Exam 8/9 - History Of Perfusion and Communication Flashcards
William Harvey
- London based surgeon
- Father of circulation
- Just understood arteries and veins
Frey and Gruber
- first film oxygenator
- one of first circuits used
- clotting a problem due to lack of Heparin
Dr. Daniel Hale Williams
- Black surgeon
- First cardiac surgery in US/world
- repaired stab wound to heart
Dr. Ludwig Rehn
- Controversial first heart surgery
- After Dr. Williams but Williams was black
- Sewed wound in RV
- changed attitude toward cardiac surgery
- self taught
Roller Pumps
- Porter-Bradley - 1st
- DeBakey pump - added tube guides - more common
Dr. Alexis Carrel
- First leak proof technique for anastomosing vessels
- paved way for CABGs and heart transplants
Dr. McLean
- Discovered heparin
- Heparin made in mast cells of liver, lungs, gut, etc.
Werner Forossmann
- First cardiac catheterization
- used ureteral catheter
- inserted himself and walked to x-ray
- first angiography
Sir Alexander Fleming
- Penicillin
Dr. Dwight Harken
- First consistently successful cardiac surgery
- removed misses from soldiers via a magnet
Dr. Theodore Tuffier
- Aortic valve surgery
- Paris
Dr. Elliott Cutter
- Surgery on mitral valve
Dr. Alfred Blalock / Dr. Helen Taussig
- Pulmonary Shunt for blue babies
Dr. John Lewis
- Closure of ASD
- No CPB
- Used hypothermia via watering tank
Dr. Charles Hufnagel
- Valve substitute implantation
- caged ball valve
Dr. John Gibbon
- First perfusionist
- CPB on ASD
- Inventor of H-L machine
- IBM II HL machine
- Screen oxygenator
Dr. Ake Senning
- Implantable pacemaker
Dr. Michael Debakey
- CABG
Dr. Christian Barnard
- First heart transplant in South America
Autojector
- first H-L system
- 1940
Dr. W.G. Bigelow
- Hypothermia to cool patients
Dr. Arthur Vineburg
- Pioneered myocardial revascularization
Dr. C Walton Lillehei
- Cross circulation to close large VSD
Dr. Dennis Melrose
- Cardioplegia
- Cleveland clinic
Dr. Garret / Dr. Dennis / Dr. DeBakey
- aortocoronary artery bypass grafting
- used saphenous vein
Dr. Denton Cooley
- First artificial heart
- Liotta heart
Dr. Adrian Kantrowitz
- Brooklyn Butcher
- First use of Intraaortic balloon pump
- 1st heart transplant in US
Dr. Gruentzig
- first angioplasty
Dr. Buckberg
- 4:1 cardioplegia ratio
SigmaMotor Pump
- finger like pump
First centrifugal pump
- Dr. Kletschka
- Bio-pump became Biomedicus
- Sister was first patient
Evolution of oxygenators
- Kolf membrane oxygenator
- DeWall bubble oxygenator
- early membrane oxygenators leaked a lot and needed lots of prime
- Kay cross disc oxygenator
- Temptrol bubble oxygenator (first disposable)
- Travenol bag oxygenator
- by 1985….90% using membrane
Sorin oxygenator
- Inspire
Medtronic oxygenator
- Affinity Fusion
Capiox
- hollow fiber
Dr. James Hardy
- First non-human heart transplant
Massive air embolus
- first use of retrograde perfusion
5 cause of death
- communication errors
Sentinel event
- lead to a death
Communication errors cause
- medication errors - we can affect
- delay in treatment
- wrong site surgery
- operative and post operative events
Dr. Brian Bull
Heparin dose response curve
Mitchell
Coined the term perfusionist
