Post on 22-Jan-2016
description
6th Terumo Advanced Perfusionists Seminar (TAPS)Chiang Mai, Thailand
Alma C. Luces, RMT
Chief Perfusionist
Title:
“Perfusion Technology, Technique, and Safety Practices at the
Philippine Heart Center”
The Philippine Heart CenterEasy Avenue, Diliman, Quezon City
Inaugurated onInaugurated on
February 14, 1975February 14, 1975
Presently hasPresently has
372372 bed capacitybed capacity
The Operating Room Complex
The Perfusion Office Perfusion Set-Up Room & Point-of-Care
The Operating Room Complex
OPEN-HEART SURGERY STATISTICS
Open-Heart Surgery 2010(Adult and Pediatric patients)
1,141(75%)
380(25%)
AdultPediatric
Total No. of Open-Heart Surgery: 1,521
Open-Heart Surgery 2011(Adult and Pediatric patients)
1,067(78%)
297(22%)
AdultPediatric
Total No. of Open-Heart Surgery: 1,364
Introduction
The Safety Practices and Conduct of cardiopulmonarybypass must always be a joint responsibility of the OpenHeart Surgery Team, namely the surgeons,anesthesiologists, and perfusionists.
Hence, there should always be a high level ofcommunications between the members of the Team. In ourCenter, we require that during cardiopulmonary bypass thesurgeon, anesthesiologist, and perfusionist must bepresent in the operating room theater at all times to ensurepatient safety.
Cardiovascular Surgeons (32)
Cardiovascular Anesthesiologists (26)
Senior Members of thePerfusion Team
Perfusion Team
Perfusionist Profile
Initial requirement for Training:
Educational attainment:- Bachelor of Science in Medical Technology
Eligibility: - Medical Technology Board Examination (Board Rating of at least 80%)
Two (2) weeks qualifying written and practical examinations in the actual Perfusion setting.
Perfusion Trainees
Started Training:
February 2012
PERFUSIONIST’S PROFILENAME DATE STARTED
1 ACL MARCH 1986
2 RM JUNE 1999
3 JAb JULY 2002
4 ADC JANUARY 2004
5 WO OCTOBER 2003
6 GR JULY 2005
7 JB JULY 2005
8 JRP AUGUST 2006
9 RS OCTOBER 2009
10 MB MAY 2012
11 VL MAY 2012
12 EJ MAY 2012
13 JAd NOVEMBER 2012
14 SR NOVEMBER 2012
TRAINING ACTIVITIES
1. Orientation } 1 day
a) Hospital Facilities
b) Hospital Policies
2. Introduction to Perfusion (Theoretical) } 3 weeks
I. Introduction to Perfusion
A. Definition of Perfusion
B. Job Description of a Perfusionist
II. The Cardiovascular System
A. Anatomy of the Heart
B. Blood Circulation
C. Pathology / Physiology
III. Definitions
A. OHS/Fundamentals and Physiological
Management of CPB
B. Extracorporeal Circulation
C. Common Terms in Open-Heart Surgery
D. Introduction to Perfusion Hardware
TRAINING ACTIVITIES
4. a) Hands-on Operation of Perfusion Laboratory } 1 week
instruments/equipment
b) Scrubbing / Sterile Set-up of Pump Tubings / Circuitry
5. Heart-Lung Machine (Part I) } 2 months
a) Set-up of pump tubings including priming, de-bubbling.
b) Preparation of accessory equipment necessary during
Open Heart Surgery such as Heater/Cooler, Activated
Coagulation Time machine, temperature probes and gas blender.
c) Circulates / Assists Pump Perfusionist
6. Heart-Lung Machine (Part II) } 3 months
Operates Heart-Lung Machine under direct supervision of
a Senior Perfusionist.
7. Examination (Practical and Theoretical)
Pre-Bypass Checklist adapted from AMSECT
Sterile Set-up ofPump Tubings
Centrifugal Pump Set-up
Standard Pump Set-Up
Central Control Monitor (CCM)and CDI Systems 500
In-Line Blood Monitoring Parameter System
Standard monitoring parameters:ECG, Systemic Arterial Pressure, PA Pressure, CVP, Pulse Oximetry
SAFETY DEVICES
Oxygen Analyzer
HemoconcentratorLevel and Bubble Sensors
Leukocyte Filter Arterial Filter
Retroguard Arterial Safety Valve for Centrifugal Pump
Cardioplegia Delivery System
Hemochron Response ACT Machine &Hemochron Jr. Signature ACT Machine
IRMA Blood Gas Analyzer
Auto-Transfusion System
Intra-Aortic Balloon Pump Machines
EQUIPMENT MAINTENANCE
All our equipments
have preventive maintenance
schedules which is every six (6) months.
ACCREDITATION CANADA
The Perfusion Team
Boracay Island, AklanIt’s more F U N in the Philippines