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Perfusion Techniques and Technology

Unit Code: HETP506




Duration

Contact Hours

Campus

Prerequisite

Corequisite

1 Semester

Equivalent to 5 Hours per Week

HETP502, HETP503, (or equivalent)

Nil

Credit Points: 12.5 Credit Points


Related Course/s:

A unit of study in the Graduate Diploma  and Master of Science in Cardiovascular Perfusion .

Aims & Objectives:

To develop a detailed understanding of perfusion techniques, and to develop a general understanding of the history & principles of perfusion technology.

Teaching Methods:

Online, CD-ROM & Internet Links, Newsgroup & Email

Assessment:

Scientific Report, Essays, Examination/Tests.

Generic Skills Outcomes:

  • Graduates are capable in their chosen professional areas.
  • Graduates operate effectively in work & community situations.
  • Graduates are adaptable & manage change.
  • Graduates are aware of environments in which they will be contributing.

Cardiovascular Perfusion Attributes
  • Graduates have an in-depth understanding of the physiology of the cardiovascular perfusion systems.
  • Graduates have the ability to apply knowledge of basic cardiovascular perfusion fundamentals.
  • Graduates have the ability to communicate their science knowledge to others.
  • Graduates have an understanding of the changing and developing role of technology in the area of cardiovascular perfusion.
  • Graduates have the ability to identify, formulate and solve problems.
  • Graduates have an understanding of the role of technology in our society.
Learning Outcomes: A detailed understanding of the perfusion techniques and of the basic design & operation of perfusion technology & equipment technologies (outlined below) leading to the ability to:
  • Describe the assessment stages & processes involved pre- & post-bypass;
  • Summarise monitoring & control of different physiological measures & parameters;
  • Summarise processes for calculating oxygen content & consumption, systemic & pulmonary vascular resistance;
  • Describe the management & safety processes in perfusion;
  • Describe the design & biocompatibility of perfusion equipment & techniques;
  • Describe perfusion equipment (hardware & disposable);
  • Write a scientific report.

Content:

Course content focuses on developing a detailed understanding of the techniques, basic technology & equipment involved in perfusion:

  • Adult perfusion.
  • Assessment of patients before bypass; going on & coming off bypass.
  • Preparations for bypass: selection of cannula, assembly of equipment, priming the oxygenator.
  • Monitoring, haemodilution, acid base balance, oxygen & carbon dioxide exchange, patient core temperature.
  • Anticoagulation, hypothermia, pressure/flow resistance, adequacy of perfusion & myocardial preservation.
  • Calculating oxygen content & consumption, systemic & pulmonary vascular resistance.
  • Management of complications & disasters, recording of data, maintenance & safety procedures.
  • History & principles of operation of oxygenators.
  • Design & efficiency of heat exchanges, oxygenators, roller pumps, haemofiltration.
  • Biocompatibility of equipment & techniques (eg damage to blood, organ function implications).
  • Sterilisation techniques of equipment.
  • Technical aspects of ultrafiltration.
  • Hardware – heart/lung machines & centrifugal pumps, roller pumps, flowmeters, blenders, heater/coolers, blood gas analysers & devices, activated clotting timers.
  • Disposables –oxygenators, pre-bypass, leucocyte & arterial filters, cannulae, cardioplegia sets.
  • Cardiovascular perfusion circuits & circuit components.

Reading Materials:

Supplementary course materials available through distance learning

Recommended Reading:

Gravlee, GP, Davis RF, Kurusz, M & Utley JR, Cardiopulmonary Bypass: Principles and Practice, 2nd edn, Lippincott, Williams & Wilkins, 2000.
Hensley, FA, Martin, DE & Gravlee, GP, Practical Approach to Cardiac Anaesthesia, Lillincott, Williams & Wilkins, 2002.