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http://us.my.alibaba.com/product/post_product.htm?tracelog=24581_homepage_displayPF A perfusionist is a skilled health professional who serves as a member of an open-heart surgical team responsible for the setup and operation of a device known as the heart-lung machine. During many types of open heart surgery, the patient's heart is stopped so that it is easier for the surgeon to work on. The patient's blood is diverted away from the heart and lungs into a heart-lung machine. The machine assumes the function of both the heart and the lungs. The perfusionist operates the machine during surgery, monitors the altered circulatory process closely, takes corrective action when abnormal situations arise and keeps the surgeon and anesthesiologist fully informed. Perfusionists often serve in supportive roles for other medical specialties in operating devices to assist in the conservation of blood and blood products during surgery. They also provide extended, long-term support of the patient's circulation outside of the operating room.The extra corporeal technology is called in short and " Controled shock.."In spite of all these the reall in need of Blood circulation support of Lung or Heart when and where required. Also then other organs also get benifitted with the "isolated organ perfusion."namely for cancer therapy or for some cases of brain surgeries too..then this techology comes in to picture.when in.case of heart : lung: liver transplalnts

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The perfusionist. The perfusionist is a highly trained member of the cardiothoracic surgical team which consists of cardiac surgeons, anesthesiologists, physician assistants, surgical technicians, respiratory therapists, and nurses. The perfusionist's main responsibility is to support the physiological and metabolic needs of the cardiac surgical patient so that the cardiac surgeon may operate on a still, unbeating heart. This is accomplished through the utilization of the heart-lung machine, as well as its associated components of an oxygenator,with memebrane for oxygen exchange with carbondioxide, with micro filters for blood and heat exchanger in the oxygenators for temperature control, and other filters, reservoirs and tubing. The handling of the Heart-Lung machine is with the help of safety precuations as life saving parameters like online and interventional pressure monitors and ECG, EEG monitors, Temperatures and also circuited with electronic safety deviceses like venous and arterial Oxygen saturation monitors and also incorporating Autocontrolled monitors for preventing accidents such as high prssure cut off and minimum level of blood tranfused and recieved from and to patients is in constant tranfusion protocol been watched and also with a trouble free handling of each and every minute followed with proper communication between surgeon and all other members, informing the adequate performance and it is fixed as vital organs and vital functionals of the whole body maintained during surgery.Many more safety margins like blood investigations and blancing waer balance , Electrolytes, and other blood requirements for normal physiological functions to be assured, also other datas performed as proof and safety features.. The perfusionist is solely responsible for the patients life as based on circulatory and respiratory functions of the whole body perfusion aspects, as also support lessening the load for the heart, when patient is on the support of heart lung machine,it also give relaxation for the lungs and heart. In addition, there is a spectrum of physiologic parameters that are constantly monitored by the perfusionist that ensures that the physiological and circulatory and respiratory needs of the patient are being met and allows the cardiac surgeon to focus on the actual surgical procedure and less on the immediate physiological needs of the patient. Other responsibilities include autologous blood collection and processing, implementation and management of the intra-aortic balloon pump, adult and infant extracorporeal membrane oxygenation (ECMO) as well as monitoring of anticoagulation, electrolyte, acid-base balance and blood-gas composition. In many tertiary hospitals, perfusionists are also key personnel in placing and managing patients on ventricular assist devices as bridge to recovery or heart transplantation and supporting patients receiving lung or liver transplants. In certain hospitals, perfusionists can be involved in procurement of cardiothoracic donor organs for transplantation.

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