Programs in ALLIED HEALTH CARDIOVASCULAR PERFUSION TECHNOLOGY Vanderbilt University Medical Center
	-	A & P 501 ANATOMY AND PHYSIOLOGY Return to CVPT Course List Course Description This class provides the entry-level perfusion student with a detailed overview of specific areas of human anatomy and physiology, to act as a basis for understanding the complex interaction of the open-heart surgery patient with the mechanisms of artificial circulation. Course work will include both class time and observation within the surgical suite, as well as on the patient wards as warranted. Laboratory participation is an important aspect of perfusion care training, and intensive participation in laboratory projects will further expose the student to anatomic and physiologic concepts. Instructor: Chris Roman, M.D., Beeper 3138 Location and meeting time: tba Credit Hours: 3 Required Texts Cardiopulmonary Anatomy and Physiology George H. Hicks W.B. Saunders Company, LTD., Publishers 2000 Various handouts/web sites   Suggested Reading Cardiovascular Physiology Berne and Levy Mosby, publisher Latest edition: 1997 Cardiac Anesthesia for Infants and Children Jay Kambam Mosby, publisher Latest edition: 1994   Clinical Anatomy, 3rd edition Ernest W. April Williams and Wilkins, publishers Latest edition: 1997   Physiology Linda S. Costanzo W.B. Saunders, publishers Latest edition: 1998 Course Objectives A&P 501 will provide the detailed foundation and analytical skills that are necessary to understand the interplay between the science of extracorporeal technology and the related anatomic and physiologic principles necessary to consider during the initiation, maintenance, and termination of both temporary extracorporeal circulatory support, as well as long-term circulatory support.. Students will understand the basic diagnostic principles involved in determining the nature and extent of the disease process necessitating surgical intervention. Primarily, the cardiac, renal, and pulmonary systems are covered in this course. Students will examine the relationship between blood flow within and outside of the body, and the cardiovascular devices utilized to facilitate extracorporeal circulatory support. Upon completion of the course, students will be able to: Understand and discuss anatomic cardiac structures Understand and discuss coronary circulation Understand and discuss the coupling of cardiac excitation and contraction Understand and discuss cardiac electrophysiology Understand and discuss the sodium-potassium pump Understand and discuss the cardiac cycle Understand and discuss the intrinsic (hormonal and neurologic) regulation of the heart Understand and discuss the cardiac cycle Understand and discuss electrocardiography and ECHO cardiography Understand and discuss arrhythmias and the abnormal EKG Understand and discuss the principles involved in regulation of peripheral blood flow Understand and discuss blood components and fluid dynamics and balance Understand and discuss the pathophysiology of hemorrhage, shock, and cardiac failure Understand and discuss hemostasis and transfusion therapy Understand and discuss the various anatomic structures relevant to the initiation, maintenance, and discontinuation of CPB, including but not limited to the arterial tree and venous circulatory system Understand and discuss the mechanisms of respiration Understand and discuss pulmonary anatomy Understand and discuss pulmonary physiology Understand and discuss acid-base balance and maintenance Understand and discuss renal anatomy Understand and discuss kidney filtration, adsorption, and secretion Understand and discuss the regulation of sodium, water, calcium, potassium, and urea Understand and discuss renal concentration mechanism Understand and discuss temperature regulation and fever Understand and discuss major determinants of autoregulation regarding perfusion, blood pressure, electrolyte balance, blood chemistries, and blood gas regulation (interplay of cardiac, pulmonary, and renal systems) Note The Consensus Curriculum as created by the PPDC and adopted by the AC-PE in its present form should be considered as further evidence of curriculum, and the latest edition of said Curriculum is herein adopted and incorporated by reference regarding the subject matter.
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