The ethics of NRP—current debates, consent, legal/organizational policies, and team communication. Hemodynamic monitoring for the perfusionist—MAP/PPV/SVV, venous oximetry, lactate trends, and practical targets on CPB and ECMO. Learning objectives: Identify the core ethical concerns and guardrails for NRP programs. Build an explicit consent and documentation pathway with the OR/NRP team. Apply a monitoring bundle (flows, pressures, SvO₂, lactate, urine output) to guide decisions. Create checklists for escalation, troubleshooting, and handoff.

Focus: practical ECMO circuit design and live simulations covering configuration choices, tubing and oxygenator selection, flow targets, pressure monitoring, recirculation prevention, anticoagulation, and troubleshooting. Learning objectives: • Build safe ECMO circuits step-by-step. Choose pumps, oxygenators, and tubing to meet patient goals. Set and adjust flow, sweep, and pressures during simulation. Prevent and correct recirculation, chatter, and alarms.

Topics: From underflow to leaving suckers on during protamine—risk, mechanism, and management. IABP and Impella—patient selection, timing, and weaning strategy. Learning objectives: Recognize perfusion errors around protamine reversal and how to prevent them. Apply a stepwise strategy when flows are low or suckers remain on. Compare IABP and Impella indications, contraindications, and outcomes. Build practical checklists for OR communication and handoff.

When should you use albumin versus crystalloid during cardiopulmonary bypass? This PerfWeb session provides a clear, evidence-informed look at the clinical decision-making behind fluid selection in perfusion. Rather than focusing on which fluid is "better," this webinar explores the indications, physiological impact, and outcome-based reasoning for using albumin or crystalloid in different perfusion scenarios. Ideal for practicing perfusionists, board prep students, and cardiac care professionals, this session offers the clarity needed to make confident fluid choices during bypass and other critical procedures.

Perfusion as a specialty has always evolved in response to advances in cardiac surgery, extracorporeal support, and critical care. This session will explore how future perfusionists may need to redefine their role in healthcare teams. The discussion will focus on technology integration, including artificial intelligence, machine learning, and predictive analytics. Participants will consider how these tools may assist perfusionists in real-time decision-making, patient monitoring, and workflow efficiency. Additionally, the session will examine the professional challenges of the next decade: maintaining relevance within a multidisciplinary team, advancing educational pathways, and navigating ethical questions surrounding emerging technologies such as normothermic regional perfusion (NRP), mechanical circulatory support, and extracorporeal cardiopulmonary resuscitation (ECPR). Future perfusionists must be both technical experts and critical thinkers. They will need to master new tools while maintaining strong clinical judgment in life-saving scenarios. The speaker will also highlight career growth opportunities, including leadership roles in perfusion education, research, and hospital administration.

PerfWeb 105 Day 2 focuses on the impact of hemoglobin on oxygen delivery (DO₂), a fundamental concept in perfusion practice. This session examines the relationship between hemoglobin concentration and systemic oxygen transport, with direct implications for patient safety and clinical decision-making during cardiopulmonary bypass. Designed for practicing perfusionists, board exam candidates, and healthcare professionals, the program blends theory with real-world applications in perfusion. Learning Highlights: The role of hemoglobin in oxygen delivery (DO₂). Physiological principles behind oxygen transport, Strategies to optimize DO₂ during bypass, Clinical relevance of hemoglobin levels in perfusion outcomes.

This PerfWeb session focuses on perfusionist board exam preparation with a live Q&A panel of certified perfusionists. The faculty will answer challenging questions directly related to board certification, offering valuable insights for candidates preparing to enter the field. Additionally, the webinar examines the clinical application of ultrafiltration during cardiopulmonary bypass, highlighting its role in managing fluid status, balancing electrolytes, and reducing inflammatory mediators. Learning Highlights: Panel Q&A: Certified perfusionists answer board exam questions. Ultrafiltration in perfusion practice: clinical applications, Managing fluid balance and reducing inflammatory mediators

Staffing Crisis, and Accountability in Perfusion Practice.

Z-BUF, Staffing Crisis, and Accountability in Perfusion Practice.

Putting To Rest The Idea That Ultrafiltration On CPB Causes Renal Failure.

 I went to work one day and died. A perfusionist's journey.

Weaning the fiO2 on VA ECMO. Is This Safe Practice?

When to Say Enough. The Difficulty of Recognizing Futility in the Patient on ECMO.

Massive Hemorrhage of an ECMO Patients - Requiring Six Full MTP's

This session dives into innovative machine perfusion techniques, advanced perfusates, and logistics breakthroughs aimed at extending organ viability and improving transplant outcomes. Packed with real-world case studies, expert insights, and interactive Q&A, this focused 1.2‑CEU webinar spotlights how modern technology is revolutionizing the way donor organs are preserved, transported, and ultimately saved.

Dive into the ethical dilemmas and controversies surrounding perfusion practices. This session, presented by Perfusion Education and streamed within the last month, tackles tough questions such as informed consent, allocation equity, risk-benefit analysis of experimental techniques, and real-world case studies. Essential for perfusionists, transplant professionals, and bioethicists, this discussion offers practical insights and stimulating debate to inform ethical decision-making in modern perfusion.

A comprehensive literature review on Normothermic Regional Perfusion (NRP) led by Samir Patel, MD, CCP, LP. Streamed on June 2, 2025, this session explores the latest research and emerging technologies in NRP, spotlighting its clinical applications, ethical considerations, and protocol development in perfusion practice. Ideal for perfusionists and transplant specialists, this episode packs 1.2 CEUs of expert insight into a field reshaping organ donation strategies.

Poiseuille’s Law drives perfusion, and J. Basha, CCP, dissects why it’s our physics Bible. He’ll unpack flow’s reliance on pressure, radius, length, and viscosity—key to circuits and patients. I’ll recall early days when a tiny radius tweak tanked a case. You’ll apply it to cannulas, tubing, and viscosity control via temp and Hgb. Calculate flows, predict pressures, fix problems fast. Perfusionists live this; OR teams peek into our world. After 40 years, I lean on Poiseuille daily—build your foundation here. Myocardial Protection Strategies: Why Do We Still See RV Dysfunction and Failure? 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. Stand Your Ground: The AmSECT Guidelines on Hgb. Right or Wrong? Presenter: J. Basha, CCP, Audience Call-In. AmSECT’s Hgb guidelines divide us—love ’em or hate ’em, they’re up for debate. J. Basha, CCP, leads this call-in clash. Basha lays out the rules, the evidence, and the gripes. Then it’s on: Do you stick to them or trust your gut? We’ll argue universal thresholds, transfusion risks, and adjuncts like EPO. Bring your stance—students, pros, all voices count. Refine your practice in this showdown. Join us to stand your ground or find new footing.

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.