6th Terumo Advanced Perfusionists Seminar (TAPS)Chiang Mai, Thailand Title: “Perfusion Technology, Technique, and Safety Practices at the Philippine Heart Center” Alma C. Luces, RMT Chief Perfusionist
The Philippine Heart CenterEasy Avenue, Diliman, Quezon City Inaugurated on February 14, 1975 Presently has 372bed capacity
The Operating Room Complex Perfusion Set-Up Room & Point-of-Care The Perfusion Office
Open-Heart Surgery 2010(Adult and Pediatric patients) Total No. of Open-Heart Surgery: 1,521
Open-Heart Surgery 2011(Adult and Pediatric patients) Total No. of Open-Heart Surgery: 1,364
Introduction The Safety Practices and Conduct of cardiopulmonary bypass must always be a joint responsibility of the Open Heart Surgery Team, namely the surgeons, anesthesiologists, and perfusionists. Hence, there should always be a high level of communications between the members of the Team. In our Center, we require that during cardiopulmonary bypass the surgeon, anesthesiologist, and perfusionist must be present in the operating room theater at all times to ensure patient safety.
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.
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)
Central Control Monitor (CCM)and CDI Systems 500In-Line Blood Monitoring Parameter System
Standard monitoring parameters:ECG, Systemic Arterial Pressure, PA Pressure, CVP, Pulse Oximetry
Level and Bubble Sensors Hemoconcentrator
Leukocyte Filter Arterial Filter
Hemochron Response ACT Machine &Hemochron Jr. Signature ACT Machine
EQUIPMENT MAINTENANCE All our equipments have preventive maintenance schedules which is every six (6) months.