Lesson 1Circuit assembly and priming setup: identifying ports, connectors, venous/arterial lines, cardioplegia line integrationIt explain how to put together the circuit step by step and set up priming, including finding ports, connectors, venous and arterial lines, and adding cardioplegia line, with ways to avoid wrong connections, air traps, and flow blocks.
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 hemodilutionIt cover choosing and calculating priming solutions, including crystalloid and colloid amounts, when to use blood prime, and methods to reduce hemodilution, with examples and changes for different patient types.
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 COPDIt talk about adjusting prime and circuit for patient factors like weight, body surface area, starting hematocrit, kidney risk, and COPD, balancing thickness, oxygen carry, and fluid load to get better results.
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 integrityIt describe important checks before bypass for the CPB circuit, including leak tests, bubble detectors, pressure monitors, emergency stop, pump block, and oxygenator check, with steps to fix problems.
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 cannulationIt outline organized documentation and talk steps before putting in cannulas, including checklists, role checks, timeout parts, expected events, and backup plans to make sure everyone on same page and patient safe.
Pre-bypass checklist completionConfirming roles and responsibilitiesVerbalizing cannulation strategyDiscussing anticipated complicationsDocumenting baseline status and consentsLesson 6Infection control and sterile field coordination at cannulation siteIt focus on stopping infection and keeping sterile work at cannulation place, including setting up sterile area, placing equipment, controlling movement, and working together between perfusionist, surgeon, and nurses to cut contamination risk.
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 partsIt cover checking medicines and supplies before bypass, including blood thinners, vasoactive drugs, blood products, antifibrinolytics, filters, and important spare parts, with labeling, storage, and double-check methods.
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 deviceIt detail checking monitoring systems before bypass, including arterial and central venous lines, mixed venous sampling, temperature probes, brain oximetry, and ACT devices, making sure calibration, alarms, and records are correct.
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 materialsIt review main CPB machine parts, comparing roller and centrifugal pumps, membrane oxygenator types, reservoirs, and tubing materials, stressing blood flow performance, safety, and choosing for clinic use.
Roller versus centrifugal pump mechanicsMembrane oxygenator structure and functionHard-shell versus soft-shell reservoirsTubing materials and biocompatibilityComponent selection for high-risk patients
