Perfusionist explains the heart-lung machine for cardiac surgery

Рет қаралды 26,745

Күн бұрын

A patient's heart needs to be arrested (not beating) for certain types of surgery. What happens to the blood that still needs to be circulated to the rest of the body? In this video, a perfusionist who runs the heart-lung machine shows how exactly this process works.
Many thanks to Caleb for his time and expertise, as well as Dr. Mike Smith at Quinnipiac for the opportunity to film in this simulation lab.
0:00 Start
2:12 The basics
7:01 Advanced components
10:57 Safety mechanisms
14:18 ECMO and VAD
20:10 Career in perfusion
The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional.
#Anesthesiology #Residency #MedicalSchool

Пікірлер: 95

@Nunofurdambiznez 22 күн бұрын

Don't you DARE stop making these videos!! Your videos are among the VERY FEW that I can understand right off the bat!

@stevehornett4896 21 күн бұрын

Amen!

@anthonysullivan5197 19 күн бұрын

Amen! ❤

@austinsteinour5052 22 күн бұрын

Perfusion is an awesome healthcare career that is definitely under-rated. Thank you for highlighting this lesser known field.

@mekkler 4 күн бұрын

And I never heard of it before now.

@mollysullivan6414 22 күн бұрын

omg not perfusion summarizing 4 years of anesthesia residency in the last ten seconds LOL

@scrumptious9673 19 күн бұрын

Savage 😂 loved Caleb’s sense of humour

@tylervalentine6401 22 күн бұрын

I have never seen someone who is so dedicated to making such informative and entertaining KZfaq videos as well as having a full time career! It is truly a great day when I see the notification that you posted a new KZfaq video. Thank you for all the awesome videos and content!

@matthewwelters6397 22 күн бұрын

Caleb! Awesome perfusionist! Nice of him to tell us some of his insights.

@alptekinakturk4185 21 күн бұрын

The level of quality in this video is mind blowing.

@jrhalabamacustoms5673 8 күн бұрын

Always a pleasure to learn from you. Ive been teh patient that was absolutely helpless and my life was in the hands of the clinicians. As was said, its a job, but for the recipient its a life changing event.

@keremcemayaz2795 2 күн бұрын

Such a complicated mechanism put together in a way everybody can understand. Just phenomenal!

@nickmorgan8434 20 күн бұрын

I was on Ecmo for 21 days..i saw crazy things

@dmorga1 20 күн бұрын

As always, what a well-done interview, Max. Caleb is obviously a very skilled perfusionist and good teacher, and your interview gave a broad and yet detailed sense of what the work is like.

@apawstate 22 күн бұрын

I had a valve repair surgery years ago. Amazing to see what they did to keep me alive while the surgeon worked!

@emeksb4823 18 күн бұрын

Perfusionist do a lot. The first day I heard of this career I was amazed. The whole team in the OR are incredible in ensuring the safety of the patient.

@frankdonagher7279 21 күн бұрын

my wife loves your videos, she has learned alot from you She had open heart surgery 12 years ago

@shelleyclow 22 күн бұрын

It’s just amazing what can be done nowadays. Thanks for sharing this.

@acoker54 22 күн бұрын

Please don’t stop making videos. I enjoy and learn so much. I always wanted to be a CRNA but didn’t think I was smart enough.

@ButterflyKissesHealing 22 күн бұрын

This is both fascinating and more complex than I ever imagined as a non medical individual. I am in awe at your level of expertise. Thank you both for dedicating your lives to improve the lives of others.

@laurasnow7822 21 күн бұрын

This is so insane. For some reason this freaked me out.

@edcasey9738 16 күн бұрын

Good job Max & Caleb!! Proud to work with you both.

@llamalance 19 күн бұрын

Really appreciate you taking the time to make this very informative video!

@ReeceTheRipper 22 күн бұрын

I just finished my cardio thoracic surgery rotation, I wish this video came out before I started! Very educational, thanks Doc!

@scrumptious9673 19 күн бұрын

🎉

@DemDoolies 21 күн бұрын

Man your videos have me so excited to start medical school in a few weeks. Thanks for the great content

@jordinh4 19 күн бұрын

Love your videos Max, I’m a certified perfusionist here in Brazil 🇧🇷. Thank you for showing a little bit of love to this awesome job in healthcare. 👏🏼👏🏼

@robertwilliam9558 22 күн бұрын

Max, very interesting topic. Thank You

@agilegold 21 күн бұрын

Yay bonus reel! And chair comments. Excellent video.

@KirstinRN 16 күн бұрын

Very interesting, thanks for sharing! Great video!!

@ShawnLangness 17 күн бұрын

What a smart and handsome perfusionist! Is he single? 😉🖤 great video guys!

