This course is an overview of the major physiological changes that occur to humans from utero to adulthood including the embryologic development of the heart, common cardiovascular lesions as well as the coagulation and inflammation systems. Pediatric perfusion techniques and practices and the differences in pharmacological and anticoagulation management in children will be explored. Myocardial protection, long-term mechanical support and major adverse outcomes will also be covered. A thorough understanding of the content of this course will be essential for developing a career in Pediatric Perfusion in the future.
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Upon successful completion of this course, the student will be able to:
Describe the basic embryological development of the heart.
Analyze the physiological changes that occur from birth to adulthood.
Understand the basic congenital heart lesions and the surgical procedure for each.
Describe the differences in pharmacokinetics and pharmacodynamics in children as well as variances in the dosing and monitoring of important drugs used during heart surgery.
Understand the importance of the developmental immaturity in the coagulation system and the effects on bleeding and thrombosis complications in infant heart surgery.
Describe the evidence based practice for managing and monitoring anticoagulation during CPB. Analyze the current blood management protocols used for infants during CPB and risks of transfusion.
Practice the development of an infant perfusion circuit and understand each device and component necessary for optimal perfusion. In addition, understand the various techniques and practices required for pediatric perfusion especially in the very young (DHCA, myocardial protection, long-term mechanical support).
Understand the common adverse outcomes and possible ways to mitigate during bypass.
Effective as of Spring/Summer 2016
PERF 7300 is offered as a part of the following programs:
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