Lung transplantation has been performed at Wythenshawe Hospital since the 1990’s. Cardiopulmonary bypass was the primary choice of support for patients who would not tolerate an “off pump” approach. Over the years our practise has been shaped and altered by evidential learning and practical experience. Alongside this has been the development of ECMO both Veno-Arterial (VA) and since 2011 Veno-Venous (VV). This has led to a confidence in this therapy, from Perfusionists, Anaesthetists and Surgeons and an understanding of its capabilities and limitations. For the last three years, the primary choice of haemodynamic support during lung transplantation has been ECMO. This work has evolved us to develop a hybrid circuit that incorporates the best of both Cardiopulmonary bypass and ECMO; most importantly the ability to switch from one to the other swiftly and safely. This presentation aims to show this development, explain the Hybrid Circuit and show the potential benefit it brings by sharing a case report of its use.
The Society of Clinical Perfusion Scientists of Great Britain and Ireland UK
The Society of Perfusionists, as it was previously known, was formed in 1974 and its main objectives are to promote the advancement of perfusion technology and to represent the interests of Clinical Perfusionists.
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