The Virtual Textbook of Extracorporeal Technology

I. Historical Background and Development of Cardiopulmonary Bypass

• 
  A Chronology of Medical/ Technological Advances
  
  Michael S. Vinas, MA, RRT, CCP
  
  PerfCor International – Perfusion Education Website
  

SECTION 1. ANATOMY

1. Cardiac Anatomy

• 
  Introduction to Cardiac Anatomy
  
  PediHeart.
  
   
• 
  Cardiac Anatomy
  
  John Doty & Jill Rhead
  
  Cardiothoracic Surgical Network (CTSNet).
• 
  Introduction to Cardiothoracic Imaging
  
  C. Carl Jaffe & Patrick J. Lynch – Yale University.
  
   

SECTION II – PHYSIOLOGY

1. Cardiovascular Physiology

• 
  Cardiac Output
  
  Ever wonder what those numbers really mean ?
• 
  Cardiac Muscle and Smooth Muscle
  
  Dr. Mariano J. Rey
  
  Department of Physiology
  
  New York University
• 
  Cardiac Cicle
  
  Dr. Mariano J. Rey
  
  Department of Physiology
  
  New York University
• 
  The Electrocardiogram
  
  Dr. Mariano J. Rey
  
  Department of Physiology
  
  New York University
• 
  Basic EKG Dysrhythmia Identification
  
  Andrea Diane Posey, RN, MSN
• 
  12-lead ECG Library Homepage
  
  Dean Jenkins & Stephen Gerred
• 
  The Hemodinamics of the Peripheral Circulation
  
  Dr. Mariano J. Rey
  
  Department of Physiology
  
  New York University
• 
  Special Circulations
  
  Dr. Mariano J. Rey
  
  Department of Physiology
  
  New York University
• 
  Neurohumoral Regulation of the Cardiovascular System
  
  Dr. Mariano J. Rey
  
  Department of Physiology
  
  New York University
• 
  The Gross Physiology of the Cardiovascular System
  
  Robert M. Anderson, MD, FACC, FACS.

2. Respiratory Physiology

• 
  Respiratory Physiology
  
  The Virtual Anesthesia Textbook
  
  John Loadsman
• 
  Respiratory Physiology
  
  Dr Fred Roberts
  
   

   

3. Renal Physiology

• 
  Water, Electrolytes, Renal and Acid-Base
  
  Renal and Acid-Base Physiology
  
  Ken Pauker
  
   
• 
  Renal Physiology
  
  Slide Show
  
  D. C. Mikulecky – Faculty Mentoring Program
  
  Virginia Commonwealth University
  
   
• 
  Renal Physiology Tutorial Website
  
  Prof. Mario Barac-Nieto
  
   
• 
  Renal Physiology Revision
  
  Pauline Freeman

   

4. Blood Physiology

• 
  Blood Physiology – An Introduction.
• 
  Blood Groups
  
  John W. Kimball – Kimball’s Biology Page.
• 
  Blood Groups, Blood Typing and Blood Transfusions
  
  Nobel E-Museum
• 
  ABO Blood Group System
  
  Robert J. Huskey
• 
  Blood Groups – Hystocompatibility
  
  Dr. Eldon Sutton
• 
  Blood Coagulation
  
  General Review of Blood Coagulation
• 
  Blood Coagulation
  
  Doug Tollefsen Lab.
• 
  Fibrinolysis
  
  Viera Stvtinova, Jan Jakubovsky and Ivan Hulín
• 
  Recent Insights into the Hemostatic Mechanism
  
  Overview of Blood Coagulation. 
  
   

   

5. Acid-Base Physiology

• 
  Acid-Base Physiology
  
  Kerry Brandis
• 
  Acid Base Tutorial
  
  Alan W. Grogono
  
   

   

SECTION III – CARDIAC PATHOLOGY

1. Congenital Heart Diseases

• 
  Congenital Heart Diseases – Their Study and Treatment
  
  Oliver W. Caminos, M.D.
• 
  Congenital Heart Disease
  
  Mayo Clinic Images – Slide Show
  
   
• 
  Congenital Heart Diseases
  
  Library of Heart Diagrams:
  
  Royal Children’s Hospital
  
  Melbourne, Australia
  
   
• 
  Cardiovascular Pathology Index
  
  WebPath – The Internet Pathology Laboratory
  
  University of Utah – Pathology Laboratories
  
   
• 
  Patent Ductus Arteriosus
  
  Kurt Plifieger – E-Medicine
  
   
• 
  Coarctation of the Aorta
  
  Cincinnati Children’s Hospital Medical Center – The Heart
  Center Encyclopedia
  
   
• 
  Congenital Aortic Stenosis
  
  Mayo Clinic Medical Services, Rochester, USA. 
  