@HobbesBaxter 21 күн бұрын

Thanks Dr. Max!

@Robby334 22 күн бұрын

Amazing we thank all medial staff in the world

@kinphillips3783 12 күн бұрын

Thank you for doing this video! I am going to Respiratory Therapy school, and then hopefully one day, I can get my master's in cardiovascular perfusion.

@CoThG 20 күн бұрын

Outstanding video!

@nekajuii 21 күн бұрын

Super informative, please keep them ocming

@pilotmark2861 16 күн бұрын

Fantastic video. This machine is so hi tech compared to the machines I worked with 30 years ago !

@ethanb3299 22 күн бұрын

I work as a clinical technician at a hospital and I walk past the percussionists office often, always wondered exactly what it was that they do 🙌🏻

@phyllojoe5346 22 күн бұрын

This was super interesting!

@javiTests 21 күн бұрын

Look how big that machine has to be in comparison to our lungs and heart... Our body is freaking amazing!! 😊

@jenniferaustin6778 21 күн бұрын

Great video!!! 🙌🏻

@Rickytikkitavi 21 күн бұрын

You sir earned yourself a subscription 👍🏽

@iaeeniaeen1898 22 күн бұрын

Awesome video! One question: if the bubble detector kills the pump, what happens next? Having the heart lung bypass machine shut down mid surgery doesn’t sound much better than an air embolus…

@elisabetk2595 22 күн бұрын

When I had an extensive OHS last year, I think I was more afraid of being on bypass than of having the surgery itself. Since I'm one of those people who feel more calm and reassured when I know more about what is being done, I wish that this video had been available for me then. Thank you for doing this one!

@johnb4183 21 күн бұрын

Hello @elisabetk2595 Did you experience any post surgery cognitive changes after your heart surgery? Have you ever heard of the term "pump head" check it out I think you will find it interesting. Take care......!

@bermeter1671 22 күн бұрын

Thank you for the video;)

@maxim9376 22 күн бұрын

The hospital trusting Windows to the extend of their patients lives is crazy. Like imagine this piece of spy/ malware hits you with the unskippable update mid surgery...

@charlenetrawick1647 22 күн бұрын

THIS is an amazing !

@sherrydawson6253 22 күн бұрын

OMG U HAVE THE MOST AMAZING VODEOS! So a perfusionist is not a doctor? From what all they need to know and do they should be. This was so interesting I bet there scared in the begining. He was so calm and informative. They must make great money. Imagine your 1 of only 5000¡ wow. Thank you both so much!! ❤❤❤❤❤❤

@CaptainApathetic 21 күн бұрын

Yea they're a very specialized role, one of the lesser known allied medical professionals. There's a lot more than just Doctors and Nurses.

@concealed4carry 19 күн бұрын

This video is great. I learned so much in the past 10 minutes. I had no idea this was a whole study in and of itself. Now I have a few questions. 1 Do not need to be a full board certified doctor for this?? Did I hear him right? Only a masters degree is needed? 2 who actually insert the canula into the patient him or the surgeon? 3 How in the world do you clean and sanitize that machine. I am guessing most of the tubing is discarded, but still, the machine still needs to be cleaned. That is a the video itself.

@hawkeye454 22 күн бұрын

Those peristaltic pumps are pretty cool. I use a commercial version of them for transferring thick chemicals at work. Very different of course but similar design.

@darriontunstall3708 22 күн бұрын

Wow! That was very cool and amazing! I learned a lot! I really enjoy donating to the anesthesiologist foundation, since it was hard for me to go to college because of my cerebral palsy, I really wanted to be an anesthesiologist! Perfusionist are great too

@adriandeb2710 21 күн бұрын

Great video so interesting

@zyncless 22 күн бұрын

cool stuff!

@paulaneph3257 8 күн бұрын

Im a medical equipment planner. Very helpful video. I know the equipment but I don’t know how it works all of the time.

@kaneda1674 22 күн бұрын

Dude thank you for this. Coming from a CA-1

@scrumptious9673 19 күн бұрын

Sooooo good

@ooommm4024 13 күн бұрын

that looks similar to hemodialysis machines. i think those are fascinating.

@naylani7790 14 күн бұрын

I just got my acceptance letter into a perfusion program last week!😭I’m scared as h3ll lol but very excited to enter this field✨

@pamgamble7506 5 күн бұрын

Good for you, good luck

@naylani7790 5 күн бұрын

@@pamgamble7506 Thank you! I appreciate that 😊

@bartoncourcier414 14 күн бұрын

I did a co-op in 1191 with Pfizer in Irvine where I worked on process validations for the cardiopulmonary product line. Cardiotomy reservoirs, and the Plexus hollow fiber oxygenator which was fairly new tech at the time. Most oxygenators on the market were membrane designs.

