John Ingram

John Ingram, CCP

John Ingram is a magna cum laude graduate from University of Texas, Texas Heart Institute and a board certified perfusionist currently specializing in adult perfusion as well as pediatric and adult ECMO.  He has several medical patents and has served as a consultant for nearly every perfusion manufacturer. He has published seven research publications in the perfusion literature, and has presented both nationally and internationally.   With fifteen years experience as a Chief Perfusionist, and thirty years perfusion experience in total, he presently provides nationwide temporary and long term locum tenens coverage.

John Ingram, CCP lectures:

PerfWeb 23 – Concepts in ECMO–Part 1
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Delivery of Oxygen and Acute Renal Injury, Making the Connection. Cardiopulmonary Bypass; is our use of Phenylephrine Causing Acute Kidney Injury? ECMO economics
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PerfWeb 25 – Renal Function,  AKI, and Fluid Balance for the perfusionist - 2.0 Part 1
1 Reviews

Renal Function, AKI, and Fluid Balance for the perfusionist. What are the drivers of urine production? Does UF on CPB reduce urine output? What is AKI?
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2
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PerfWeb 25 – Renal Function, AKI, and Fluid Balance for the perfusionist - 2.0 Part 2
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Renal Function, AKI, and Fluid Balance for the perfusionist. CRRT Vs. IHD. Integrating CRRT into your ECMO circuit. Fluid overload is deadly
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2.6
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PerfWeb 26 - Part 2
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Discussion: Goal Directed Therapy. Goal Directed Perfusion | Perfusion Education
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PerfWeb 23 Cardiopulmonary Bypass is use of Phenylephrine Causing AKI
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How the use of Phenylephrine (Neo Synephrine) contributes to renal blood flow alterations and Acute Kidney Injury (AKI) | Perfusion
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PerfWeb 23 – Delivery of Oxygen and AKI, Making the Connection
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Delivery of Oxygen and Acute Renal Injury, Making the Connection. What is Acute Kidney Injury (AKI)? AKI Classification. AKI Factors. Nephron structure and function
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0.6
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PerfWeb 25 How ECMO contributes to maintaining kidney dysfunction Acute Kidney Injury (AKI)
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How ECMO contributes to maintaining kidney dysfunction and casually participates in the development of AKI (Acute Kidney Injury)
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1.3
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PerfWeb 25 Organ Crosstalk: Cardiorenal Syndromes Heart Lung Kidney Interactions. Hormonal signals
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How organs interact with each other with hormonal signals - Organ Crosstalk: Cardiorenal Syndromes Heart Lung Kidney Interactions. Hormonal
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0.8
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PerfWeb 25 Does Ultrafiltration (UF) on Cardiopulmonary Bypass (CPB) reduce urine output? AKI
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An informative lecture and lively discussion about ultrafiltration and Acute Kidney Injury (AKI) Does ultrafiltration on Cardiopulmonary Bypass (CPB) alter urine production?
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0.86
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PerfWeb 25 What is AKI Acute Kidney Injury explained RIFLE AKIN and KDIGO Criteria for assessing AKI
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What Acute Kidney Injury (AKI) is and factors that influence its development. The learner will be able to discuss the RIFLE, AKIN, and KDIGO criteria for assessing AKI
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0.48
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PerfWeb 25 Acute Kidney Injury (AKI). Drivers Of Urine Production.
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Physiologic principles of urine production and discuss how cardiopulmonary bypass effects urine production and the potential development of Acute Kidney Injury (AKI)
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PerfWeb 28 Controversies in Perfusion, Metabolic Alkalosis, On pump Vs. Off pump, and ECMO Topics
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Controversies in Perfusion. Metabolic alkalosis – Definition, etiology and treatment. On pump Vs. Off pump CABG for Left Main Disease. When to call for ECMO
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6
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What we can all Learn from Traveling Perfusionists, Lessons and Stories from the Road.
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Topic for this program: What we can all Learn from Traveling Perfusionists, Lessons and Stories from the Road | Perfusion Education
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1.8
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CORONA 30 ECMO Cannulation, ECMO staffing and ECMO Specialists Extracorporeal Membrane Oxygenation
