Editing Perfusionist (section)

== Duties ==
Perfusionists form part of the wider cardiovascular surgical team which includes [[cardiac surgeon]]s, [[anesthesiologist]]s, and [[Medical resident|resident]]s.<ref name="fleminvestigate">{{cite journal |last1=Fleming |first1=M |last2=Smith |first2=S |last3=Slaunwhite |first3=J |last4=Sullivan |first4=J |title=Investigating interpersonal competencies of cardiac surgery teams. |journal=Canadian Journal of Surgery |date=February 2006 |volume=49 |issue=1 |pages=22–30 |pmid=16524139 |pmc=3207507 }}</ref> Their role is to conduct [[extracorporeal circulation]] as well as ensure the management of physiologic functions by monitoring the necessary variables. The perfusionist provides consultation to the physician in selecting appropriate equipment and techniques to be used.<ref name="CAAHEP">{{cite web |title=Perfusion |url=https://www.caahep.org/Students/Program-Info/Perfusion.aspx |website=Commission on Accreditation of Allied Health Education Programs |accessdate=6 May 2019}}</ref>

Other responsibilities include administering blood products, administering [[anesthetic agents]] or drugs, measuring selected laboratory values (such as [[blood cell count]]), monitoring [[blood circulation|circulation]], monitoring [[blood gases]], surveil [[anticoagulation]], induction of [[hypothermia]], and hemodilution.<ref name="thiperf2019" /><ref name="CAAHEP" /> Sometimes, perfusionists are granted administrative tasks such as purchasing supplies or equipment, as well as personnel and departmental management.<ref name="CAAHEP" />

=== Involved procedures ===
Perfusionists can be involved in a number of cardiac surgical procedures, select vascular procedures and a few other surgical procedures in an ancillary role.<ref name="thiperf2019" />

[[Perfusionists]] may participate in curative or staged palliative procedures to treat the following pediatric pathologies:

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* [[atrial septal defect]]s,
* [[ventricular septal defect]]s,
* [[tetralogy of Fallot|tetralogy/pentalogy of Fallot]],
* [[truncus arteriosus]],
* [[transposition of the great vessels]],
* [[cardiac transplant]]s,
* [[lung transplant]]s,
* [[coarctation of the aorta]],
* [[interrupted aortic arch]],
* [[hypoplastic left heart syndrome|hypoplastic left]]/[[Hypoplastic right heart syndrome|right heart]],
* [[subaortic membrane]],
* [[mitral valve repair]]/[[Mitral valve replacement|replacement]],
* [[aortic valve]] disorders,
* anomalous/single [[coronary artery]],
* [[vascular ring]],
* [[extracorporeal membrane oxygenation]] (ECMO)
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Adult surgical procedures may include:

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* [[coronary artery bypass]],
* [[aortic valve replacement]]s,
* [[mitral valve repair]]/[[mitral valve replacement]]
* [[tricuspid valve]] repair
* [[valve-sparing aortic root replacement|aortic root replacement]]s
* [[atrial myxoma]]s
* [[aortic dissection|dissections]]/[[Aortic aneurysm|aneurysms]]/[[Traumatic aortic rupture|trauma of the aorta]] (ascending, arch & descending)
* [[renal cell carcinoma]]/[[obstructive vena cava]]
* [[veno-venous bypass]] (e.g. during [[liver transplant]]s)
* [[cardiac transplant|cardiac]]/[[lung transplant]]s
* implants of [[ventricular assist device]] and [[ECMO]].
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Select ancillary procedures in which perfusion techniques and/or perfusionists may be involved include [[isolated limb perfusion]], [[intraperitoneal hyperthermic chemoperfusion]] and [[Tracheobronchial injury#Treatment|tracheal resection/repair]].