists (Guest article). Canadian Perfusion Canadienne, 2006 June; 16(2):65-71. (Reprinted with permission in Progress in Pediatric Cardiology, 2008 January; 24(2):89-99)
  • Grist G, Book review: Strategies For Optimization Of Pediatric Cardiopulmonary Bypass by Dr. Filip De Somer, Published by Shaker Publishing BV, The Netherlands. JECT 2004 ;36(2):202-203.
  • Grist G, Thomas D. Blood anion gaps and venoarterial carbon dioxide gradients as risk factors in long-term extracorporeal support. JECT 1997 ;29:6-10.
  • Grist G. Oxygen Pressure Field Theory: A Primer For Perfusionists. Part 2. Canadian Perfusion Canadienne. 1996 September; 9(1):21-25.
  • Grist G. Oxygen Pressure Field Theory: A Primer For Perfusionists. Part 1. Canadian Perfusion Canadienne. 1996 June; 8(4):19-24.
  • Grist G, Meiling G. Oxygen Pressure Field Theory, The Krogh Cylinder and Long-Term Extracorporeal Perfusion: An Old Concept Provides New Insight. JECT 1993;25:151-160.
  • Grist G, Kangas B, Haney B, Thibeault D, Ashcraft K. Assessment of alveolar function in neonates on ECMO using the measurement of net CO2 transfer by the artificial lung. Proceeding of The American Academy of Cardiovascular Perfusion. 1989;10:77-82.

Co-Author

  • Whittaker C, Grist G, Bert A, Brasky K, Neighbors S, McFall C, Hilbert SL, Drake WB, Cromwell M, Mueller B, Lofland G, Hopkins RA. Pediatric cardiopulmonary bypass adaptations for long-term survival of baboons undergoing pulmonary artery replacement. J Extra Corpor Technol. Sep 2010;42(3):223-231.
  • St. Peter S, Tsao K, Whittaker C, Schow A, Grist G. Emergent cardiopulmonary support circuit to allow tracheo-bronchial foreign body removal. Progress in Pediatric Cardiology, 2008 January;24(2):127-129.
  • Whittaker C. Grist G. The theoretical prediction of safe deep hypothermic circulatory arrest (DHCA) time using estimated tissue oxygen loading. Progress in Pediatric Cardiology, 2008 January; 24(2):117-122.
  • Pearl JM, Thomas DW, Grist G, Duffy JY, Manning PB. Hyperoxia for management of acid-base status during deep hypothermia with circulatory arrest. Ann Thorac Surg 2000 Sep; 70(3):751-5.
  • O’Connor TA, Haney BM, Shaffer SG, Grist GE. Cephalic jugular venous blood gas measurement during neonatal venoarterial extracorporeal membrane oxygenation. J AmSECT 1993;24:113-115.
  • O’Connor TA, Haney BM, Grist GE, Egelhoff JC, Snyder CL, Ashcraft KW. Decreased incidence of intracranial hemorrhage using cephalic jugular venous drainage during neonatal extracorporeal oxygenation. J Ped Surg. 28(10):1332-5, 1993 Oct.
Abstracts

Fourth Annual Children’s Hospital National Medical Center ECMO Symposium, Snowmass, Co., Feb. 21-26, 1988.

Modification of an artificial kidney machine for use with neonatal ECMO. Grist G, Kangas B, Haney B, Thibeault D. Ashcraft K.

Assessment of alveolar function in neonates on ECMO using the measurement of net CO2 transfer by the artificial lung. Grist G, Kangas B, Haney B, Thibeault D. Ashcraft K.

Insensible water loss from the Scimed 0.8M artificial lung during neonatal ECMO. Grist G, Kangas B, Haney B, Thibeault D. Ashcraft K.

Extracorporeal Life Support Organization (Charter Meeting), Ann Arbor, Michigan, Oct. 1-3, 1989.

Measurement of the net transfer of carbon dioxide by the artificial lung in assessing human lung function in neonates on ECMO. Grist G, Haney B, Thibeault D. Ashcraft K.

Radiological Society of North America- Annual Meeting, Chicago, Ill., Nov. 29, 1992.

Decreased incidence of intracranial hemorrhage in neonates with cephalic jugular venous drainage during extracorporeal membrane oxygenation: A US and CT study. O’Connor TA, Egelhoff JC, Haney BM, Grist GE, Ashcraft KW.

Eighth Annual Children’s National Medical Center ECMO Symposium, Breckenridge, Co., Feb. 23-27, 1993.

Decreased intracranial hemorrhage (ICH) rate using cephalic jugular drainage during neonatal ECMO. O’Connor T, Haney B, Grist G.

