PerfWeb 110 – Day 1 focuses on professionalism in managing large perfusion practices and training centers, addressing the unique challenges of high-volume cardiovascular care operations. Speakers examine ethical principles, administrative efficiencies, and educational frameworks that ensure consistent patient safety and team performance amid expanding service lines like extracorporeal membrane oxygenation (ECMO) and complex cardiac surgeries. For perfusion leaders, this content provides tools to align daily operations with professional standards, reducing risks from scaling while promoting long-term program viability. Learning Objectives Define core elements of professionalism in perfusion, including ethical conduct and accountability in high-stakes clinical environments Identify strategies for scaling perfusion services to support increased case volumes without compromising quality or safety Develop protocols for integrating training programs into large practice operations to maintain staff competency Evaluate leadership approaches for managing multidisciplinary teams in busy perfusion centers Apply administrative best practices to handle regulatory compliance, resource allocation, and conflict resolution Assess metrics for measuring professional performance and program success in large-scale perfusion settings

PerfWeb 109 – Day 2 features Joe Basha and Becky Bolkovac in a practical, honest conversation about what perfusion can be: a job, a vocation, a hobby, or a career—and how the way you frame your work impacts burnout, satisfaction, professionalism, and patient care.

They break down the definitions, discuss real-world pressures like workload and call coverage, and explore why team culture and leadership matter—especially in high-stakes environments where the patient must always come first.

PerfWeb 109 – Day 1 continues with a hands-on look at the “Anamotage Table” and how advanced 3D anatomy tools are transforming perfusion education. Host Joe Basha is joined by Ed Delaney (Director, Hofstra Cardiovascular Sciences & Perfusion Medicine / Northwell Health) and Vivian Moreno to explore how real-time cadaver-based visualization enhances anatomy, physiology, circuit planning, and board review.

The discussion highlights how layered, interactive learning helps students connect anatomy to surgery, improves clinical readiness, and complements simulation training—while reinforcing professionalism, accountability, and lifelong learning in perfusion practice.

PerfWeb 109 – Day 1 kicks off with a deep dive into how VR and AR are reshaping perfusion education. Host Joe Basha is joined by Vivian Moreno, Ed Delaney (Director, Perfusion Services, Northwell Health / Program Director, Hofstra), and Marty de Castro (Chief AI Scientist, VIRMEDEX).

They break down how virtual simulation supports earlier clinical readiness, skill repetition, stress inoculation, and objective performance tracking—plus practical details on implementation, costs, and customization. The conversation closes with a look at what’s next for VR-based training and where the technology may be headed.

Explore Harlequin Syndrome — differential hypoxemia seen in peripheral VA-ECMO and complex cardiopulmonary bypass cases — in this in-depth perfusion podcast. We define the hemodynamic and respiratory mechanisms behind the syndrome, review monitoring cues, and outline evidence-based approaches to diagnosis and correction. Designed for perfusionists, intensivists, and ECMO teams seeking clarity on a nuanced but critical clinical issue.

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.