Lesson 1Circuit assembly and priming setup: identifying ports, connectors, venous/arterial lines, cardioplegia line integrationExplains step-by-step circuit assembly and priming setup, including spotting ports, connectors, venous and arterial parts, and adding cardioplegia line, with ways to avoid wrong connections, trapped air, and flow blocks.
Tracing venous and arterial line routesSpotting ports, connectors, and shuntsCardioplegia line path and safetyWays to stop wrong connectionsAir handling in early primingLesson 2Priming solutions selection and calculation: formulas to calculate crystalloid/colloid volumes, blood prime thresholds, strategies to limit hemodilutionCovers choosing and calculating priming solutions, including crystalloid and colloid amounts, blood prime limits, and methods to reduce blood thinning, with examples and changes for different patient types.
Estimating circuit volume and target blood thicknessCrystalloid vs colloid prime optionsBlood prime signs and limitsFormulas to reduce blood thinningCalculation examples by body weightLesson 3Patient-specific priming considerations: adjusting prime for weight, BSA, hematocrit, renal risk, and COPDDeals with adjusting prime and circuit plan to patient factors like weight, body surface area, starting blood thickness, kidney risk, and lung disease, balancing thickness, oxygen supply, and fluid load for better results.
Adjusting prime for weight and body areaTarget blood thickness by health issuesKidney risk and fluid balance planWays for lung disease and lung safetyUsing ultrafiltration and blood thickeningLesson 4Pre-bypass functional checks: leak tests, bubble detectors, pressure monitors, emergency stop, pump occlusion, oxygenator integrityDescribes key pre-bypass checks of the heart-lung circuit, including leak tests, bubble detector work, pressure watching, emergency stop, pump block, and oxygenator strength, with fixing steps for problems.
Still and moving leak testingBubble detector placing and testingPressure sensor resetting and alarmsPump block and emergency stop testsOxygenator strength and gas path checksLesson 5Documentation and team communication checklist before cannulationOutlines planned record-keeping and talk steps before tube insertion, including lists, role checks, pause elements, expected events, and backup plans to ensure shared understanding and patient safety.
Completing pre-bypass checklistConfirming roles and dutiesSpeaking cannulation planDiscussing expected problemsRecording starting status and permissionsLesson 6Infection control and sterile field coordination at cannulation siteFocuses on stopping infections and clean workflow at tube insertion spot, including clean area setup, equipment placing, movement control, and teamwork between perfusionist, surgeon, and nurses to lower dirt risk.
Clean area layout and limitsPerfusionist work with clean teamHandling tubes and line endsManaging line dirt eventsRecording infection control stepsLesson 7Medication and consumable checks: heparin, protamine, vasopressors, inotropes, blood products, antifibrinolytics, filters and oxygenator spare partsCovers step-by-step checking of medicines and supplies before bypass, including blood thinners, pressure drugs, blood items, clot stoppers, filters, and key spare parts, with labeling, storage, and double-check methods.
Heparin amount, labeling, and readyProtamine prep and backup plansPressure and heart strength drugs readyBlood items and clot stopper setupFilters, oxygenator, and main spare partsLesson 8Monitoring setup verification: arterial lines, central venous/Mixed venous monitoring, temperature probes, cerebral oximetry, ACT point-of-care deviceDetails checking of watching systems before bypass, including artery and central vein lines, mixed vein sampling, temperature sensors, brain oxygen watching, and ACT tools, ensuring right setup, alarms, and records.
Artery pressure line setupCentral and mixed vein watching setupTemperature sensor placing and checksBrain oxygen placing and starting levelsACT tool quality check and loggingLesson 9CPB machine components: roller pump vs centrifugal, membrane oxygenator types, reservoirs, tubing materialsReviews main heart-lung machine parts, comparing roller and spinning pumps, membrane oxygenator types, storage bags, and tube materials, stressing blood flow work, safety parts, and choice rules for clinic use.
Roller vs spinning pump workingsMembrane oxygenator build and jobHard vs soft storage bagsTube materials and body fitPart choice for high-risk patients
