Haemodynamic aspects of total heart – Lung bypass Perfusion flow pressure and resistance distribution of blood flow among various vascular beds. Metabolic aspects of total heart – Lung bypass Oxygen need and perfusion flow requirements Conduct of Bypass  Effective communication in conduct of CPB  Pre Cardio Pulmonary Bypass check list  Perfusion record  Design your own perfusion data sheet which covers all essential documentation  Complications of Cardio Pulmonary Bypass.  Starting the pump and going on Bypass.  Coming out from the Bypass.  Supporting the heart on pump (after coming out of Bypass).  Pacing while weaning from Bypass.  How will you manage Gas Blender Failure during bypass? Indications for Femoral Artery Bypass and describe the principle behind Venting of the Heart. Define reaction time Oxygen free radicals.

Perfusion flow and oxygen uptake Acid-base balance Electrolyte and water balance Oxygen toxicity Control of adequacy of perfusion The ideal perfusion Monitoring devices Techniques of control

Brain, heart, lungs, kidney liver and spleen area and other organs Hematological problems Blood prime Priming solutions Control of Effects of various priming solution on RBC trauma

Induced cardiac arrest and myocardial protection Physiological principles of including cardiac arrest, morphology, function and metabolism of the arrested heart Cardioplegia – Cold blood, potassium and Modified cold prime cardioplegia Hypothermia Blood stream cooling nerves peripheral cooling modes of blood stream cooling heart and circulation at low termprature

Assisted circulation Circulatory support metabolic support by partial heart lung bypass. Effects of partial heart-lung bypass on organs. Biomedicus pump LV assist devices – LVAD, RVAD, BIVAD Intra-aortic balloon pump – IABP Autotransfusion, cell saver.