   
• 
  Aortopulmonary Septal Defect – Aorto-pulmonary Window
  
  Barry A Love, MD
  
   
• 
  Vascular Rings/Slings
  
  Stephen H. McKellar.
• 
  Atrial Septal Defect
  
  Ira H. Gessner – E-Medicine
  
   
• 
  Ventricular Septal Defect
  
  Vibhuti N. Singh & Rakesh K. Sharma – E-Medicine
  
   
• 
  Atrioventricular Septal Defect – Partial and Intermediate
  
  Michael A. Portman – E-Medicine
  
   
• 
  Atrioventricular Septal Defect – Complete
  
  Michael McConnel & John Scheitler – E-Medicine
  
   
• 
  Tetralogy of Fallot
  
  Kurt Pflieger, MD, FAAP
  
   
• 
  Tetralogy of Fallot and Pulmonary Atresia 
  
  Aparna Kulkarni & Michael Pettersen – E-Medicine
  
   
• 
  Pulmonic Valvular Stenosis
  
  Kurt Pflieger, MD, FAAP
  
   
• 
  D – Transposition of the Great Arteries
  
  John Charpie & Kevin Maher – E-Medicine
  
   
• 
  Double Outlet Right Ventricle 
  
  Rod Tarrago & Steven Neish – E-Medicine
  
   
• 
  Ebstein’s Anomaly 
  
  CTSNet Publication – John Doty
  
   
• 
  Total Anomalous Pulmonary Venous Connection and Cor
  Triatriatum 
  
  CTSNet Publication – John Doty
  
   
• 
  Left Ventricular Outflow Obstruction
  
  CTSNet Publications
  
   
• 
  Valvar Aortic Stenosis
  
  Paul Seib, MD
  
   
• 
  Supravalvar Aortic Stenosis
  
  Gautam K Singh, MD
  
   
• 
  Aortic Valvular Stenosis
  
  Oliver W. Caminos, M.D.
  
   
• 
  Ebstein’s Anomaly
  
  Raymond T. Fedderly – E-Medicine
  
   
• 
  Hypoplastic Left Heart Syndrome
  
  Daniel R. Turner & Thomas J. Forbes
  
   

2. Acquired Heart Diseases

• 
  Myocardial Infarction – A Tutorial
  
  University of Utah – Pathology Laboratories
  
   
• 
  Myocardial Infarction
  
  Sarah Stahmer, MD, FACEP & Shanon Brown, MD
  
   
• 
  First Degree Heart Block
  
  David F.M. Brown, MD
  
   
• 
  Second Degree Heart Block
  
  David F.M. Brown, MD
  
   
• 
  Third Degree Heart Block
  
  David F.M. Brown, MD
  
   
• 
  Aortic Regurgitation
  
  Jerry Balentine, MD & Elizabeth Kassapidis, MD
  
   
• 
  Aortic Stenosis
  
  Jerry Balentine, MD & Anita Eisenhart, MD
  
   
• 
  Aortic Dissection
  
  John Wiesenfarth, MD, MS
  
   
• 
  Mitral Regurgitation
  
  Daniel DiSandro, MD
  
   
• 
  Mitral Stenosis
  
  David K. Swain, MD & R. Kent Sargent, MD, FACEP
  
   
• 
  Mitral Valve Prolapse
  
  Michael C. Plewa, MD, FAAEM
  
   

   

SECTION IV – CLINICAL CARDIOPULMONARY BYPASS

1. Neonatal, Infant & Pediatric Cardiopulmonary Bypass

• 
  Pediatric x Adult Cardiopulmonary Bypass – Basic Comparison
  
  Kelly Calvert, BSN, CCP
  
  West Virginia University Hospital
  
   
• 
  Current Updates in Pediatric Perfusion Handout: 1999
  
  Jorge Molina, PA-C, CCP
  
  Pediatric Cardiothoracic Surgery Associates
  
  Children’s Medical Center of Dallas
  
  Texas, U.S.A.
  
   
• 
  Hypothermia in the Neonate and Infant
  
  Kelly Calvert, BSN, CCP
  
  West Virginia University Hospital
  
   
• 
  Neonatal Post Cardiotomy Cardiac Assistance
  
  Clarke Thuys
  
  BAppSc, GradDipAppSc, CCP (Aust)
  
  Victorian Paediatric Cardiac Surgical Unit
  
  Royal Children’s Hospital
  
  Melbourne, Victoria
  
  Australia
  
   
• 
  Ventricular assist devices in pediatrics
  
  Fuchs A, Netz H.
  
