Extracorporeal Circulation
A.Y. 2024/2025
Learning objectives
- To acquire the knowledge of the principles of anesthesiology and intensive post-operative therapy with particular regard to the management of the patient suffering from cardiovascular pathology
- To acquire knowledge of extracorporeal circulation techniques and their application in the surgical treatment of cardiac and vascular diseases
- To acquire knowledge of cardiac surgery and vascular indications and techniques
- To acquire knowledge of extracorporeal circulation techniques and their application in the surgical treatment of cardiac and vascular diseases
- To acquire knowledge of cardiac surgery and vascular indications and techniques
Expected learning outcomes
- Know the anesthetic and resuscitation management regarding the patient suffering from cardiovascular pathology
- Know the indications and specialist cardiac surgery techniques
- Know the techniques of extracorporeal circulation and their application in the surgical treatment of cardiac and vascular pathologies
- Know the indications and specialist cardiac surgery techniques
- Know the techniques of extracorporeal circulation and their application in the surgical treatment of cardiac and vascular pathologies
Lesson period: First semester
Assessment methods: Esame
Assessment result: voto verbalizzato in trentesimi
Single course
This course can be attended as a single course.
Course syllabus and organization
Single session
Responsible
Prerequisites for admission
No prior knowledge is required
Assessment methods and Criteria
The exam will be written. It will mainly consist of multiple choice questions with the addition of some open questions, in addition it will be possible, at the discretion of the teacher, to carry out an additional oral test.
Vascular surgery
Course syllabus
Aneurysms: ascending aorta,aortic arch, descending thoracic aorta, thoraco-abdominal and abdominal intestinal ischemias
Aortic coarctations
Aortic dissections
Aortic coarctations
Aortic dissections
Teaching methods
The courses will include lectures with the possible addition of laboratory exercises
Teaching Resources
Cardiac Surgery Kirklin-Barratt Boyes, Wiley Medical
Cardiac Surgery in the Adult, Cohn, Mc Graw Hill
Cardiovascular and Vascular Diseases of the aorta, Svensson-Crawford, Saunders
Vascular Surgery: Principles and Practice, Wilson-Veith-Hobson-Williams, Mc Graw Hill
Chirurgia Vascolare (SICVE) - Ed. Minerva Medica
Cardiac Surgery in the Adult, Cohn, Mc Graw Hill
Cardiovascular and Vascular Diseases of the aorta, Svensson-Crawford, Saunders
Vascular Surgery: Principles and Practice, Wilson-Veith-Hobson-Williams, Mc Graw Hill
Chirurgia Vascolare (SICVE) - Ed. Minerva Medica
Heart surgery in adults
Course syllabus
Ischemic heart disease
Mechanical and biological valve prostheses
Stenosis and mitral insufficiency
Stenosis and aortic insufficiency
Mitral valve prolapse - Tricuspidal insufficiency
Cardiomyopathies - Pericarditis
Surgical treatment of cardiac arrhythmias
Mechanical and biological valve prostheses
Stenosis and mitral insufficiency
Stenosis and aortic insufficiency
Mitral valve prolapse - Tricuspidal insufficiency
Cardiomyopathies - Pericarditis
Surgical treatment of cardiac arrhythmias
Teaching methods
The courses will include lectures with the possible addition of laboratory exercises
Teaching Resources
Cardiac Surgery Kirklin-Barratt Boyes, Wiley Medical
Cardiac Surgery in the Adult, Cohn, Mc Graw Hill
Cardiac Surgery in the Adult, Cohn, Mc Graw Hill
Anaesthesiology for heart surgery
Course syllabus
Sedation, hypnosis, narcosis.
Anesthesia drugs (hypnotics and sedatives; major and minor analgesics; local anesthetics)
Medicines for the management of hemodynamics (inotropics, vasoconstrictors, vasodilators, inodalators)
Hemodynamic monitoring in Cardiac Surgery
IABP
Principles of invasive and non-invasive mechanical ventilation.
Shock
Preoperative evaluation and patient preparation
Preoperative evaluation and comorbidity.
