Beyond CPB
In the realm of cardiovascular perfusion, where precision and expertise converge to sustain life during complex surgical procedures, a tapestry of specialized roles and responsibilities exists. While the heart-lung machine stands as the hallmark of our craft, the role of a perfusionist extends far beyond its rhythmic hum. Aspiring perfusionists, poised to enter this esteemed field, must grasp the multifaceted nature of their profession.
Ventricular Assist Devices (VADs)
Ventricular Assist Devices are mechanical pumps that are surgically implanted to assist the heart in pumping blood. These devices play a crucial role in supporting patients with heart failure, either as a bridge to transplant or destination therapy. Perfusionists are involved in managing VADs, ensuring optimal functioning and patient safety.
ECMO is a life-saving technique providing cardiac and respiratory support to patients with severe heart and lung failure. Perfusionists are essential members of the ECMO team, responsible for maintaining the ECMO circuit, monitoring blood flow, and managing anticoagulation to prevent clot formation. Learn more about ECMO here.
Autotransfusion
Autotransfusion involves collecting and reinfusing a patient's own blood during surgery. This technique minimizes the need for donor blood transfusions, reducing the risk of complications. Perfusionists are skilled in autotransfusion, ensuring the collected blood is properly processed and safely returned to the patient.
Blood Management and Coagulation
Perfusionists play a pivotal role in managing a patient's blood during surgery. This includes maintaining appropriate anticoagulation levels to prevent clotting within the heart-lung machine while ensuring that the patient's blood coagulates effectively once returned to their body.
Research and Innovation
Many perfusionists are involved in research and development efforts to advance perfusion technology and techniques. Their contributions to research help improve patient outcomes and enhance the field of cardiovascular perfusion.