The American Pediatric Society/the Society for Pediatric Research- Annual Meeting, San Diego, CA., May 7-11, 1995.

A comparison of plasma-free hemoglobin during ECMO using roller and constrained vortex pumps. Haney BM, Sward-Comunelli SL, Grist GE, Troug WE, Thibeault DW., Children’s Mercy Hospital & The University of Missouri, Kansas City, Mo.

The 12th Annual Children’s National Medical Center Symposium on ECMO & Advanced Therapies for Respiratory Failure, Keystone, Co., Feb. 25-29, 1996.

The blood anion gap as a risk factor for survival and duration of ECMO in neonates. Grist G, Thomas D., Haney B, Thibeault D.

The 3rd World Congress of Pediatric Cardiology and Cardiac Surgery, May 27-31, 2001 Toronto, Ontario, Canada.

Delayed sternal wound closure in the pediatric population. Michael Phillips, Beth Downey, Gary Grist, Gary Lofland, Thoracic & CV Surgery, Kansas City, Mo., USA.

Respiratory syncytial viral infections increases postoperative morbidity and mortality among infants with correction of AV septal defects. Michael Phillips, Gary Grist, Gary Lofland, Thoracic & CV Surgery, Kansas City, Mo., USA.

A quality control/quality improvement (QC/QI) program for pediatric perfusionists. Grist G., Kinggard J., Mattes M., Dunne H., Lofland G. Thoracic & CV Surgery, Kansas City, Mo., USA.

Design of pediatric bypass circuit permits reduction in circuit volume to optimize hematocrit in infants. Dunne H., Mattes M., Grist G., Lofland G. Thoracic & CV Surgery, Kansas City, Mo., USA.

Affect of early recalcification on morbidity after cross-clamp removal during pediatric cardiotomy. Grist G., Lofland G. Thoracic & CV Surgery, Kansas City, Mo., USA.

Vacuum assisted venous drainage (VAVD) in pediatric cardiotomy. Grist G., Kinggard J., Mattes M., Dunne H., Lofland G. Thoracic & CV Surgery, Kansas City, Mo., USA

Blake drain study. Bruch R., O’Grady K., Marquardt K., Orr K., Headley V., Grist G., Lofland G. Thoracic & CV Surgery, Kansas City, Mo., USA.

The 20th Annual Children’s Hospital National Medical Center Symposium: ECMO & The Advanced Therapies for Respiratory Failure, February 22-26, 2004, Keystone, Colo.

Benchmarking – A Unique Opportunity For The ELSO Registry. Haney BM, Kilbride HW, Grist GE, Children’s Mercy Hospitals and Clinics, Kansas City, Missouri.

The Society of Thoracic Surgeons 41st Annual Meeting, January 24-26, 2005, Tampa, Florida.

Implementation of Blake Drains in Pediatric and Adult Patients Undergoing Surgical Correction of Congenital Cardiac Disease: A Cost Benefit Analysis. G.K. Lofland, L. Barth, P. Dennis, G. Grist, W. Liu, J.E. O’Brien

AmSECT 43rd International Conference Pediatric Session, Friday March 4, 2005, Hilton Orleans Riverside, New Orleans, La.

Database Review Evaluating Clinical Outcomes of Pediatric Cardiac Surgery With and Without Aprotinin. K. Witherspoon, C. Whittaker, T. Hoffman, G. Grist

Database Reivew: Clinical Outcomes of Non-coated and Multi-coated Cardiopulmonary

Bypass Circuits in Infants. C. Whittaker, K. Witherspoon, T. Hoffmand, G. Grist

The 31st Annual Meeting of the Western Thoracic Surgical Association, June 22-25, 2005, Fairmont Empress Hotel, Victoria, British Columbia, Canada.

Impact Of Delayed Sternal closure On Mediastinitis Following Pediatric Cardiac Surgery. J.E. O’Brien, P. Dennis, G. Grist, R. Stroup, J. swihart, M. Tarrants, G.K. Lofland, Children’s Mercy Hospital, Kansas City, Mo.

The 23rd Annual Children’s Hospital National Medical Center Symposium: ECMO & The Advanced Therapies for Respiratory Failure, February 25- March 1, 2007, Keystone, Colo.

The Effect of Washed Blood Prime on Sodium, Potassium, Glucose & BUN in ECMO patients. Fitzgerald, K., Grist, G., Haney, B., Pallotto, E. Children’s Mercy Hospitals and Clinics, Kansas City, Missouri

Simple Modifications to Improve ECMO Circuit Longevity. Grist, G., Haney, B. Children’s Mercy Hospitals and Clinics, Kansas City, Missouri

The 27th Annual Children’s Hospital National Medical Center Symposium: ECMO & The Advanced Therapies for Respiratory Failure, February 26- March 1, 2012, Keystone, Colo.

