Go offline with the Player FM app!
Podcasts Worth a Listen
SPONSORED


1 #697: Building the total experience for customers with AJ Joplin, Forrester 24:10
Joe Basha's PerfWeb #100 —Day 1 — Essential Techniques in Perfusion - RAPP and Hgb Thresholds — Perfusion
Manage episode 475663675 series 2856937
RAPP (Retrograde Autologous Prime) Presenter: Samir Patel, MD, Graduate Perfusionist Time: 14:00–15:00 Back when I started in perfusion, priming the cardiopulmonary bypass circuit meant dumping in crystalloid and hoping the patient wouldn’t drown in fluid overload. Then RAPP—Retrograde Autologous Prime—came along and flipped the script. In this session, Dr. Samir Patel, a skilled graduate perfusionist, dives into this game-changing technique that uses the patient’s own blood to prime the circuit, slashing hemodilution and preserving hematocrit. Dr. Patel will walk you through the nuts and bolts: draining venous blood, displacing crystalloid, and reinfusing—all while keeping the patient stable. I’ll share a standout case where RAPP saved the day for a Jehovah’s Witness patient who refused transfusions—proof of its worth. You’ll master cannula placement, pressure control, and timing, plus learn how RAPP cuts transfusion rates and post-op complications. Whether you’re a newbie or a veteran, this lecture will sharpen your skills and show why RAPP’s a must-have in my toolkit Hgb Thresholds Presenter: Samir Patel, MD, Graduate Perfusionist Time: 15:00–16:00 Hemoglobin thresholds have sparked debates for decades. Early in my career, an Hgb below 10 meant grabbing a blood bag—no questions asked. Today, we’re wiser, and the evidence is richer. Dr. Samir Patel tackles this in a session that’s all about balancing oxygen delivery with transfusion risks. He’ll unpack the science of Hgb levels and tissue perfusion, diving into trials and guidelines that shape when we pull the transfusion trigger. I’ll throw in a story of a mid-case Hgb drop to 7, where split-second decisions tested our team. We’ll cover special cases—kids, the elderly, complex patients—and the risks of over- or under-transfusing. This is vital for perfusionists, surgeons, and ICU crews who live these choices daily. Walk away with a sharper eye for Hgb management, backed by Dr. Patel’s expertise and my decades of real-time lessons.
100 episodes
Manage episode 475663675 series 2856937
RAPP (Retrograde Autologous Prime) Presenter: Samir Patel, MD, Graduate Perfusionist Time: 14:00–15:00 Back when I started in perfusion, priming the cardiopulmonary bypass circuit meant dumping in crystalloid and hoping the patient wouldn’t drown in fluid overload. Then RAPP—Retrograde Autologous Prime—came along and flipped the script. In this session, Dr. Samir Patel, a skilled graduate perfusionist, dives into this game-changing technique that uses the patient’s own blood to prime the circuit, slashing hemodilution and preserving hematocrit. Dr. Patel will walk you through the nuts and bolts: draining venous blood, displacing crystalloid, and reinfusing—all while keeping the patient stable. I’ll share a standout case where RAPP saved the day for a Jehovah’s Witness patient who refused transfusions—proof of its worth. You’ll master cannula placement, pressure control, and timing, plus learn how RAPP cuts transfusion rates and post-op complications. Whether you’re a newbie or a veteran, this lecture will sharpen your skills and show why RAPP’s a must-have in my toolkit Hgb Thresholds Presenter: Samir Patel, MD, Graduate Perfusionist Time: 15:00–16:00 Hemoglobin thresholds have sparked debates for decades. Early in my career, an Hgb below 10 meant grabbing a blood bag—no questions asked. Today, we’re wiser, and the evidence is richer. Dr. Samir Patel tackles this in a session that’s all about balancing oxygen delivery with transfusion risks. He’ll unpack the science of Hgb levels and tissue perfusion, diving into trials and guidelines that shape when we pull the transfusion trigger. I’ll throw in a story of a mid-case Hgb drop to 7, where split-second decisions tested our team. We’ll cover special cases—kids, the elderly, complex patients—and the risks of over- or under-transfusing. This is vital for perfusionists, surgeons, and ICU crews who live these choices daily. Walk away with a sharper eye for Hgb management, backed by Dr. Patel’s expertise and my decades of real-time lessons.
100 episodes
All episodes
×
1 Joe Basha's PerfWeb #101 — Day 3 — Raging Fireside Chat on Transplant Perfusion Challenges — Perfusion 1:56:25

1 Joe Basha's PerfWeb #101 — Day 2 — NRP (Normothermic Regional Perfusion) — Perfusion 1:53:30

1 Joe Basha's PerfWeb #101 — Day 1 — Organ Transplant Availability, Procurement & OCS Insights — Perfusion 3:03:24

1 Joe Basha's PerfWeb #100 — Day 3 — Stand Your Ground: Raging Inferno Roundtable on Perfusion Challenges — Perfusion 1:37:23

1 Joe Basha's PerfWeb #100 — Day 2 — Mastering Ultrafiltration & Fluid Balance in Perfusion; Essential Techniques & Insights — Perfusion 2:41:55

1 Joe Basha's PerfWeb #100 —Day 1 — Essential Techniques in Perfusion - RAPP and Hgb Thresholds — Perfusion 1:48:54

1 Joe Basha's PerfWeb #99 - Day 3 — Integration of the PrismaFlex CRRT machine into your CMO circuit — Perfusion 1:43:49

1 Joe Basha's PerfWeb #99 - Day 2 — Mastering Z-BUF in Hyperkalemia. My Near Misses — Perfusion 1:55:50

1 Joe Basha's PerfWeb #99-Day 1 — Exploring CPB Physiology & IABP Applications: Essential Insights for Perfusionists — Perfusion 2:53:38