@Wav3Me 20 күн бұрын

Are you finally an official anesthesiologist?

@GregSr 21 күн бұрын

Having had a triple bypass about 5 years ago, it was fun to watch this in my rear view mirror. I'm 70 now and my heart is running well. One issue I had right after surgery was with my memory and focus. For about a month I could not focus mentally nor could I rely on my memory. Because of that, I went through a period of depression. My regular doctor didn't offer a good explanation except to say that maybe I had "pump brain". He said sometimes the blood cells get changed in some way as they pass through the external pump. That leads to some strange effects in the brain which eventually clear up. Is there really such thing as "pump brain"?

@danbrodsky57 22 күн бұрын

There is part of the procedure I have watched where the Cardiothoracic surgeon has to remove air from the line or could be dangerous to the brain. Talk about serious risks these medical professionals take to have their patients achieve better outcomes... Wondering one day if Robotics would help these type of procedures. Thanks for sharing !

@Dark_Helmet15 21 күн бұрын

making me want to back to school after finishing my Ph.D

@mtnairpilot 22 күн бұрын

How much blood is in the circuit? Does the heat lung machine have to be preloaded with fluid?

@johnb4183 22 күн бұрын

Max , have you ever heard the term "pump head " in regards to cabg and being on the " pump" ? Thanks !

@jacksew 16 күн бұрын

i want to apply to perfusionist school :))

@pamgamble7506 5 күн бұрын

How is all this cleaned after use?

@liam5487 22 күн бұрын

How does stopping the pump in event of an emergency help protect the patient? Wouldn't that be analogous to their heart stopping if they weren't on bypass?

@spumonihusky 14 күн бұрын

What about keeping blood flowing through the lungs?

@a4andrei 10 күн бұрын

How do you clean the machine?

@colb9260 22 күн бұрын

Although cardiac surgery is done in my country. They only want doctors to be the perfusionist so the nurses with a doctorate in the field are never hired for that role/department.

@josiahhorner6705 13 күн бұрын

Kuddos to people in this field because i couldn't do this!

@dr.stevenpennym.d.3241 21 күн бұрын

Bilateral pulmonary lobectomy

@idoben-yair429 22 күн бұрын

It sounds like the perfusionist is not an MD? Is that correct, or did he just leave out the med school part?

@AlexDumBanane 22 күн бұрын

Perfusionist usually have a Master degree and are not MDs.

@mmoo1954 21 күн бұрын

A perfusionist is not an MD, it is a separate program at the college level in Canada

@jazzyboydc 21 күн бұрын

Do u need extra blood to be on a heart and lung machine? Because all the chambers of the heart and lung machine take up space. And I would think the body would be short on blood. I could be wrong.

@mateuszcielas3362 22 күн бұрын

so basically why ECMOs cant be used during surgeries as they are pretty similar things?

@newengland8126 21 күн бұрын

When an anesthesiologist broke my father's teeth, he did have a nurse give them to me in a jar. It was a $4000 bridge crown.

@Twinsen764 20 күн бұрын

We really need food coloring to see how that ventilator flow path works

@BPantherPink 22 күн бұрын

At 15:30 there is a machine that says SECHRIST... That would be with or without an appointment ??? 😱😁

@elizabetha.morgan1869 21 күн бұрын

AKA the pump man!

@elizabetha.morgan1869 21 күн бұрын

Where did you learn how to do this job? and can you recommend where to learn how to do this since your job (profusionist) is in short supply?

@DoctorWho14615 18 күн бұрын

So ECMO is nothing like ECTO, as in Ecto-Cooler.

@Frightcontrol 8 сағат бұрын

that guys throat is definitely obstructed

@pb5640 11 күн бұрын

Risk of dementia from extracoporeal pumping these days?

@Boodieman72 21 күн бұрын

So you don't need a heartbeat in order to be alive.

@paulm4137 17 күн бұрын

So you have 4 years of Med School, and 3-4 years of Anesthesia residency with Board Certification soon to come (if not already). But the Perfusionist, with a 2 year masters degree, has control of the Anesthesia and Oxygen knobs on the equipment. I'm not belittling his ability or training, but what am I missing?

@ethanb3299 22 күн бұрын

Wish I could leave more than 1 like on a video 🥲

@SymphonicNightO2 21 күн бұрын

max thy man, am waiting on you to make a video of how you would look after a brain dead organ doner juring organ harvesting surgury, with that anesthesia drugs, like fully general anesthesia, sedation, pain relief, amnesia, so on...