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A perfusionist in front of a heart–lung machine (upper right) early in a coronary artery bypass surgery. A cardiovascular perfusionist, clinical perfusionist or perfusiologist, and occasionally a cardiopulmonary bypass doctor [1] [2] or clinical perfusion scientist, [3] is a healthcare professional who operates the cardiopulmonary bypass machine (heart–lung machine) during cardiac surgery ...
The perfusionist uses gravity to drain the venous blood into the CPB machine, and a separate cannula, usually placed in the aorta or femoral artery, is used to return blood to the arterial circulation. The process of preparation, initiation, and separation of cardiopulmonary bypass is a critical time during cardiac surgery.
Early in a coronary artery bypass operation, during vein harvesting from the legs (left of image) and the establishment of cardiopulmonary bypass by placement of an aortic cannula (bottom of image). The perfusionist and heart-lung machine are on the upper right. The patient's head (not seen) is at the bottom.
Cardiopulmonary bypass (CPB) or heart-lung machine, also called the pump or CPB pump, is a machine that temporarily takes over the function of the heart and lungs during open-heart surgery by maintaining the circulation of blood and oxygen throughout the body. [1] As such it is an extracorporeal device. CPB is operated by a perfusionist. The ...
The development of cardiac surgery and cardiopulmonary bypass techniques has reduced the mortality rates of these surgeries to relatively low ranks. For instance, repairs of congenital heart defects are currently estimated to have 4–6% mortality rates. [23] [24] A major concern with cardiac surgery is the incidence of neurological damage.
The American Academy of Cardiovascular Perfusion (AACP) is a professional association located in Fogelsville, PA, that aims to increase knowledge of cardiovascular perfusion by providing educational resources to its members. [1] The organization was founded in 1979. [1]
The perfusionist's main responsibility is to support the physiological and metabolic needs of the cardiac surgical patient so that the cardiac surgeon may operate on a still, unbeating heart. Perfusionist certifications are maintained and awarded by The American Board of Cardiovascular Perfusion .
Off-pump coronary artery bypass (OPCAB), or beating-heart surgery, is a form of coronary artery bypass graft (CABG) surgery performed without cardiopulmonary bypass (heart-lung machine) as a treatment for coronary heart disease. It was primarily developed in the early 1990s by Dr. Amano Atsushi.