Clinical Perfusion for Cardiac Surgery

Ahmed Awad, M.D., MBA, FASEAssociate Professor of AnesthesiologyDivision Chief of Adult Cardiothoracic AnesthesiaCooper Medical School of Rowan UniversityCamden, NJ James A. DiNardo, M.D., FAAP, FASAProfessor of AnaesthesiaHarvard Medical SchoolBoston Children’s HospitalBoston, MA Jiapeng Huang, MD, PhD, FASA, FASEChief Scientific Officer, UofL HealthAssociate Dean for Clinical Research, School of MedicineDeputy Director, Louisville Clinical and Translational Research CenterProfessor and Vice ChairmanLouisville, KY Michael F. Hancock, CCPVice President, Certified Perfusionist.Keystone Perfusion Services, P.C.Sewell, NJ

• Part1.Fundamentals of Basic Science.- Basic Cardiovascular Anatomy.- Basic cardiovascular physiology.- Blood physiology and oxygen transport.- Basic Cardiovascular Pharmacological Management during Cardiopulmonary Bypass.- Part2.Cardiopulmonary Bypass Evolution and History.- An Overview of Cardiopulmonary Bypass's Historic Development.- Part3.Adult Cardiopulmonary Bypass.- Physiologic Changes and Inflammatory Response to Cardiopulmonary Bypass.- Fundamentals of cardiopulmonary bypass machine equipment.- Cardiopulmonary bypass Hardware Assembly and setting up the circuit.- Prime Solutions for the circuit and Hemodilution Reduction Strategies.- Goal Directed Perfusion throughout the varouis stages of cardiopulmonary bypass.- Termination of cardiopulmonary bypass.- Metabolic Management during cardiopulmonary bypass.- Part4.Monitoring During Cardiopulmonary Bypass.- Various Monitoring Techniques Used During Cardiopulmonary Bypass.- Monitoring Adequacy of Perfusion During Cardiopulmonary Bypass.- Monitoring the Status of Anticoagulation.- Part5.Basics of Blood Management.- Hematocrit and Transfusion Management During Cardiopulmonary Bypass.- Anticoagulation for Cardiopulmonary Bypass.- Blood conservation Techniques.- Ultrafiltration and Leukofiltration.- Fluid Management During Cardiopulmonary Bypass.- Consideration in Blood disorders and Cardiopulmonary Bypass.- Arterial Blood Gas Interpretation during Cardiopulmonary Bypass.- Part6.Pediatrics.- Pediatric Cardiopulmonary Bypass.- Congenital Cardiovascular Pathology.- Pediatric Advanced Perfusion Strategies for Complex Pediatric Cardiac Surgery.- Part7.Clinical problems and Complications during Cardiopulmonary Bypass.-Mechanics related Complications.-Accidents and Crisis management of Cardiopulmonary Bypass.- Part8Organ Protection During Cardiopulmonary Bypass.- Strategies of Myocardial protection During Cardiopulmonary Bypass.- Strategies of Neurological protection During Cardiopulmonary Bypass.- Strategies of Kidney protection During Cardiopulmonary Bypass.- Part 9.Safety during Cardiopulmonary Bypass.-Safeguards and Checklists.- Part10.Mechanical Circulatory Support.- Intra-Aortic Balloon Pump (IABP).- Ventricular Assist Devices.- Extracorporeal Membrane Oxygenation (ECMO).-Part11.Cardiopulmonary Bypass in Unique Circumstances.- Deep hypothermic circulatory arrest (DHCA).- Cardiopulmonary Bypass and the Jehovah’s Witness Patient.- Cardiopulmonary Bypass and Perfusion Management in Distal Aortic Repairs.- Cardiopulmonary Bypass during pregnancy.- Part12.Charting and Record Documentation.- Paper and Electronic Record Charting in Perfusion.