Exam 8/9 - History Of Perfusion and Communication Flashcards
(42 cards)
1
Q
William Harvey
A
- London based surgeon
- Father of circulation
- Just understood arteries and veins
2
Q
Frey and Gruber
A
- first film oxygenator
- one of first circuits used
- clotting a problem due to lack of Heparin
3
Q
Dr. Daniel Hale Williams
A
- Black surgeon
- First cardiac surgery in US/world
- repaired stab wound to heart
4
Q
Dr. Ludwig Rehn
A
- Controversial first heart surgery
- After Dr. Williams but Williams was black
- Sewed wound in RV
- changed attitude toward cardiac surgery
- self taught
5
Q
Roller Pumps
A
- Porter-Bradley - 1st
- DeBakey pump - added tube guides - more common
6
Q
Dr. Alexis Carrel
A
- First leak proof technique for anastomosing vessels
- paved way for CABGs and heart transplants
7
Q
Dr. McLean
A
- Discovered heparin
- Heparin made in mast cells of liver, lungs, gut, etc.
8
Q
Werner Forossmann
A
- First cardiac catheterization
- used ureteral catheter
- inserted himself and walked to x-ray
- first angiography
9
Q
Sir Alexander Fleming
A
- Penicillin
10
Q
Dr. Dwight Harken
A
- First consistently successful cardiac surgery
- removed misses from soldiers via a magnet
11
Q
Dr. Theodore Tuffier
A
- Aortic valve surgery
- Paris
12
Q
Dr. Elliott Cutter
A
- Surgery on mitral valve
13
Q
Dr. Alfred Blalock / Dr. Helen Taussig
A
- Pulmonary Shunt for blue babies
14
Q
Dr. John Lewis
A
- Closure of ASD
- No CPB
- Used hypothermia via watering tank
15
Q
Dr. Charles Hufnagel
A
- Valve substitute implantation
- caged ball valve
16
Q
Dr. John Gibbon
A
- First perfusionist
- CPB on ASD
- Inventor of H-L machine
- IBM II HL machine
- Screen oxygenator
17
Q
Dr. Ake Senning
A
- Implantable pacemaker
18
Q
Dr. Michael Debakey
A
- CABG
19
Q
Dr. Christian Barnard
A
- First heart transplant in South America
20
Q
Autojector
A
- first H-L system
- 1940
21
Q
Dr. W.G. Bigelow
A
- Hypothermia to cool patients
22
Q
Dr. Arthur Vineburg
A
- Pioneered myocardial revascularization
23
Q
Dr. C Walton Lillehei
A
- Cross circulation to close large VSD
24
Q
Dr. Dennis Melrose
A
- Cardioplegia
- Cleveland clinic
25
Dr. Garret / Dr. Dennis / Dr. DeBakey
- aortocoronary artery bypass grafting
| - used saphenous vein
26
Dr. Denton Cooley
- First artificial heart
| - Liotta heart
27
Dr. Adrian Kantrowitz
- Brooklyn Butcher
- First use of Intraaortic balloon pump
- 1st heart transplant in US
28
Dr. Gruentzig
- first angioplasty
29
Dr. Buckberg
- 4:1 cardioplegia ratio
30
SigmaMotor Pump
- finger like pump
31
First centrifugal pump
- Dr. Kletschka
- Bio-pump became Biomedicus
- Sister was first patient
32
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
33
Sorin oxygenator
- Inspire
34
Medtronic oxygenator
- Affinity Fusion
35
Capiox
- hollow fiber
36
Dr. James Hardy
- First non-human heart transplant
36
Massive air embolus
- first use of retrograde perfusion
36
#5 cause of death
- communication errors
36
Sentinel event
- lead to a death
37
Communication errors cause
- medication errors - we can affect
- delay in treatment
- wrong site surgery
- operative and post operative events
38
Dr. Brian Bull
Heparin dose response curve
39
Mitchell
Coined the term perfusionist
