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:

  1. Understands the physiology and mechanics of membrane and bubble oxygenators;

  2. Understands the mechanics and operation of roller and vortex pumps;

  3. Understands the physiology of various extracorporeal bypass circuits and the derangements caused by their use;

  4. Knows the coagulation system and alterations of blood elements;

  5. Understands the basic design and function of ventricular support devices.

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