6 th Terumo Advanced Perfusionists Seminar (TAPS) Chiang Mai, Thailand

1. 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

2. The Philippine Heart CenterEasy Avenue, Diliman, Quezon City Inaugurated on February 14, 1975 Presently has 372bed capacity

3. The Operating Room Complex

4. The Operating Room Complex Perfusion Set-Up Room & Point-of-Care The Perfusion Office

5. OPEN-HEART SURGERY STATISTICS

6. Open-Heart Surgery 2010(Adult and Pediatric patients) Total No. of Open-Heart Surgery: 1,521

7. Open-Heart Surgery 2011(Adult and Pediatric patients) Total No. of Open-Heart Surgery: 1,364

8. 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.

9. Cardiovascular Surgeons (32)

10. Cardiovascular Anesthesiologists (26)

11. Senior Members of thePerfusion Team

12. Perfusion Team

13. 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.

14. Perfusion TraineesStarted Training:February 2012

15. PERFUSIONIST’S PROFILE

16. 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

17. 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)

18. Pre-Bypass Checklist adapted from AMSECT

19. Sterile Set-up ofPump Tubings

20. Centrifugal Pump Set-up

21. Standard Pump Set-Up

22. Central Control Monitor (CCM)and CDI Systems 500In-Line Blood Monitoring Parameter System

23. Standard monitoring parameters:ECG, Systemic Arterial Pressure, PA Pressure, CVP, Pulse Oximetry

24. SAFETY DEVICES

25. Oxygen Analyzer

26. Level and Bubble Sensors Hemoconcentrator

27. Leukocyte Filter Arterial Filter

28. Retroguard Arterial Safety Valve for Centrifugal Pump

29. Cardioplegia Delivery System

30. Hemochron Response ACT Machine &Hemochron Jr. Signature ACT Machine

31. IRMA Blood Gas Analyzer

32. Auto-Transfusion System

33. Intra-Aortic Balloon Pump Machines

34. EQUIPMENT MAINTENANCE All our equipments have preventive maintenance schedules which is every six (6) months.

35. ACCREDITATION CANADA

36. The Perfusion Team

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