Lumb P D
Department of Anesthesiology, Albany Medical College, NY 12208.
J Cardiothorac Vasc Anesth. 1994 Feb;8(1 Suppl 1):7-9. doi: 10.1016/1053-0770(94)90609-2.
Perfusionists have a critically important role in cardiac surgery. Their responsibilities include providing cardiovascular support, maintaining adequate blood flow and blood pressure, maintaining adequate oxygenation, operating suction pumps and other devices, regulating blood temperature, and keeping records. The relationship between perfusionist and anesthesiologist as members of the cardiac surgical team should be one of mutual support. Although many anesthesiologists do not control the pharmacology of perfusion, it is their responsibility to ensure that the perfusionist understands the pharmacopeia being used and to know what the perfusionist is administering. In-depth knowledge of the techniques and practices of cardiopulmonary perfusion is a prerequisite for cardiac anesthesiologists. The future is likely to see an increasingly supportive relationship between anesthesiologists and perfusionists.
体外循环灌注师在心脏手术中扮演着至关重要的角色。他们的职责包括提供心血管支持、维持充足的血流和血压、维持充足的氧合、操作吸引泵及其他设备、调节血液温度以及做好记录。作为心脏外科团队成员，体外循环灌注师与麻醉医生之间的关系应该是相互支持的。尽管许多麻醉医生并不控制体外循环灌注的药理学，但他们有责任确保体外循环灌注师了解所使用的药典，并知晓体外循环灌注师正在给予何种药物。深入了解心肺转流技术和操作是心脏麻醉医生的一项先决条件。未来，麻醉医生与体外循环灌注师之间的关系可能会越来越相互支持。
