1. 6th Terumo Advanced Perfusionists Seminar (TAPS) Chiang Mai, Thailand
Title:
“Perfusion Technology, Technique, and Safety Practices at the
Philippine Heart Center”
Alma C. Luces, RMT
Chief Perfusionist

2. The Philippine Heart Center Easy Avenue, Diliman, Quezon City
Inaugurated on
February 14, 1975
Presently has
372 bed capacity

3. The Operating Room Complex

4. The Operating Room Complex Perfusion Set-Up Room & Point-of-Care
The Perfusion Office

5. OPEN-HEART SURGERY STATISTICS

6. Open-Heart Surgery 2010 (Adult and Pediatric patients)
Total No. of Open-Heart Surgery: 1,521

7. Open-Heart Surgery 2011 (Adult and Pediatric patients)
Total No. of Open-Heart Surgery: 1,364

8. Introduction The Safety Practices and Conduct of cardiopulmonary
bypass must always be a joint responsibility of the Open
Heart Surgery Team, namely the surgeons,
anesthesiologists, and perfusionists.
Hence, there should always be a high level of
communications between the members of the Team. In our
Center, we require that during cardiopulmonary bypass the
surgeon, anesthesiologist, and perfusionist must be
present in the operating room theater at all times to ensure
patient safety.

9. Cardiovascular Surgeons (32)

10. Cardiovascular Anesthesiologists (26)

11. Senior Members of the Perfusion Team

12. Perfusion Team

13. Perfusionist Profile Initial requirement for Training:
Educational attainment:
Bachelor of Science in Medical Technology
Eligibility:
- Medical Technology Board Examination
(Board Rating of at least 80%)
Two (2) weeks qualifying written and practical
examinations in the actual Perfusion setting.

14. Perfusion Trainees Started Training: February 2012

15. PERFUSIONIST’S PROFILE
NAME
DATE STARTED 1
ACL
MARCH 1986 2 RM
JUNE 1999 3
JAb
JULY 2002 4
ADC
JANUARY 2004 5 WO
OCTOBER 2003 6 GR
JULY 2005 7 JB 8
JRP
AUGUST 2006 9 RS
OCTOBER 2009 10 MB
MAY 2012 11 VL 12 EJ 13
JAd
NOVEMBER 2012 14 SR

16. TRAINING ACTIVITIES 1. Orientation } 1 day a) Hospital Facilities
b) Hospital Policies
2. Introduction to Perfusion (Theoretical) } 3 weeks
I. Introduction to Perfusion
A. Definition of Perfusion
B. Job Description of a Perfusionist
II. The Cardiovascular System
A. Anatomy of the Heart
B. Blood Circulation
C. Pathology / Physiology
III. Definitions
A. OHS/Fundamentals and Physiological
Management of CPB
B. Extracorporeal Circulation
C. Common Terms in Open-Heart Surgery
D. Introduction to Perfusion Hardware

17. TRAINING ACTIVITIES
4. a) Hands-on Operation of Perfusion Laboratory } 1 week
instruments/equipment
b) Scrubbing / Sterile Set-up of Pump Tubings / Circuitry
5. Heart-Lung Machine (Part I) } months
a) Set-up of pump tubings including priming, de-bubbling.
b) Preparation of accessory equipment necessary during
Open Heart Surgery such as Heater/Cooler, Activated
Coagulation Time machine, temperature probes and gas blender.
c) Circulates / Assists Pump Perfusionist
6. Heart-Lung Machine (Part II) } months
Operates Heart-Lung Machine under direct supervision of
a Senior Perfusionist.
7. Examination (Practical and Theoretical)

18. Pre-Bypass Checklist adapted from AMSECT

19. Sterile Set-up of Pump Tubings

20. Centrifugal Pump Set-up

21. Standard Pump Set-Up

22. Central Control Monitor (CCM) and CDI Systems 500 In-Line Blood Monitoring Parameter System

23. Standard monitoring parameters: ECG, Systemic Arterial Pressure, PA Pressure, CVP, Pulse Oximetry

24. SAFETY DEVICES

25. Oxygen Analyzer

26. Level and Bubble Sensors
Hemoconcentrator

27. Leukocyte Filter
Arterial Filter

28. Retroguard Arterial Safety Valve for Centrifugal Pump

29. Cardioplegia Delivery System

30. Hemochron Response ACT Machine & Hemochron Jr. Signature ACT Machine

31. IRMA Blood Gas Analyzer

32. Auto-Transfusion System

33. Intra-Aortic Balloon Pump Machines

34. EQUIPMENT MAINTENANCE
All our equipments have preventive maintenance schedules which is every six (6) months.

35. ACCREDITATION CANADA

36. The Perfusion Team

37. Boracay Island, Aklan It’s more F U N in the Philippines