Better Brains

From the very beginning of my career I always worried about patient brain damage after cardiopulmonary bypass (CPB).  Back then we called it “pump head” . “Pump lung” (now called adult respiratory distress syndrome or ARDS) was a common concern… Read More

Oxygen Or Nitrogen: Which Is The Lesser of Two Evils?

Comment on “Hyperoxia – A Review Of The Risks And Benefits In Cardiac Surgery”.             Ever since it was discovered in the 1770s, the risks and benefits of oxygen have been hotly debated [1].  In the review article (Young RW…. Read More

Safe Use of Bicarbonate

  Sodium bicarbonate (NaHCO3) is a medication often given during cardiopulmonary bypass (CPB) by perfusionists. I think this medication hurts patients more than most perfusionists realize.  Giving a lot of NaHCO3 just to restore the bicarbonate level and keep the… Read More

Checklist Errors

Many decades ago, when I first started using checklists, I thought they were an annoyance that just slowed me down. I did not see much value in them.  But as I aged I began to realize that I was not… Read More

Stress and PTSD in Perfusion and ECMO

I am fat.  Not only that, but I have a lot of health problems as well; diabetes, sleep apnea, hypertension, hyperlipidemia, kidney stones; all comprising the full range of the “metabolic syndrome”.  How did I get this way? The change… Read More

Working Conditions for Perfusionists

I am retired now, but when I was a chief I knew that morale was a key element in managing the perfusion staff.  If morale is poor, staffers will hesitate to go the extra mile that is sometimes needed to… Read More

The Bicarbonate Lag Phenomenon in Neonates

—– Original Message —– Dear Gary- My chief of surgery indicated to me a couple of weeks ago that we have had some issues in the ICU with a couple of neonates having a significant metabolic alkalosis that persisted for… Read More

Blood and Fava Beans

No, this is not an article about the favorite side dish of a bloodthirsty murderer (ala Hannibal Lecter of “The Silence of the Lambs” fame).  It is about broad beans, blood and a rare perfusion complication. Favism, named after the… Read More

Who Really Invented the Heart/Lung Pump And ECPR?

A cult film is one that has special meaning for its viewers. “Casablanca” and “The Rocky Horror Picture Show” are two that immediately come to mind. Cult films attract a special following, the many fans having their own reasons on why they… Read More

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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