Cephalic Venous Cannulation in Neonates: A Valuable Practice? Haney, BM; Sherman, A.; Grist, G.; Pallotto, EK; Children’s Mercy Hospitals and Clinics, Kansas City, Missouri

The 29th Annual Children’s Hospital National Medical Center Symposium: ECMO & The Advanced Therapies for Respiratory Failure, February 24-28, 2013 Keystone, Colo.

Grist G; Haney, BM (presenter); Merrigan, KA A Simple Method to Manipulate Circuit Pressures Within A Simulated ECMO System. Children’s Mercy Hospitals and Clinics, Kansas City, Missouri.

Poster Presentations

PERFUSION SAFETY & BEST PRACTICES MEETING

October 5-8, 2011

Sponsored by The American Society of ExtraCorporeal Technology in joint collaboration with the International Consortium for Evidence-Based Perfusion (ICEBP).

Grand Hyatt, San Antonio, Texas

Grist G, “How Ultrafiltration And MUF On Cardiopulmonary Bypass Really Work!”

PERFUSION SAFETY & BEST PRACTICES MEETING

October 5-8, 2011

Sponsored by The American Society of ExtraCorporeal Technology in joint collaboration with the International Consortium for Evidence-Based Perfusion (ICEBP).

Grand Hyatt, San Antonio, Texas

Grist G, “A Reperfusion Strategy For Extracorporeal CardioPulmonary Resuscitation (ECPR) Patients.”

PERFUSION SAFETY & BEST PRACTICES MEETING

October 5-8, 2011

Sponsored by The American Society of ExtraCorporeal Technology in joint collaboration with the International Consortium for Evidence-Based Perfusion (ICEBP).

Grand Hyatt, San Antonio, Texas

Grist G, “Should Extracorporeal CardioPulmonary Resuscitation (ECPR) Patients Receive Dantrolene During Resuscitation?”

Educational Articles
  • Grist G. Other Perfusion Responsibilities: Safe Use of Bicarb. AmSECT Today, Mar/Apr 2017, 20(2): pg 24-25.
  • Grist G. Avoiding The Pitfall of Checklist Errors. AmSECT Today, Jan/Feb 2017, 20(1): pg 24-25.
  • Grist G. Molitor-Kirsch E. The AVO2 Difference and the Venoarterial CO2 Gradient. AmSECT Today, Nov/Dec 2016, 19(6): pg 24-25.
  • Grist G. Stress and PTSD in Perfusion. AmSECT Today, Nov/Dec 2016, 19(6): pg 26-27.
  • Grist G. Exploring Fatigue and Working Conditions for Perfusionists. AmSECT Today, Sep/Oct 2016, 19(5): pg 22-23.
  • Grist G. The First Perfusionist I Ever Met. AmSECT Today, May/Jun 2016, 19(3): pg 27-28.
  • Grist G. What Will You Do After Your Perfusion Career Ends? AmSECT Today, Jan/Feb 2016, 19(1): pg 13.
  • Grist G. Failure Modes and Effects Analysis (FMEA) Development Project for Perfusion Practice: Background, Purpose, Policy and Procedure. AmSECT Today, Nov/Dec 2015, 18(6): pg 8-9.
  • Grist G. A “NuStep” From Sarns. AmSECT Today, Sep/Oct 2015, 18(5): pg 10.
  • Grist G. Oxygen or Nitrogen: Which Is the Lesser of Two Evils? J Extra Corpor Technol. March 2013;45:61–63
  • Grist G. Boiling the Frog: The Dangers of Elevated Sodium in Blood Primed Pumps for Infants. AmSECT Today, Nov/Dec 2012, 15(6): pg 5 & 18.
  • Grist G. Emergency Preparedness: The Need for a Cardiopulmonary Bypass Failure Mode Effects Analysis. AmSECT Today, Mar/Apr 2012, 14(2): pg 4 & 5.
  • Grist G. Blood and Fava Beans. AmSECT Today, July/Aug 2011, 14(4): pg 3.
  • Grist G. Malignant Hyperthermia: How It’s Done Part II (Reprint with permission from AmSECT Today July 1998) What Role Might the Perfusionist Play in the Treatment of Malignant Hyperthermia and Its Variants? AmSECT Today, May/June 2011, 14 (3): pg 2.
  • Grist G. Malignant Hyperthermia: How It’s Done – Part I (Reprinted with permission from AmSECT Today, June 1998) What is Malignant Hyperthermia? AmSECT Today, Mar/Apr 2011, 14 (2): pg 22.
  • Grist G. A Cult Film For Perfusionists. AmSECT Today, January/February 2011, 14 (1): pg 10.
  • Grist G. Say “Hello” to ECMOjo. AmSECT Today, September/October 2010, 13(6): pg 7.
  • Grist G. Should Perfusionists Use a Transfusion Trigger on Cardiopulmonary Bypass? AmSECT Today, November/December 2009, 12(6): pgs 4-5,13.
  • Grist G. Perfusionists Need to Partner With A New Kind of Physician. AmSECT Today. May/June 2009, 12(3): pgs 6,13.
  • Grist G. The Future of Extended Extracorporeal Life Support (ECLS) in the Pediatric Population. AmSECT Today. March 2008, 11(3): pgs 6,15.
  • “How It’s Done” by Gary Grist in AmSECT Today, the society publication of The American Society of Extra-corporeal Technology:

    June 1998: Malignant Hyperthermia: Part 1

    July 1998: Malignant Hyperthermia: Part 2

    September 1998: Seasonal Variation – The ignored factor in cost and outcomes for heart surgery patients.

    October 1998: Reperfusion Injury for Dummies

    November 1998: Are We Missing The Bleedin’ Obvious? Part 1

    December 1998: Are We Missing the Bleedin’ Obvious? Part 2

    February 1998: Are You A Pediatric Perfusionist?

    June 1999: August Krogh And The Future of Perfusion Science

    October 2004: Summary Report On the American Association of Blood Banks (AABB)

    Inspection: Standards For Perioperative Blood Collection And Administration; 7(9), pgs 4-8.

Shared Patents

Title: System and method for collecting, organizing and presenting research-oriented medical information

Doc. No: 20070016440, Application No: 340351, Application Date: 2006-01-26, Issue Date: 2009-03-31

Inventors: Stroup; Richard; Tarrants; Marcy L; Lofland; Garry K; O’Brien; James E Jr..; Grist; Gary E; Dennis; Pamela A.

Abstract: A method and computer program manages medical research study information and laboratory test result information. The program generates an interactive user interface with elements for setting up a study, managing study member information, managing patient information, receiving and displaying comments, and configuring data to be stored in a database associated with the research study. The program also receives medical event information from a user and laboratory test result information from a laboratory information system, and generates a chart that correlates the test results and the medical events. The program also receives a normal range pertaining to a test result from the laboratory information system and provides a normal range indicator for the test result.

Title: System and method for collecting, organizing, and presenting date-oriented medical information.

Doc. No: 20060293920, Application No: 340745, Application Date: 2006-01-26, Issue Date: 2013-02-28

Inventors: Stroup; Richard; Tarrants; Marcy L; Lofland; Garry K; O’Brien; James E Jr..; Grist; Gary E; Dennis; Pamela A.

Abstract: A method and computer program collects hospital patient and administrative information and presents the information to a user via an interactive user interface (34) that includes a plurality of activity windows. The activity windows list patients according to admission to a hospital department (36), scheduled surgical procedures (38), scheduled clinical appointments (40), rounds (44), consults (46), and scheduled catheterization conference (48). A daily schedule activity window (42) lists presents the user’s schedule for a given day, and a personal notes activity window (50) presents notes previously submitted by the user. The patient lists can be presented according to service, team, or attending physician. The user can drill down to acquire more detailed information by selecting a patient from a list and requesting the information.

Title: System and method for collecting, organizing, and presenting date-orientated medical information.

U.S. Patent Application No. 11/340,745; Filed: 1/26/2006; Dkt No. 36541 U.S. Patent Number: 8,468,030 Issued: June 18, 2013

Inventors: Stroup; Richard; Tarrants; Marcy L; Lofland; Garry K; O’Brien; James E Jr..; Grist; Gary E; Dennis; Pamela A.

Abstract: A method and computer program collects hospital patient and administrative information and presents the information to a user via an interactive user interface (34) that includes a plurality of activity windows. The activity windows list patients according to admission to a hospital department (36), scheduled surgical procedures (38), scheduled clinical appointments (40), rounds (44), consults (46), and scheduled catheterization conference (48). A daily schedule activity window (42) lists presents the user’s schedule for a given day, and a personal notes activity window (50) presents notes previously submitted by the user. The patient lists can be presented according to service, team, or attending physician. The user can drill down to acquire more detailed information by selecting a patient from a list and requesting the information.

Perfusion Theory is an educational platform for the Oxygen Pressure Field Theory (OPFT). August Krogh’s theoretical concept of the oxygen pressure field is explained and then applied to clinical applications in perfusion practice.

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