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Unit information: Adult Cardiopulmonary Bypass Principles and Practice (CVP-DL) in 2024/25

Please note: Programme and unit information may change as the relevant academic field develops. We may also make changes to the structure of programmes and assessments to improve the student experience.

Unit name Adult Cardiopulmonary Bypass Principles and Practice (CVP-DL)
Unit code BRMSM0065
Credit points 20
Level of study M/7
Teaching block(s) Teaching Block 2 (weeks 13 - 24)
Unit director Mr. Oliver
Open unit status Not open
Units you must take before you take this one (pre-requisite units)

None

Units you must take alongside this one (co-requisite units)

None

Units you may not take alongside this one

None

School/department Bristol Medical School
Faculty Faculty of Health Sciences

Unit Information

Why is this unit important?

Successful cardiopulmonary bypass involves the expert utilisation of specialist equipment by the clinical perfusion scientist as part of the cardiac surgical team. Cardiopulmonary bypass machinery, associated devices, and optimal patient management methods are continually developing. It is expected that a perfusionist you have thorough knowledge and understanding of the theory of cardiopulmonary bypass, equipment function/malfunction and evidence-based perfusion practice and is essential to your training as a clinical perfusion scientist. Comprehensive coverage of key topics related to the principles and use of cardiopulmonary bypass will enable you to conduct bypass in accordance with current guidelines and protocols. The unit highlights the diversity of practice and provides a springboard for the exploration of more advanced perfusion-based techniques in subsequent units.

How does this unit fit into your programme of study?

This unit follows on from the Cardiovascular Disease unit which introduces cardiac surgery and cardiopulmonary bypass to enable it. It is at the heart of the programme and provides essential core knowledge on which to build more specialised and in-depth perfusion-related topics covered in the Advanced Perfusion and Paediatric Perfusion units later in the programme.

Your learning on this unit

An overview of content

This unit provides comprehensive coverage of the design and function of components and accessories related to the use of the cardiopulmonary bypass circuit (including pumps, oxygenators, filters, safety devices, cell-salvage machines, and intra-aortic balloon pumps). It will introduce the challenges associated with cardiac surgery and cardiopulmonary bypass and the use of an artificial circuit (including blood loss, ischaemia/reperfusion and the systemic inflammatory response). It will provide an overview of drugs used by the perfusionist and anaesthetist to manage patients on bypass. Patient conditions which impact the conduct of bypass will be explored. The role of the perfusionist as part of a large complex team will be discussed and clinical debriefing will be introduced.

How will students, personally, be different as a result of the unit

Your theoretical and practical knowledge of cardiopulmonary bypass equipment will be consolidated. You will be able to appreciate the range of perfusion practice, reflect on and critically evaluate the approaches used by yourself and others. You will have the confidence to question current practice and evaluate the evidence-base for the methods used.

Learning Outcomes

  1. Evaluate the design and selection of components used in a cardiopulmonary bypass circuit.
  2. Discuss the interaction between the cardiopulmonary circuit and the patient and the role of the perfusionist in controlling these interactions.
  3. Analyse the individual perfusion requirements of the patient and plan appropriately to meet the needs of the patient.
  4. Reflect on safety practices within cardiac surgery, promoting a positive patient safety culture.

How you will learn

You will primarily learn through asynchronous recorded and live on-line lectures, where core information is delivered. These will be supplemented with interactive on-line tutorials, case-based and journal paper discussion sessions to help you understand and apply the theory in the context of patient management. There will be opportunities to ask questions and discuss topics in detail. The formative presentation will help you synthesise information across the unit and draw upon knowledge and skills learned in earlier units. MCQs encourage you to review core information from across the unit and test the breadth of your knowledge to provide a foundation for your summative essay, circuit presentations and exam. You will be given formative feedback on all coursework assessments to aid learning.

How you will be assessed

Tasks which help you learn and prepare you for summative tasks (formative):

You will be involved in a group discussion and presentation based on the current European Board of Cardiovascular Perfusion Guidelines. A session given by one of the publication authors will explain how the guidelines were established (including evidence synthesis and expert opinion). Groups will be assigned a section of the guidelines to focus on and present in a facilitated discussion. You will give an individual presentation of a CPB circuit used in your centre. This will help prepare you for your summative coursework and timed assessment. A revision tutorial will provide an opportunity to discuss and practice timed assessment questions.

Tasks which count towards your unit mark (summative):

  • Multiple choice questions (MCQs) (LO 1-4) (10% of unit mark).
  • Critical discussion and reflective essay related to perfusion practice (50% of unit mark)
  • Timed assessment (LO 1-4). Contributes 40% to the unit mark.

When assessment does not go to plan:

If you do not pass the unit, you will normally be given the opportunity to take a reassessment as per the Regulations and Code of Practice for Taught Programmes. Decisions on the award of reassessment will normally be taken after all taught units of the year have been completed. Reassessment will normally be in a similar format to the original assessment that has been failed.

Resources

If this unit has a Resource List, you will normally find a link to it in the Blackboard area for the unit. Sometimes there will be a separate link for each weekly topic.

If you are unable to access a list through Blackboard, you can also find it via the Resource Lists homepage. Search for the list by the unit name or code (e.g. BRMSM0065).

How much time the unit requires
Each credit equates to 10 hours of total student input. For example a 20 credit unit will take you 200 hours of study to complete. Your total learning time is made up of contact time, directed learning tasks, independent learning and assessment activity.

See the University Workload statement relating to this unit for more information.

Assessment
The Board of Examiners will consider all cases where students have failed or not completed the assessments required for credit. The Board considers each student's outcomes across all the units which contribute to each year's programme of study. For appropriate assessments, if you have self-certificated your absence, you will normally be required to complete it the next time it runs (for assessments at the end of TB1 and TB2 this is usually in the next re-assessment period).
The Board of Examiners will take into account any exceptional circumstances and operates within the Regulations and Code of Practice for Taught Programmes.

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