In this Section
- Code of Ethics
- Scope of Practice
- Standards and Guidelines
- Perfusion Practice (2017)
- Mechanical Support (2017)
- Pediatric and Congenital Perfusion Practice (2019)
- Clinical Practice Guidelines
Anticoagulation Guidelines (2018)
- STS/SCA/AmSECT Temperature Guidelines (2015)
-STS/SCA/AmSECT Inflammatory Response (2014)
-STS/SCA/AmSECT Blood Conservation Guidelines (2011)
- Perfusion Without Borders
- Perfusion Checklist
- Pump Templates
Perfusion Clinical Resources
Questions regarding AmSECT’s Standards and Guidelines for Perfusion Practice can be directed to firstname.lastname@example.org.
The American Society of Extracorporeal Technology (AmSECT) has created the following documents:
- AmSECT’s Standards and Guidelines for Perfusion Practice
- Clinical Practice Guidelines
- Clinical Protocols
The three categories are important to differentiate. All three resources have specific backgrounds, as well as 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.
1. AmSECT’s Standards and Guidelines for Perfusion Practice:
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 in this document are what AmSECT has determined are the minimum requirements for safe cardiopulmonary bypass.
These Standards and Guidelines are designed as an achievable goal for your perfusion team. The concept behind this document is to be used as a template to ensure the principles of each standard are adhered to, while each guideline is to be considered for your practice but is not mandatory. Use this document as a tool to follow and strive towards; one component of which involves having institutional protocols.
Standards and Guidelines may be supported by current published literature, but many are consensus opinions of the committee and voting membership. Some of the included Standards and Guidelines were recommended by the perfusion community. The end result was voted and approved by the AmSECT voting members in 2017.
Click on the links below to access each Standards and Guidelines document.
*Endorsed by the American Association for Thoracic Surgery
2. Clinical Practice Guidelines
Clinical Practice Guidelines were created primarily based on the published literature. There is a strict methodology on how they were created and approved. An extensive research project was conducted to determine exactly which evidence-based documents would be used as references for the creation of these Clinical Practice Guidelines.
Click on the links below to access each jointly authored Clinical Practice Guidelines document. These documents were co-authored with the Society of Thoracic Surgeons (STS) and The Society of Cardiovascular Anesthesiologists (SCA).
STS/SCA/AmSECT: Clinical Practice Guidelines-- Inflammatory Response to Adult Cardiopulmonary Bypass (2014)
3. Clinical Protocols
Clinical Protocols are generated by a mix of various institutional protocols, published literature and committee consensus. While these documents do have less rigorous requirements, they are still evidence-based and help serve as a template to compliment or initiate your institutional protocols. AmSECT was asked to create documents to be used in the clinical setting to improve patient care. The first 10 released were focused on Special Patient Populations.
These are intended to be a basic introduction to the disease and/or pathology as well as any specific perfusion related procedures or knowledge necessary to provide adequate care for Special Patient populations receiving cardiopulmonary bypass.
- Acute Normovolemic Hemodilution
- Antiphospholipid Syndrome
- Bleomycin Toxicity
- Cold Agglutinins
- Heparin Induced Thrombocytopenia
- Jehovah’s Witness
- Malignant Hyperthermia
- Pregnant Patient
- Sickle Cell Disease
To facilitate the understanding of the Standards and Guidelines, we defined the important terms used throughout the document.
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.
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.
Important Note on Scope:
AmSECT recognizes that individual medical centers may have local policies that may supersede AmSECT’s Standards and Guidelines. Likewise, AmSECT recognizes that some districts or states may have laws that supersede AmSECT’s Standards and Guidelines. As a result, Perfusionists practicing within those jurisdictions should comply in all respects with those policies and laws. These Standards and Guidelines may also be superseded by the judgment of the healthcare professional taking into account the facts and circumstances of the individual case.