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Clinical perfusion is a person educated and highly trained, through clinical practice for the management of devices and equipment for extracorporeal circulation and circulatory and respiratory support system of patients whose medical condition requires cardiac intervention.

Clinical perfusionist are an integral part of the team. They participate in all open-heart surgery as follows:
• directly - working on a heart-lung machine or
• indirectly - for operations that work on'' beating heart'' with nonsurgical procedures.


Scope of work and terms of reference of clinical perfusionist consists of the following:

  1. Organization, planning, preparation, self-management and maintenance of extracorporeal circulation:
  • Preparation of the elements that make up a system for extracorporeal circulation (oxygenator, a system of pipes, hemofilter ...)
  • carry out procedures
  • regulation of acid-base state of blood (through gas analysis)
  • Regulation of body temperature
  • Monitoring of hemodynamic parameters
  • monitoring coagulation, biochemical blood analysis with a standalone during ECC correction procedures
  • applications of drugs, blood and blood products through the system to the bloodstream ekstrakorporali
  2. Manage different systems cardiopulmonary support (intra-aortic balloon pump, a device for mechanical support of the heart, extracorporeal membrane oxygenation)

  3. Management systems for protection of infarction (system for providing security cardioplegia)

  4. Management systems for blood processing (hemofiltration techniques, hemodilution, blood separation and rescue units - cell saver)

  5. Keeping records, stats, and ongoing assessment of the quality of work (perfusion score - perfskor)

  6. Knowing the technical characteristics, maintenance and care of medical devices

  7. Participation in research and scientific work and education in terms of continuous improvement techniques of extracorporeal circulation:

    • cardiopulmonary bypass
    • isolated perfusion of organs and limbs
    • techniques of dialysis and hemofiltration
    • Support for invasive cardiac procedures (PTCA)
    • Cardiopulmonary resuscitation
    • heating hypothermia victims of sudden ...

To perform extracorporeal circulation and to understand its principles, it is appropriate clinical knowledge and experience in the domain of various medical branches, but also in physics, mechanics and biotechnology. The level of responsibility is increased by the fact that improper implementation of procedures directly affects the success of the surgery and of course, the patient's life.

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