Neurological complications and assessments
General anesthesia (indications; concept of balanced anesthesia; accidents and complications)
Peripheral anesthesia (indications and contraindications; topical, local; accidents and complications)
Analgesic therapy (pain: definition, characteristics, measurement)
Drugs
Anesthesia drugs (hypnotics and sedatives; major and minor analgesics; local anesthetics)
Medicines for the management of hemodynamics (inotropics, vasoconstrictors, vasodilators, inodalators)
Hemodynamic monitoring in Cardiac Surgery
IABP
Principles of invasive and non-invasive mechanical ventilation.
Shock
Preoperative evaluation and patient preparation
Preoperative evaluation and comorbidity.
Neurological complications and assessments
General anesthesia (indications; concept of balanced anesthesia; accidents and complications)
Peripheral anesthesia (indications and contraindications; topical, local; accidents and complications)
Analgesic therapy (pain: definition, characteristics, measurement)
Drugs
Teaching methods
The courses will include lectures with the possible addition of laboratory exercises
Teaching Resources
Cardiac Anesthesia - Frederick A. Hensley Jr, Donald E. Martin
Rianimazione Cardiopolmonare e Cerebrale - P. Safar, N.G. Bircher - Raffaello Cortina Editore
Rianimazione Cardiopolmonare e Cerebrale - P. Safar, N.G. Bircher - Raffaello Cortina Editore
Methods and techniques of extracorporeal circulation
Course syllabus
Circuit preparation and assembly
Priming for extracorporeal circulation
Physiology and pathophysiology of extracorporeal circulation
Conducting extracorporeal circulation
Myocardial protection
Coagulation-heparin-ACT
Biocompatibility
Unexpected safety and management during extracorporeal circulation
Maintenance and calibration of the heart-lung machine
Bypass techniques used during minimally invasive cardiac surgery
Cardiopulmonary bypass as support for interventional procedures
hemofiltration
Preservation and conservation of organs Liver, lung and heart transplantation.
Priming for extracorporeal circulation
Physiology and pathophysiology of extracorporeal circulation
Conducting extracorporeal circulation
Myocardial protection
Coagulation-heparin-ACT
Biocompatibility
Unexpected safety and management during extracorporeal circulation
Maintenance and calibration of the heart-lung machine
Bypass techniques used during minimally invasive cardiac surgery
Cardiopulmonary bypass as support for interventional procedures
hemofiltration
Preservation and conservation of organs Liver, lung and heart transplantation.
Teaching methods
The courses will include lectures with the possible addition of laboratory exercises
Teaching Resources
Kay, Munsh - Tecniche di circolazione extacorporea
Lodi, Noera, Santi - Circolazione extracorporea e supporti cardiocircolatori
Philip H.Kay, B. Munaretto - Tecniche di circolazione extracorporea
joe R. Utley - Cardiopulmonary bypass
Mora - Cardioplumonary Bypass
Lodi, Noera, Santi - Circolazione extracorporea e supporti cardiocircolatori
Philip H.Kay, B. Munaretto - Tecniche di circolazione extracorporea
joe R. Utley - Cardiopulmonary bypass
Mora - Cardioplumonary Bypass
Anaesthesiology for heart surgery
MED/41 - ANAESTHESIOLOGY - University credits: 1
Lessons: 10 hours
Professor:
Ballotta Andrea
Heart surgery in adults
MED/23 - HEART SURGERY - University credits: 2
Lessons: 20 hours
Professor:
Polvani Gianluca
Methods and techniques of extracorporeal circulation
MED/50 - APPLIED MEDICAL TECHNOLOGY AND METHODOLOGY - University credits: 4
Lessons: 40 hours
Professors:
Bertera Antonella, Rossi Fabiana Luisa
Vascular surgery
MED/22 - VASCULAR SURGERY - University credits: 1
Lessons: 10 hours
Professor:
Agrifoglio Marco
Professor(s)
Reception:
by appointment to be agreed by e-mail
Centro Cardiologico Monzino Hospital, via C. Parea 4, 20138 Milano