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Cannulation strategies for ECMO therapy and how we can effectively blend Perfusion, Nursing and Respiratory Therapy to increase the number of ECMO patients
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2.2
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CORONA 30 ECMO Cannulation Extracorporeal Membrane Oxygenation
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explore ECMO cannulation and ECMO circuit considerations to effectively treat patients in need of Veno-Venous, Veno-Arterial, or combined ECMO therapy
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0.6
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CORONA 30 Transfusions triggers in perfusion during cardiac surgery and ECMO
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Historical perspectives and contemporary understanding of the risks and benefits of transfusions in cardiac surgery and perfusion, triggers in perfusion
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CORONA 30 Deep Hypothermia Circulatory Arrest and cardiopulmonary bypass
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Deep Hypothermia Circulatory Arrest  PH stat and Alpha stat This program will cover the use of Deep Hypothermia Circulatory Arrest (DHCA). Cerebral blood flow.
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CORONA 30 ECMO patient selection, ECMO anticoagulation, ECMO cannulation
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Extracorporeal Membrane Oxygenation (ECMO) ECMO patient selection. ECMO cannulation. ECMO complications, anticoagulation strategies and how to manage complications
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4.2
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COVID–19 A report from the front lines. Fight against Covid-19
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Topic for this program: Perfusionists may be front line soldiers in fight against Covid-19
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1.2
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Optimizing Renal Replacement Therapy for Patients Who Need Extracorporeal Membrane Oxygenation ECMO
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Use of Continuous Renal Replacement Therapy (CRRT) during Extracorporeal Membrane Oxygenation (ECMO) therapy and debate the use of CRRT as continuous dialysis
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2.2
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Commentary: Myocardial protection is a process, not an event. Antifibrinolytics
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Commentary: Myocardial protection is a process, not an event. Anti - Fibrinolytics Updates on Myocardial Protection
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2.2
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Extracorporeal Membrane Oxygenation Cannulation for Postcardiotomy Shock
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Extracorporeal membrane oxygenation cannulation for postcardiotomy shock. ECMO Cannulation: Pearls of wisdom. Oxygen Dissociation Curve
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Fluid Management of the ECMO Patient. Extracorporeal Membrane Oxygenation
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SMART decisions in fluid management are worth their SALT Fluid management of the ECMO patient. Fetal Hemoglobin vs. Adult Hemoglobin
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2.2
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Donation after Cardiac Death - Preparing for Acute Aortic Emergencies and the Next Wave of Pandemic
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Donation after Cardiac Death (DCD): Expanding the donor pool for patients needing heart transplantation. Preparing for acute aortic emergencies. Magnesium
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3.4
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PerfWeb 57 — MediWeb Spring Conference — Day 3
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Anticoagulation free ECMO: Does this improve outcomes? CRRT: How is it used, is it beneficial, can benefit be measured? Ultrafiltration for volume management on CPB
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7.8
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Heparin Free (VV ECMO) Veno Venous Extracorporeal Membrane Oxygenation in a Multiple Trauma Patient
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Heparin - free ( VV ECMO) Veno - Venous Extracorporeal Membrane Oxygenation in a multiple trauma patient. Anticogulation free ECMO: Is this safe? Bivalirudin
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ECMO (Extracorporeal Membrane Oxygenation) Cannulation – Basic Strategies
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Review of ECMO cannulation strategies and the panel discusses the reasons to use Veno-Arterial and Veno-Venous ECMO. Review inclusion and exclusion criteria for V-A and V-V ECMO
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Controversies in Perfusion – 1 When to transfuse (Blood Transfusions)
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Controversies in perfusion and cardiac surgery are common place. This program explores the controversial topic of transfusion and lowest acceptable hematocrit on pump
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Controversies in Perfusion – 2 – Del Nido Cardioplegia
1 Reviews

