Joe Basha's PerfWeb #102 Day 1 — Myocardial Protection Strategies: Why Do We Still See RV Dysfunction and Failure? — Perfusion

The PerfWeb Podcast

Protecting the heart is cardiac surgery’s core, yet RV dysfunction haunts us. J. Basha, CCP, digs into why and how to fight it. Basha will revisit cardioplegia basics—delivery, mixes, temps—then zero in on the RV’s quirks and vulnerability. I’ll share RV failures that taught me to watch it closer than the LV. Expect advanced moves: retrograde cardioplegia, RV tweaks, and handling pulmonary hypertension. Learn to spot and stop RV trouble from pre-op to post-op. Perfusionists need this; surgeons and anesthesiologists will align better with it. Crack the RV puzzle with us. What Is Reperfusion Injury and How Can It Be Avoided? Presenter: S. Patel, MD

Reperfusion injury is the cruel twist of restoring flow only to harm more. Dr. S. Patel unravels this and offers fixes. He’ll trace its roots—ischemia’s setup, reperfusion’s chaos of inflammation and cell death—and its RV toll. I’ll tell of a case where cardioplegia wasn’t enough, but smart moves won out. We’ll cover controlled reperfusion, leukocyte filters, and medications such as adenosine, as well as new concepts like preconditioning. Perfusionists, surgeons, researchers—this is your playbook to dodge the paradox—master safe reperfusion with Patel and my 40-year lens.