Perfusion Clinical Resources

PERFUSION CLINICAL RESOURCES

The following documents, created by AmSECT, are essential to differentiate, have specific backgrounds, and intentions of use. While the design of each one is to help standardize and improve the conduct of CPB, they differ by level of evidence and approval.

Clinical Practice Guidelines

There is a strict methodology for creating and approving the Clinical Practice Guidelines. An extensive research project determined which evidence-based, published literature documents would be used as references to develop these Clinical Practice Guidelines.

The Society of Thoracic Surgeons (STS) and The Society of Cardiovascular Anesthesiologists (SCA) are co-authors of these documents:

STS/SCA/AmSECT/SABM: Update to the Clinical Practice Guidelines on Patient Blood Management (2021)
STS/SCA/AmSECT: Clinical Practice Guidelines-- Anticoagulation During Cardiopulmonary Bypass (2018)
STS/SCA/AmSECT: Cardiopulmonary Bypass-- Temperature Managment during Cardiopulmonary Bypass (2015)
STS/SCA/AmSECT: Clinical Practice Guidelines-- Inflammatory Response to Adult Cardiopulmonary Bypass (2014)
STS/SCA/AmSECT: Blood Conservation (2011)

Clinical Protocols

The Clinical Protocols generate from various institutional protocols, published literature, and committee consensus. While these documents have less rigorous requirements, they are still evidence-based and help serve as a template to compliment or initiate your institutional protocols.

The first ten releases focus on Special Patient Populations. These serve as a basic introduction to the disease and/or pathology and any specific perfusion-related procedures or knowledge necessary to provide adequate care for Special Patient populations receiving cardiopulmonary bypass.

Acute Normovolemic Hemodilution
Antiphospholipid Syndrome
Angiomax/Bivalirudin
Bleomycin Toxicity
Cold Agglutinins
Heparin Induced Thrombocytopenia
Jehovah’s Witness
Malignant Hyperthermia
Pregnant Patient
Sickle Cell Disease

Pediatric Clinical Protocols

Pulmonary Artery Flow Study for Unifocalizations 
Therapeutic Plasma Exchange (TPE) During Cardiopulmonary Bypass (CPB)

Understanding the Standards and Guidelines

AmSECT’s Standards and Guidelines for Perfusion Practice were created as a checklist or template to ensure your department is following what is expected of a perfusion team by its national society. The items listed are what AmSECT has determined are the minimum requirements for safe cardiopulmonary bypass. View the Standards and Guidelines here.

Definitions

Standard: Practices, technology and/or conduct of care that institutions shall meet in order to fulfill the minimum requirements for cardiopulmonary bypass.

Guideline: A recommendation that should be considered and may assist in the development and implementation of protocols.

Protocol:An institution-specific written document, derived from professional standards and guidelines, which contains decision and treatment algorithms.

Word Usage

Shall: In this document, the word shall is used to indicate a mandatory requirement.

Should: In this document, the word should is used to indicate a recommendation.

Surgical Care Team: In this document, the term surgical care team is used to indicate the group surgeon, anesthesiologist, Perfusionist, nurse, and technicians.