Use of Del Nido cardioplegia in adult cardiac surgery has gained in popularity, many variations to the original Del Nido formula have come into vogue. Is this a safe cardioplegia?
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Controversies in Perfusion – 3 – Should you treat an elevated potassium. Hyperkalemia
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Discussion about hyperkalemia while coming off bypass. Different practices view what too high a potassium is and how and when it gets treated
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Metabolic Alkalosis – Definition, etiology and treatment - John Ingram, CCP
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Review on metabolic alkalosis and how it is treated in the critical care unit. Etiology, clinical significance of. Degree to which this finding is understood and treated
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What we can all Learn from Traveling Perfusionists, Lessons from the Road
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An all star panel of experienced, traveling perfusionists discuss the commonalities and differences of various heart programs around the country and how perfusion is approached
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Understanding the Complexities of the Right Side Circulation - John Ingram, CCP
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John Ingram, CCP describes the complexities of the right sided circulation and how it differs from the left. Potential causes of and measures for managing right heart failure
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Extracorporeal Membrane Oxygenation (ECMO) Anticoagulation - John Ingram, CCP
3 Reviews

Joe Basha, CCP and John Ingram, CCP talk about anticoagulation strategies for ECMO patients. SCCM guidelines and their own experiences with different anticoagulation protocols
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1.62
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Update on Cannabinoids. Use of Cannabinoids for the Treatment of Inflammatory Diseases
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Joe Basha, CCP and John Ingram, CCP update us on the use of cannabinoids for the treatment of inflammatory diseases.
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1.14
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Goal Directed Perfusion Improve Patient Outcomes Undergoing Cardiopulmonary Bypass Procedures
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What is Goal Directed Perfusion, how are goals measured, and how does Goal Directed Perfusion improve patient outcomes undergoing Cardiopulmonary Bypass procedures
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Primary differences between Roller vs Centrifugal Arterial Pumps - How They Work
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Examine the primary differences between and frequency of use of centrifugal pumps and roller pumps for systemic arterial arterial flow during cardiopulmonary bypass
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Perfusion Job - Perfusionist Career - Perfusion Education
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Discussion from a diverse group of perfusion professionals discuss perfusion as a profession and the privilege and responsibilities that come from the professional designation
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Adequacy of Perfusion. Delivery of Oxygen DO2 and Delivery of Oxygen Index DO2I
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Discussed are DO2 and DO2I and the importance of using these parameters in assure adequacy of perfusion for patients undergoing cardiopulmonary bypass
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PH Stat and Alpha stat. Blood Gas Management - John Ingram, CCP
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The differences between PH stat and Alpha stat techniques for blood gas management and the advantages and disadvantages of each during norm and hypothermic bypass conditions
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1.32
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Deep Hypothermia Circulatory Arrest (DHCA) - selective cerebral perfusion
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Deep Hypothermia Circulatory Arrest (DHCA) strategies for neurologic protection and the techniques for selective cerebral perfusion - protecting the brain
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Blood Transfusions Contemporary use of blood transfusions in medicine
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Joe Basha, CCP lectures on the history and the contemporary use of blood transfusions in medicine.
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Blood Transfusions Review and little known facts. Benefits of blood transfusions
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Joe Basha, CCP and John Ingram, CCP lecture and discuss the risks and benefits of blood transfusions and also explore and discuss the blood banking industry
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ECMO Cannulation – Are you optimizing your therapy?
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John Ingram, CCP and Joe Basha, CCP discuss how to evaluate the effectiveness of your ECMO cannulation strategy and of your ECMO therapeutic goals and metrics.
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ECMO (Extracorporeal Membrane Oxygenation) -  Cannulation strategies
1 Reviews

Another excellent review by John Ingram, CCP of various ECMO cannulation strategies, including basic cannulation and exotic cannulation strategies | Perfusion
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Ventricular Assist Devices (VAD). Extracorporeal Oxygenation and Coronavirus Disease. Surfactant
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Ventricular Assist Devices (VAD). Extracorporeal Oxygenation and Coronavirus Disease. Surfactant | Perfusion Education
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3.4
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ECMO Platform Overview. Acute Hypoxemic Respiratory Failure. Atrial Septal Defects
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Lower or Higher Oxygenation Targets for Acute Hypoxemic Respiratory Failure. ECMO platform overview: Cost, safety, versatility. Atrial Septal Defects
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Understanding Alpha Stat/pH Stat. Cardiopulmonary Bypass Management. Protamine - Neutralize Heparin
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How Does Protamine Really Neutralize Heparin?  Taking the next step in cardiopulmonary bypass management. Understanding alpha stat and pH stat
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The Effect of CPB on Platelets. Preoperative C-reactive Protein. Blood Storage.
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The effect of Cardiopulmonary Bypass (CPB) on Platelets. Preoperative C-reactive protein as a predictor of postoperative AKI. Blood Storage Effects on the Blood Components
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Single Ventricle Physiology. Alternative Technique of Long Acting Cardioplegia. Ammonia Blood Levels
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Single Ventricle physiology and how this affects perfusion technique during surgical correction. Alternative techniques to long acting cardioplegia for myocardial protection CPB
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Update on ECMO for COVID-19 Weaning - V-A ECMO with Cardiogenic Shock Recombinant Activ. Factor VII
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Update on ECMO for COVID-19: What have we learned? Early experience of pump-controlled retrograde trial off for weaning from (VA ECMO) in adult patients with cardiogenic shock
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2020 Review of VUMC. Neurologic Recovery After Ten Minutes No Blood Flow. Albumin: How Much?
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The Vanderbilt team - The heart transplant program at VUMC; T. Sparacino - an unusual case of neurologic recovery after protracted cardiac arrest. J. Ingram - the use of Albumin
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PerfWeb 75 - Day 4 - Knowledge Nuggets - Septic Shock
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John Ingram, CCP discusses septic shock, its cause, its treatment options and its mortality.
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PerfWeb 77 — Day 2 - John Ingram Knowledge Nuggets: Understanding Oxygen Free Radicals
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John Ingram Knowledge Nuggets: Understanding Oxygen Free Radicals. John will lecture on oxygen free radicals: What they are, how they effect organs and how they can be modulated
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PerfWeb 78 — Day 2 - John Ingram Knowledge Nuggets: Urine output on CPB; When is enough, enough?
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How renal blood flow and urine production is affected by cardiopulmonary bypass, inflammatory processes and disease states John discusses the use of urine output as a measure of RF
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PerfWeb 79 - The Truth About Retrograde Cardioplegia — Day 2
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John Ingram, CCP and perfweb team lecture on: The truth about retrograde cardioplegia | Perfusion Education
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PerfWeb 81 - Racial Bias in Pulse Oximetry - Wolf, Parkinson White Syndrome — Day 1
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Tammy Sparacino, CCP and the PerfWeb team lecture, discuss: Racial Bias in Pulse Oximetry; John Ingram, CCP lecture and discuss: Wolf, Parkinson White Syndrome
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