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.

Stand Your Ground - Raging Fireside Chat Presenter: J. Basha, CCP, Open to Audience After two days of transplant deep dives, J. Basha, CCP, hosts a two-hour open chat to wrestle with the big issues—and you’re the spark. This is no passive wrap-up. Bring your takes on NRP ethics, OCS costs, or organ shortages. I’ll share 40 years of perfusion fights, like pushing for innovation when tradition stalled. We’ll spar over opt-out systems, machine perfusion’s price tag, and allocation fairness. It’s a chance to challenge, learn, and grow—perfusionists, coordinators, and anyone. Join the fireside fray to ignite real change.

Mastering NRP for Organ Donation Success NRP is rewriting organ donation rules, and Matt Warhoover, CCP, takes you inside this bold frontier over a two-hour session. Using ECMO or bypass, NRP restarts circulation after circulatory death to recover organs in situ. Warhoover will cover cannulation, perfusion, and the ethics of this gray zone. I’ll weigh in on its promise—like turning DCD into multi-organ wins—and its hurdles. You’ll compare it to standard methods and see its impact on the donor pool. Perfusionists will find new turf here; transplant pros will grasp its potential. Dive in to shape the future of donation.

Organ Availability for Transplant in the U.S. Presenter: S. Patel, MD Time: 10:00–11:00 Transplantation saves lives, but the organ shortage is a brutal bottleneck. Dr. S. Patel digs into this crisis, where over 100,000 wait and too many don’t make it. He’ll lay out the stats, policies, and ethics—why donor rates lag and who gets priority. I’ll add my OR view: the highs of a transplant win, the lows when organs don’t come. Dr. Patel will spotlight solutions like opt-out donation and perfusion’s role in preservation. For perfusionists, this ties to our work; for healthcare pros, it’s the big picture. Join us to see how we can close the gap—one organ, one patient at a time. Organ Procurement Techniques Presenter: S. Patel, MD Time: 11:00–12:00 Organ procurement is a high-wire act—surgery, timing, and teamwork in a race against ischemia. Dr. S. Patel unveils the process from donor consent to preservation. He’ll detail organ-specific needs—kidneys versus hearts, livers needing extra care—and preservation tricks like cooling and solutions. I’ll share a near-miss when a delayed flight tested our heart transport skills. You’ll get the latest on machine perfusion, too. Perfusionists will prize this; surgeons and coordinators will sync better with it. This session arms you to keep organs viable for their next life. OCS (Organ Care System) Presenter: J. Basha, CCP Time: 12:00–13:00 The Organ Care System (OCS) is a transplant revolution, and J. Basha, CCP, shows why it’s a game-changer I’ve seen work wonders. Unlike cold storage, OCS perfuses organs with warm, oxygenated blood, extending viability. Basha will explain its use for hearts, lungs, and livers, and how it rescues borderline organs. I’ll recount an OCS save—a distant heart that beat strong thanks to this tech. Learn setup, monitoring, and troubleshooting to cut ischemic damage. Perfusionists will level up; transplant teams will broaden their reach. See why OCS is the future and how to wield it.

Stand Your Ground in the Raging Inferno Presenter: J. Basha, CCP, Open to Audience Participation  After two packed days, we tie it together in a fiery roundtable led by J. Basha, CCP. This isn’t a sit-back session—it’s a gloves-off discussion of PerfWeb 100’s topics, and you’re in the ring. Basha will steer us through RAPP, Hgb thresholds, ultrafiltration, and fluid balance, but your questions and challenges fuel the fire. I’ll toss in tales from 40 years, like when I stood firm against a crystalloid-happy surgeon. We’ll debate: Is there a perfect Hgb cutoff? When is ultrafiltration too much? It’s a chance to learn from peers, experts, and your grit. Students and pros alike will sharpen their edge here. Jump into the inferno—let’s forge stronger practices together.

Benefits of Ultrafiltration Presenter: J. Basha, CCP Ultrafiltration hit perfusion like a lifeline, giving us control over fluid overload when diuretics alone wouldn’t cut it. J. Basha, CCP, leads this session to show why it’s a cornerstone of my practice after 40 years. Basha will break down how ultrafiltration strips out excess water and solutes via semi-permeable membranes, while keeping proteins and cells intact. It’s not just fluid removal—it’s precision, reducing edema and even inflammatory markers. I’ll recall a heart failure case where ultrafiltration got us off bypass when the odds were grim. You’ll learn the types (conventional, modified, zero-balance), how to weave it into your circuit, and how to dodge pitfalls like hypotension. Perfusionists will find this essential; OR teams will see its teamwork value. Join us to harness ultrafiltration’s power for better outcomes. Assessment of Patient Fluid Balance and Status Presenters: S. Patel, MD, J. Basha, CCP Fluid balance is perfusion’s quiet MVP—nail it, and the case flows; botch it, and you’re in chaos. Dr. S. Patel and J. Basha team up to decode this critical skill over a two-hour deep dive. They’ll cover the tools—CVP, PA pressures, TEE, bioimpedance—and how to read them amid bypass’s wild fluid shifts. I’ll share my go-to signs, like venous oxygen saturation shifts, that scream trouble early. Expect actionable strategies: pre-op prep, intra-op tweaks, and post-op stability, with tips like using albumin for oncotic pressure. This is for perfusionists, anesthesiologists, and surgeons—it’s a team effort.