Heart Care International has learned many lessons while traveling to developing countries. For example, it was in Guatemala in the mid-1990’s that Heart Care International learned to safely extubate heart surgery patients while they were in the operating room, a technique not then routinely practiced in the United States. This lesson was learned as a result of having too few ventilators to meet the needs of children requiring heart surgery. Many similar experiences need to be communicated to a world wide medical audience and Heart Care International team members have been publishing their academic experiences in the medical literature since 1995.