1 Joe Basha's PerfWeb #98—Day 4— Cardiac & Vascular Regulation: The Perfusionist's Role in Ensuring Adequate Perfusion — Perfusion 2:23:02

1 Joe Basha's PerfWeb #98—Day 3— Mastering Medical Imaging: Techniques & Reading Strategies — Perfusion 1:56:01

1 Joe Basha's PerfWeb #98—Day 2— Understanding ECLS: Navigating Its Adverse Effects— Perfusion 1:48:29

1 Joe Basha's PerfWeb #98—Day 1— EMR Design & Oxyhemoglobin's Impact on NIRS for Perfusionists — Perfusion 2:21:31

1 Joe Basha's PerfWeb #97-Day 4 — Mastering Hemodynamic Waveform Analysis — Perfusion 1:43:48

1 Joe Basha's PerfWeb #97-Day 3 — Addressing Hemodynamic Challenges and CPB Weaning Techniques — Perfusion 1:39:27

1 Joe Basha's PerfWeb #97-Day 2 — Intra-Aortic Balloon Pump (IABP) Basics — Perfusion 1:34:06

1 Joe Basha's PerfWeb #97-Day 1 — The ABC of ABG. Ph stat vs. Alpha stat ABG for Profound Hypothermia — Perfusion 1:47:15

1 Joe Basha’s PerfWeb #96 — ECMO: Is It Just a Four Letter Word? — Perfusion 1:48:05

1 Joe Basha’s PerfWeb #95 — Goal Directed Perfusion and The Inexorable Conflict of What The Goals Are — Perfusion 1:33:26

1 Joe Basha’s PerfWeb #94 — Damed If You Do, Damned If You Don’t - RBC Transfusions — Perfusion 1:24:09

1 Joe Basha’s PerfWeb #93 — IABP for Perfusion. The Physics of Intra Aortic Balloon Pump — Perfusion 1:49:16

1 Joe Basha’s PerfWeb #92 — RAPP (Retrograde Autologous Pump Prime) — Perfusion 57:35

1 Joe Basha’s PerfWeb #91 — RAPP: Why I don’t like it. Risks associated with RAPP — Perfusion 1:04:31

1 Joe Basha’s PerfWeb #90 — Pulsatile perfusion: What are the benefits, and do they outweigh the risks? — Perfusion 1:11:56

1 Joe Basha’s PerfWeb #89 — SARS-CoV-2 Versus Influenza - Associated Acute Respiratory — Perfusion 50:02

1 Joe Basha’s PerfWeb #88 — The ABCs of CRRT. Connecting the CRRT machine — Perfusion 1:30:57

1 Joe Basha’s PerfWeb #87 — A simplified approach to mini mitral surgery: No clamp, no fib, just a-rest — Perfusion 55:33

1 Joe Basha’s PerfWeb Special Program -The Kidney — How to Protect the Kidney from CSA-AKI_and_AKI-How do we mitigate progression. — Perfusion 1:08:54

1 Joe Basha’s PerfWeb Special Program -The Kidney — What is AKI/ARF? — Perfusion 43:42

1 Joe Basha’s PerfWeb Special Program -The Kidney — Effect of CPB Associated Physiologic Alterations — Perfusion 1:23:16

1 Joe Basha’s PerfWeb Special Program -The Kidney — Perfusion 1:29:00

1 Joe Basha’s PerfWeb Special Program -The Kidney. Normal Renal Physiology. What is AKI/ARF? — Perfusion 4:57:59

1 Joe Basha’s PerfWeb #1 — Day 2 - TCD - Protecting the Brain — Perfusion 1:57:14

1 Joe Basha’s PerfWeb #86 — Day 2 - How to Diagnosis Recirculation in Your ECMO Circuit — Perfusion 38:45

1 Joe Basha’s PerfWeb #86 — Day 1 - An Exploration of New Technologies for Perfusion, and Returning to Perfusion — Perfusion 2:19:26

1 Joe Basha’s PerfWeb #85 — How to diagnosis recirculation in your ECMO circuit. Simulation — Perfusion 1:14:59

1 Joe Basha’s PerfWeb #85 — Journal Club 35 - How to Do It: A Safe Bedside Protocol for Dual-Lumen ECMO Catheter— Perfusion 1:18:15

1 Joe Basha’s PerfWeb #84 — ECMO Simulation - Integration of CRRT into your ECMO circuit, the pearls and pitfalls — Perfusion 1:08:55

1 Joe Basha’s PerfWeb #84 — Journal Club 34 - The use of a novel device for CO2 removal in patients with ARDS associated hypercapnia — Perfusion 55:43

1 Joe Basha’s PerfWeb #84 — COVID 19 – ECMO Survival — Perfusion 21:15

1 Joe Basha’s PerfWeb #83 — Mastering Differential Hypoxemia - V-A ECMO — Perfusion 40:53

1 Joe Basha’s PerfWeb #83 — Journal Club 33 - Normothermic Regional Perfusion in Donor Heart Recovery — Perfusion 1:04:00

1 Joe Basha’s PerfWeb #83 — Fireside Chat - The future of organ procurement— Perfusion 1:09:42

1 Joe Basha’s PerfWeb #83 — Accidents in the cardiac surgery suite. What can we learn from the mistakes of others — Perfusion 51:05

1 Joe Basha’s PerfWeb #82 — Fireside Chat with Ann Guercio — Perfusion 1:08:27
Welcome to Player FM!
Player FM is scanning the web for high-quality podcasts for you to enjoy right now. It's the best podcast app and works on Android, iPhone, and the web. Signup to sync subscriptions across devices.