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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”
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The Philippine Heart CenterEasy Avenue, Diliman, Quezon City
Inaugurated onInaugurated on
February 14, 1975February 14, 1975
Presently hasPresently has
372372 bed capacitybed capacity
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The Operating Room Complex
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The Perfusion Office Perfusion Set-Up Room & Point-of-Care
The Operating Room Complex
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OPEN-HEART SURGERY STATISTICS
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Open-Heart Surgery 2010(Adult and Pediatric patients)
1,141(75%)
380(25%)
AdultPediatric
Total No. of Open-Heart Surgery: 1,521
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Open-Heart Surgery 2011(Adult and Pediatric patients)
1,067(78%)
297(22%)
AdultPediatric
Total No. of Open-Heart Surgery: 1,364
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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.
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Cardiovascular Surgeons (32)
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Cardiovascular Anesthesiologists (26)
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Senior Members of thePerfusion Team
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Perfusion Team
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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.
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Perfusion Trainees
Started Training:
February 2012
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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
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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
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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)
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Pre-Bypass Checklist adapted from AMSECT
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Sterile Set-up ofPump Tubings
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Centrifugal Pump Set-up
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Standard Pump Set-Up
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Central Control Monitor (CCM)and CDI Systems 500
In-Line Blood Monitoring Parameter System
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Standard monitoring parameters:ECG, Systemic Arterial Pressure, PA Pressure, CVP, Pulse Oximetry
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SAFETY DEVICES
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Oxygen Analyzer
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HemoconcentratorLevel and Bubble Sensors
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Leukocyte Filter Arterial Filter
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Retroguard Arterial Safety Valve for Centrifugal Pump
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Cardioplegia Delivery System
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Hemochron Response ACT Machine &Hemochron Jr. Signature ACT Machine
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IRMA Blood Gas Analyzer
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Auto-Transfusion System
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Intra-Aortic Balloon Pump Machines
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EQUIPMENT MAINTENANCE
All our equipments
have preventive maintenance
schedules which is every six (6) months.
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ACCREDITATION CANADA
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The Perfusion Team
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Boracay Island, AklanIt’s more F U N in the Philippines
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