Emily Foreman, CCP reviews her peer-reviewed publication on RAPP as a transfusion management procedure. In this YouTube video, Emily Foreman, CCP presents the findings of a paper published towards the end of 2021. The paper is titled "To Wrap or Not to Wrap." The purpose of the study was a quality improvement project to determine if wrapping during cardiac surgeries was beneficial for their patients. The speaker explains that their institution has a low prime bypass circuit and a strict anesthesia preoperative protocol. They analyzed about 40 different data points on each patient and examined reported benefits and possible negative consequences of wrapping during cardiac surgeries. They conducted a retrospective study by comparing two groups of patients: those who were wrapped during surgery and those who were not. They looked at various factors, including red blood cell transfusion index, oxygen delivery, postoperative acute kidney injury, albumin administration, ventilator times, ICU length of stay, and 30-day mortality. The speaker presents their original theories, such as the belief that wrapping may negatively impact acute kidney injury incidence and reduce oxygen delivery. However, their analysis revealed that wrapping did not have a statistically significant impact on most of the studied parameters. The only notable finding was a higher post-operative albumin administration in the wrapped group. The conclusion drawn from the study was that wrapping during cardiac surgeries was not beneficial in their patient population, considering their specific preoperative fluid administration protocols and prime circuit. They also mention the need for further research, particularly in cases involving condensed circuits. Overall, the study did not support the idea that wrapping was advantageous for their patients, and the speaker highlights the limitations and challenges they faced during the analysis.
Joe Basha‘s PerfWeb C30 — ECMO (Extracorporeal Membrane Oxygenation) Patient Selection — Perfusion
Joe Basha‘s PerfWeb C30 — Extracorporeal Membrane Oxygenation (ECMO) complications — Perfusion
Joe Basha‘s PerfWeb C30 — ECMO Cannulation (Extracorporeal Membrane Oxygenation) - Cannulation strategies — Perfusion
Joe Basha‘s PerfWeb C30 — ECMO (Extracorporeal Membrane Oxygenation) Cannulation – Basic Strategies — Perfusion
Joe Basha‘s PerfWeb C30 — ECMO Cannulation – Are you optimizing your therapy? — Perfusion
Joe Basha‘s PerfWeb #14 Full Program — The Arguments For And Against State Licensure For Perfusion — Perfusion
Joe Basha‘s PerfWeb #13 Full Program — Cerebral Embolic Protection Devices. Embolic Stroke Prevention. Triguard and Sentinel Dev — Perfusion
Joe Basha‘s PerfWeb #12 Full Program — ECMO. Extracorporeal Membrane Oxygenation. VV ECMO. Anticoagulation And Weaning — Perfusion
Joe Basha‘s PerfWeb #11 Full Program — CVVH / CRRT: What Is It And Why We Should Use It More. Veno Venous Hemofiltration; CVVH and ECMO — Perfusion
Joe Basha‘s PerfWeb #10 Full Program — Angiovac device - A Tool For The Perfusionist Blood clot removal — Perfusion
Joe Basha‘s PerfWeb C30 — Extracorporeal Membrane Oxygenation (ECMO) Anticoagulation — Perfusion
Joe Basha‘s PerfWeb #5 Full Program — X-Ray Trans Esophageal Echo. Acute Respiratory Distress Syndrome CT Scan. Lucas Duvall, MD — Perfusion
Joe Basha‘s PerfWeb #4 Full Program — Retrograde Autologous Priming RAPP vs Ultrafiltration Optimizing HGB Alarm Desensitization — Perfusion
Joe Basha‘s PerfWeb #3 Full Program — Extracorporeal Membrane Oxygenation (ECMO) Use and Staffing. Perfusion Education — Perfusion
Joe Basha‘s PerfWeb #2 Full Program — Generational Differences In Work Ethics In Perfusion. Perfusion Education — Perfusion
Joe Basha‘s PerfWeb C30 — Deep Hypothermia Circulatory Arrest (DHCA) - selective cerebral perfusion — Perfusion
Joe Basha‘s PerfWeb C30 — Continuous VenoVenous Hemofiltration CVVH - Part 2 — Perfusion
Joe Basha‘s PerfWeb C30 — Differences between Continuous Veno-Venous Hemofiltration (CVVH) and Intermittent Hemodialysis (IHD) - Perfusion
Joe Basha‘s PerfWeb C30 — Covid-19 Current challenges for perfusion - Perfusion Education — Perfusion
Joe Basha‘s PerfWeb C30 — Blood Transfusions Contemporary use of blood transfusions in medicine — Perfusion
Create your
podcast in
minutes
It is Free
The Relaxback UK Show
Good Nurse Bad Nurse
On Call With Dr. Anselm Anyoha
The Doctor’s Farmacy with Mark Hyman, M.D.
The Peter Attia Drive