Controversies in Perfusion – 1 When to transfuse (Blood Transfusions)
Controversies in Perfusion – 1 When to transfuse (Blood Transfusions)

Controversies in Perfusion – 1 When to transfuse (Blood Transfusions)

  • Faculty: Program director Joseph Basha, CCP; John Ingram, CCP
  • Date: September 5th, 2019 10:00 am
  • CEU’s: 0.76 CEUs
  • Price: $11.4
  • Category 1 SDCE CEU
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Course description

Controversies in perfusion and cardiac surgery are common place. This program explores the controversial topic of transfusion and lowest acceptable hematocrit on pump.

The panel also discusses ultrafiltration, flow rates and RAPP. 
#perfusion #bloodtransfusion #CriticalCare 
0:00 Controversies in perfusion - Guidelines for Blood Transfusions World Health Organisation (WHO)  
2:43 Del Nido Cardioplegia Cardiac surgery procedures usually involve the use of cardiopulmonary bypass and cardiac arrest. In consequence, myocardial protection is essential. Inadequate protection may cause myocardial stunning, cell apoptosis and infarction. The search for an ideal cardioplegic solution has continued since the very beginning of cardiac surgery. 
Plenty of solutions are available, both commercial and self-made. Yet, there are no guidelines referring to use of a specific solution, and the literature does not clearly confirm the superiority of one over another. 
3:00 Discussion Panel - Controversies in Perfusion, Blood Transfusions 

The healthcare world is rife with debates and controversies, and the topic of blood transfusions in perfusion therapy is no exception. The video titled "Controversies in Perfusion – 1: When to Transfuse Blood" delves deep into this contentious issue, aiming to provide medical professionals and curious minds alike with a nuanced understanding of when blood transfusions are not just necessary, but ethical and effective. 

Drawing from the guidelines set forth by the World Health Organization (WHO), the video begins by exploring the governing principles that dictate when a blood transfusion should be considered. The WHO suggests that transfusion of blood and its products should be seen as a last resort, undertaken only to treat conditions that would result in significant morbidity or mortality and that cannot be effectively managed through other means. This sets the stage for the complex discussion that follows, touching on the ethical, medical, and operational facets of this medical procedure.

The video also tackles the question of 'thresholds'—what physiological markers should guide the decision to transfuse? Is it hemoglobin levels, the overall clinical picture, or a combination of several factors? The discussion dives into the recent studies and evolving perspectives that are shaping current practices, equipping the viewer with the tools to make more informed decisions. Importantly, the video doesn't shy away from questioning traditional practices, encouraging clinicians to adopt a more evidence-based approach.

In a healthcare setting where the decision to transfuse can impact not just the patient's immediate health but also long-term outcomes, this video serves as a critical resource. It pushes the viewer to consider the broader implications of transfusion, from the risks of infection and complications to the ethical dilemma surrounding the use of a limited resource. 

Beyond just medical professionals, the video is a must-watch for anyone interested in the complexities of healthcare decision-making. It offers a balanced view, presenting the pros and cons, the certainties and uncertainties, and the ethical quandaries that make the topic of blood transfusion in perfusion a subject of ongoing debate. 

As we continue to advance in the field of medicine, understanding the intricacies of procedures like blood transfusion becomes increasingly vital. This video serves as a comprehensive guide, walking you through the what, when, and how of blood transfusions in perfusion. It's more than just an educational resource; it's a call to action for medical professionals to continuously question, learn, and adapt in the ever-evolving landscape of healthcare.

In summary, "Controversies in Perfusion – 1: When to Transfuse Blood" is a thought-provoking and enlightening exploration of one of healthcare's most debated topics. Whether you're a clinician, a student, or simply someone keen to understand the complexities of medical decision-making, this video offers invaluable insights that prompt you to think critically about the world of healthcare.

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Meet Your Instructor

Program director Joseph Basha, CCP

Program director Joseph Basha, CCP

Joseph has been a practicing clinical perfusionist for 40 years. Joseph is the CEO of Houston Extracorporeal Technologies and is the program director of The New Orleans Conference

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John Ingram, CCP

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

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