Integrate perfusion theory to clinical applications. Demonstrate acquired knowledge of various perfusion equipment and supplies used in the healthcare setting. Demonstrate acquired perfusion knowledge and general medical knowledge. Respond appropriately during crisis management.
Effectively manage a catastrophic event such as device failure or air emboli. Conduct themselves in a professional manner and function effectively as a member of the healthcare team.
Technical Standards Perfusionists require certain physical requirements to meet the demands of the profession. Lift, pull, push and carry clinical equipment in a safe and controlled manner. Demonstrate basic clinical skills related to the use of extracorporeal equipment, circuitry, and ancillary clinical patient care devices and equipment. Execute quick and purposeful movements during emergency treatment of patients. Communication — Students and candidates for program admission should be able to: Possess excellent verbal and written communication skills in the English.
Speak clearly. Hear sufficiently. Produce and transmit patient information in oral and written format to members of the healthcare team. Communicate with patients effectively with compassion and empathy. Possess demonstrated reading skills at a sufficient grade level to accomplish curricular requirements.
Provide effective care to patients. Intellectual — Students and candidates for program admission should be able to: Measure, calculate, interpret, analyze, question, compile and evaluate information from various modalities to effectively evaluate extracorporeal equipment and treat patients.
Comprehend spatial relationships of structures and models. Comprehend relationships between patient care parameters and anticipate cause and effect responses based on their actions and inactions. Learn through a variety of teaching modalities including classroom lecture, cooperative learning, small group activities, medical simulation and laboratory exercises, individual and group presentations, and the use of technology assisted learning.
Make rapid decisions in life threatening situations where problem solving and critical thinking are required. Behavioral and Social Attributes — Students and candidates for program admission should be able to: Demonstrate emotional stability.
Exercise good judgment, prompt completion of all responsibilities related to care of patients and participation on a patient care team. Develop mature and effective relationships with co-workers and patients. Perform problem solving skills in a timely manner. Tolerate physically demanding workloads. Function effectively under stress. Adapt to changing environments, display flexibility, and learn to function in an environment of uncertainty inherent in the clinical practice of cardiovascular perfusion.
Practice in a safe manner. Because of this, EVLP has spared a few patients the experience of undergoing an ultimately unsuccessful transplantation. For those interested in more detail, our team has summarized the fundamentals of EVLP in a review article in Current Transplantation Reports ; A: We have conducted considerable research on how best to assess lungs for likelihood of successful function after transplantation.
It is a highly sensitive method of assessing extravascular lung water content, which correlates well with lung suitability for transplant. We have also investigated methods of saving marginal lungs. We found that using an aggressive protocol with EVLP can allow transplantation of some of these lungs, resulting in good outcomes Ann Thor Surg.
Therapeutic interventions administered while a lung is on EVLP — to optimize organ function and resilience and reduce the likelihood of recipient rejection — are also being explored by us and other groups. Current topics of investigation include use of antibiotics to treat infection, as well as use of other biologic agents, including gene therapy, which can be inhaled by or injected into a donor organ while on EVLP.
At Cleveland Clinic, we are focused on the potential benefits of therapies — including nitric oxide, nitrite and others — that are important to the immune response and may make the lung more resistant to rejection. A: Having this program has benefited our lung transplant program enormously. Since the challenges of COVID began early last year, EVLP has significantly enhanced our ability to maintain a good organ supply, which helped us perform lung transplants in , one of the highest volumes in the nation.
The equipment and personnel costs are considerable. At Cleveland Clinic, we are fortunate to have strong institutional support that provides the necessary funding, dedicated staff and space.
Experience is the other critical factor. This level of experience is invaluable for acquiring the ability to make good clinical decisions surrounding EVLP. One of our goals is to assist others, and we have conducted several on-site education programs on EVLP for international and domestic transplant centers. In , we initiated an annual EVLP symposium to bring together transplant clinician leaders, transplant center financial leaders and organ procurement organization leaders to discuss the financial, logistical and experience hurdles that are currently an impediment to broader application of this technology.
We hope these efforts will make more lungs available for transplantation and save more lives.
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