Lesson 1Circuit assembly and priming setup: identifying ports, connectors, venous/arterial lines, cardioplegia line integrationExplains systematic circuit assembly an priming setup, including identification of ports, connectors, venous an arterial limbs, an cardioplegia integration, wid strategies fi avoid misconnections, air trapping, an flow restrictions. Yuh wi learn how fi set it up right.
Mapping venous and arterial line pathsIdentifying ports, connectors, and shuntsCardioplegia line routing and safetyStrategies to prevent misconnectionsAir management during initial primingLesson 2Priming solutions selection and calculation: formulas to calculate crystalloid/colloid volumes, blood prime thresholds, strategies to limit hemodilutionCovers selection an calculation of priming solutions, including crystalloid an colloid volumes, blood prime thresholds, an methods fi limit hemodilution, wid worked examples an adjustments fi different patient profiles. It mek it easy fi figure out.
Estimating circuit volume and target hematocritCrystalloid versus colloid prime choicesBlood prime indications and thresholdsFormulas to limit hemodilutionWorked calculation examples by weightLesson 3Patient-specific priming considerations: adjusting prime for weight, BSA, hematocrit, renal risk, and COPDAddresses tailoring prime an circuit strategy to patient factors such as weight, body surface area, baseline hematocrit, renal risk, an COPD, balancing viscosity, oxygen delivery, an fluid load to optimize outcomes. Yuh wi see how fi adjust fi each person.
Adjusting prime for weight and BSATarget hematocrit by comorbidity profileRenal risk and fluid balance planningStrategies for COPD and lung protectionUltrafiltration and hemoconcentration useLesson 4Pre-bypass functional checks: leak tests, bubble detectors, pressure monitors, emergency stop, pump occlusion, oxygenator integrityDescribes essential pre-bypass functional checks of di CPB circuit, including leak testing, bubble detector function, pressure monitoring, emergency stop, pump occlusion, an oxygenator integrity, wid troubleshooting steps fi failures. It keep yuh safe.
Static and dynamic leak testingBubble detector placement and testingPressure transducer zeroing and alarmsPump occlusion and emergency stop testsOxygenator integrity and gas path checksLesson 5Documentation and team communication checklist before cannulationOutlines structured documentation an communication steps before cannulation, including checklists, role confirmation, timeout elements, anticipated events, an contingency plans to ensure shared mental models an patient safety. Teamwork mek it smooth.
Pre-bypass checklist completionConfirming roles and responsibilitiesVerbalizing cannulation strategyDiscussing anticipated complicationsDocumenting baseline status and consentsLesson 6Infection control and sterile field coordination at cannulation siteFocuses on infection prevention an sterile workflow at di cannulation site, including sterile field setup, equipment positioning, traffic control, an coordination between perfusionist, surgeon, an nursing staff to reduce contamination risk. Stay clean, mon.
Sterile field layout and boundariesPerfusionist interaction with sterile teamHandling of cannulas and tubing endsManaging line contamination eventsDocumentation of infection control stepsLesson 7Medication and consumable checks: heparin, protamine, vasopressors, inotropes, blood products, antifibrinolytics, filters and oxygenator spare partsCovers systematic verification of medications an consumables before bypass, including anticoagulants, vasoactive drugs, blood products, antifibrinolytics, filters, an critical spare parts, wid labeling, storage, an cross-check procedures. Check everything.
Heparin dosing, labeling, and availabilityProtamine preparation and backup plansVasopressors and inotropes readinessBlood products and antifibrinolytics setupFilters, oxygenator, and key spare partsLesson 8Monitoring setup verification: arterial lines, central venous/Mixed venous monitoring, temperature probes, cerebral oximetry, ACT point-of-care deviceDetails verification of monitoring systems before bypass, including arterial an central venous lines, mixed venous sampling, temperature probes, cerebral oximetry, an ACT devices, ensuring accurate calibration, alarms, an documentation. Get it right.
Arterial pressure line calibrationCentral and mixed venous monitoring setupTemperature probe placement and checksCerebral oximetry positioning and baselinesACT device quality control and loggingLesson 9CPB machine components: roller pump vs centrifugal, membrane oxygenator types, reservoirs, tubing materialsReviews major CPB machine components, comparing roller an centrifugal pumps, membrane oxygenator designs, reservoirs, an tubing materials, wid emphasis on hemodynamic performance, safety features, an clinical selection criteria. Know yuh gear.
Roller versus centrifugal pump mechanicsMembrane oxygenator structure and functionHard-shell versus soft-shell reservoirsTubing materials and biocompatibilityComponent selection for high-risk patients
