UNIT
XI: EXTRACORPOREAL BYPASS AND COAGULATION-BLOOD PRODUCTS
A. Physiology of Extracorporeal Bypass
Unit Objective:
At the end of this unit the resident understands the physiology and pathologic
derangements of pulsatile and non-pulsatile extracorporeal bypass, and has a working
knowledge of oxygenators, perfusion systems, and ventricular support devices as they
apply to adult patients.
Learner Objectives:
Upon completion of the unit the resident:
- Understands the physiology and mechanics of membrane and bubble oxygenators;
- Understands the mechanics and operation of roller and vortex pumps;
- Understands the physiology of various extracorporeal bypass circuits and the
derangements caused by their use;
- Knows the coagulation system and alterations of blood elements;
- Understands the basic design and function of ventricular support devices.
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