  Images in Paediatric Cardiology
  
   
• 
  To Wash or Not To Wash: Controlling Sodium, Glucose and
  Osmolarity In A Pediatric Extracorporeal Circuit Blood Prime
  
  Gary Grist RN, CCP.
  
  Chief Perfusionist – The Children’s Mercy Hospitals and
  Clinics
  
  Kansas City, Missouri, USA
  
   
• 
  Warm Intermittent Blood Microplegia in Pediatric Heart
  Surgery.
  
  Yves Durandy, MD.
  
  Pediatric Cardiac Surgery – Institut Cardiologique Paris
  
  Paris, France.
  
   
• 
  Vacuum-Assisted Venous Drainage in Pediatric Cardiopulmonary
  Bypass.
  
  Yves Durandy, MD.
  
  Pediatric Cardiac Surgery – Institut Cardiologique Paris
  
  Paris, France.
  
   

• 
  Conduct of Cardiovascular Perfusion – An Overview
  
  Michael S. Vinas, MS, CCP
  
   
• 
  Weaning from Cardiopulmonary Bypass
  
  Maria Helena L. Souza, CCP (BR) & Decio O. Elias, MD
  
   
• 
  Recombinant Activated Factor VII in the Management of Severe
  Hemorrhage following Cardiopulmonary Bypass *pdf
  version*
  
  Maria Helena L. Souza, CCP (BR) & Decio O. Elias, MD
  
   
• 
  Carbon Dioxide Flooding the Operative Field to Minimize or
  Prevent Air Embolism During Open Heart Operations
  
  Bennett A. Mitchell, CCP
  
  Department of Cardiovascular Surgery, Montefiore Medical
  Center
  
  Albert Einstein School of Perfusion Technology
  
  Bronx, New York, USA
  
   
• 
  Methods and Techniques to Reduce the use of Blood Components
  – Aprotinin
  
  Andre Luiz Tyszka, MD
  
  Cardiac Surgeon
  
  Maringa – Brazil
  
   
• 
  Cardiopulmonary Bypass in Pregnant Patients
  
  Maria Helena L. Souza & Decio O. Elias
  
  Rio de Janeiro – Brazil
  
   
• 
  Thermal Management Control for Cardiac Surgery Patients
  
  Ronald D. Nichols, B.S., C.C.P.
  
  William S. Middleton Memorial Veterans Hospital
  
  Madison, WI, USA
  
   
• 
  Retrograde Autologous Priming ot Cardiopulmonary Bypass
  Circuit.
  
  Maria Helena L. Souza, CCP(Br) & Decio O. Elias, MD.
  
  Rio de Janeiro – Brazil
  
   
• 
  Ventricular Assist Devices
  
  William S. Pierce, MD 
  
   
• 
  Mechanical Heart Assist Devices
  
  Texas Heart Institute
  
   
• 
  Medical Technology Assessment for Ventricular Assist Devices
  
  Frank Baumeister, Jr., MD, Diane Lovell, Steven DeLashmutt,
  MD, Elaine Dunda, John T. Hoggard, MD, Herb Matter, David
  Noall, MD, Joanna Zamora, RN, Dan Harris, PhD. 
  
   
• 
  Electrophysiological evaluation of phrenic nerve injury
  during cardiac surgery – a prospective, controlled, clinical
  study.
  
  
  Download the article in pdf format
  
  Suat Canbaz, Nilda Turgut, Umit Halici, Kemal Balci, Turan
  Ege and Enver Duran.
  
  Trakaya University, Medical Faculty, Edime, Turkey
  
   
• 
  Intra-Aortic Balloon Counterpulsation
  
  Eduardo Benchimol Saad, MD
  
   
• 
  Intra-Aortic Balloon Pump Education and Therapy
  
  CPR Works
  
   
• 
  Intra Aortic Balloon Pump (IABP) Counterpulsation 
  
  Robert J. Mathews
  
   
• 
  Advances in Myocardial Protection
  
  Refeng Yao, M.D. and Jianxiong An, M.D. 
  
   

• 
  Blood Management – A Primer for Clinicians.
  
  Bradley A. Boucher, Pharm.D., FCCP, FCCM; Timothy J. Hannon,
  M.D., M.B.A.