PER 6240 - Special Situations in Perfusion Practice

• Prepare for procedures such as off pump coronary artery bypass grafting, minimally invasive direct coronary artery bypass grafting, transmyocardial laser revascularization, lead extractions, pump standbys, etc.  
• Apply the various techniques associated with on-pump minimally invasive procedures such as robotic-assisted and port access  
• Employ the techniques and considerations associated with left and right-heart bypass procedures  
• Explain the circuits, techniques, and considerations associated with cardiopulmonary support in the urgent setting  
• Safely utilize vacuum and kinetic-assisted venous drainage during CPB  
• Employ interventions to minimize air introduction into the CPB circuit  
• Explain the negative effects of air emboli in patients  
• Describe the role of perfusionists in emergency preparedness  
• Discuss the specifications and operating parameters of various pieces of perfusion equipment and components  
• Prepare for procedures involving patients with malignant hyperthermia, sickle cell, various beliefs and medical directives, pregnant patients
• Understand the process of transplantation and apply perfusion techniques to heart, lung, and liver transplant procedures
• Manage patients requiring non-cardiovascular support such as isolated limb perfusion, plasmapheresis, and hyperthermic intraperitoneal chemotherapy (HIPEC)
• Perform autologous platelet gel, bone marrow aspirate therapies and angiovac procedures for patients
• Apply a “best practices” approach to perfusion based on database and outcomes management techniques
• Employ teamwork in the workplace to promote good patient outcomes
• Describe how CQI, HIPAA, and business and legal aspects work in perfusion health care
• Explain the perfusion board exam process and requirements necessary to participate in each part of the exam
• Demonstrate the skills needed to prepare a cover letter and resume for each job application
• Explain the differences between ethics and medical ethics
• Apply ethics in research situations
• Apply medical ethics in situations a perfusionist will encounter (life support and end-of-life situations)

• Basics of clinical perfusion practice

• Procedures such as off pump coronary artery bypass grafting, minimally invasive direct coronary artery bypass grafting, transmyocardial laser revascularization, lead extractions, pump standbys, etc.  
• Techniques associated with on-pump minimally invasive procedures such as robotic-assisted and port access  
• Techniques and considerations associated with left and right-heart bypass procedures  
• Circuits, techniques, and considerations associated with cardiopulmonary support in the urgent setting  
• Use of vacuum and kinetic-assisted venous drainage during CPB  
• Interventions to minimize air introduction into the CPB circuit  
• Impacts of air emboli in patients  
• Role of perfusionists in emergency preparedness
• Specifications and operating parameters of various pieces of perfusion equipment and components  
• Role of perfusionists in extraordinary situations (malignant hyperthermia, pregnant patients, sickle cell patients, etc.)
• Techniques to manage patients with heparin-induced thrombocytopenia and other hemoglobinopathies
• Role of perfusionists in transplantation procedures of the heart, lungs, and liver
• Use of non-cardiovascular support (isolated limb perfusion, plasmapheresis, HIPEC, etc.) for specific patient populations
• Employ new technologies (platelet gel, bone marrow aspirate, and angiovac procedure)
• Manage database and outcomes to promote “best practice” perfusion management
• Promote teamwork to enhance patient outcomes
• Employ quality assurance/control for lab regulatory compliance
• Impacts of business and legal aspects of perfusion
• Prepare for the American Board of Cardiovascular Perfusion (ABCP) Certification Exams
• Prepare for job acquisition with resume/cover letter writing and job-interviewing skills

• Implementation of course topics in the simulation setting.