International Consortium for Evidence-Based Perfusion
This is the third Newsletter from the International Consortium for Evidence-Based Perfusion. We hope you have enjoyed a well-deserved holiday, or will do so in the near future. This issue will focus on a variety of items. There is news from the Pediatric Subcommittee, the International Registry Subcommittee and the Guidelines Subcommittee and a little debriefing of the Perfusion Safety / Best Practices Meeting in New Orleans. Oh yes, and a small post from Downunder to start with...
In this Newsletter:
- The ICEBP Newsletter gets published Downunder! - The ICEBP Registry is approaching the pilot phase - The Pediatric Subcommittee and the STS Congenital Heart Surgery Database - The Guidelines Subcommittee - Best Practices/Safety in Perfusion Meeting debriefing – 2010 Meeting Announcement
The ICEBP Newsletter gets published Downunder!
The first Newsletter of the ICEBP found its way to The ANZCP Gazette, the official publication of The Australian and New Zealand College of Perfusionists. It was published in full color in Vol. 10, Nr. 1, April 2009. The ICEBP would like to thank Bradley Schultz and Jane Ottens from ANCZP for this voluntary initiative. They agreed to publish more of the ICEBP in next editions of the Gazette. We hope that other member and non-member organizations will follow this incentive. You can contact the Communications Subcommittee if you wish to do so.
The ICEBP Registry is approaching the pilot phase
In the Mission and Vision statement of the ICEBP, it is mentioned that, ‘...to achieve the mission, an International Perfusion Registry should be created and its implementation facilitated.’
The ICEBP has designed and developed the ICEBP International Perfusion Registry structure for collecting and analyzing data related to cardiopulmonary bypass. This registry would fill gaps in our knowledge that is not currently covered by other registries in cardiac surgery. It would serve a need to provide feedback to clinicians on the best practices in perfusion. The first iteration of this registry focuses on the following areas:
1. Patient demographics (to adjust for potential patient-level confounders)
2. Compliance with published perfusion guidelines
3. Cell processing and filtration
4. Renal Management
5. Factors that influence low Ejection Fraction among patients with normal ejection fraction
|The regional cardiac surgery quality collaborative in the state of Michigan is committed to serve as a pilot organization for this registry.
The MSTCVS Quality Collaborative promotes and shares optimal processes of care and cardiac surgery outcomes and implements quality improvement initiatives based on regional and national data as well as clinical research and evidence based cardiac surgery practice and guidelines.
To emphasize the approach of the pilot phase, the Executive Committee has drafted a White Paper describing the ICEBP International Perfusion Registry. It focuses on the concept, purpose, practical workout, functionality and goals of this initiative.
You can download the International Perfusion Registry White Paper on the Registry Subcommittee page.
You can also find some pictures of how this registry would look like.
The Pediatric Subcommittee and the STS Congenital Heart Surgery Database
||The ICEBP continues to develop and support a collaborative relationship with the STS Congenital Database Taskforce and the Multi-Societal Database Committee for Pediatric and Congenital Heart Disease.
The Pediatric Subcommittee developed new variables for the next version of the Database that focused on the practice of congenital and pediatric perfusion. A presentation on this topic was provided by members of the ICEBP Pediatric Subcommittee at the STS Congenital Database Task Force Meeting held in San Francisco on January 24, 2009, and subsequently May 9, 2009 in Boston. A list of new variables and definitions was recently accepted for inclusion by the STS.
The Guidelines Subcommittee
The ICEBP is reaching a critical juncture with the development of evidence-based guidelines. We have been able to put forth a number of sections for the overall guideline document. These have been presented nationally and internationally. Additionally, an online tool has been developed to assist in streamlining the guideline review process. More on that in a following newsletter.
In addition, the ICEBP has successfully been involved in the establishment of the STS/SCA Perfusion Task Force to develop guidelines in association with these groups. The ICEBP is taking a leadership role in this involvement.
A manuscript was developed in conjunction with the Society of Cardiovascular Anesthesiologists to survey the impact of the recent STS/SCA Transfusion Guidelines. This manuscript revealed variability in its impact at the local level. The manuscript was submitted in August, 2009 to JECT and Anesthesia&Analgesia for joint publication.
Best Practices/Safety in Perfusion Meeting debriefing
2010 Meeting Announcement
The Best Practices / Perfusion Safety Meeting which was held in New Orleans from 21 to 24 June, was a succes in all aspects. Great attendance, great topics and great presentations. The simulations sessions gained high interest and will probably be extended in future meetings, so everyone can enjoy a demonstration at ease.
We hope to have a selection of presentations available for the public soon.
Meanwhile, the next meeting is in preparation, and we can already give you some details on where and when. The 2010 Perfusion Safety & Best Practices in Perfusion Meeting will be held in Toronto, Canada, October 6-9, 2010. We will provide you with more information in a timely manner.
We hope you have enjoyed this Newsletter and hope you look forward to our next edition!
The Communications Subcommittee
ICEBP - Mission & Vision
The International Consortium for Evidence-Based Perfusion (ICEBP) is a partnership and collaboration between perfusion societies, medical societies, clinicians and industry to improve continuously the delivery of care and outcomes for our patients.
To achieve this mission, we will focus our energies in two principle areas:
• Create an international perfusion registry and facilitate its implementation
• Identify gaps between current and evidence-based clinical practice
• Review, comment, and/or endorse evidence-based guidelines concerning the practice of cardiopulmonary bypass
• Collaborate with medical societies in the development of guidelines concerning the practice of cardiopulmonary bypass
In order to succeed, the ICEBP will foster communication amongst its membership through a web portal, scientific conference, and internal and external publications.