Chinese perfusion practice survey results in 2021: current situation and challenge
Liu Feng, Jiang Yu, Hao Xing, Du Zhongtao, Li Xin, Liu Bin, Zhang Xiaohua, Wang Wei, Jin Zhenxiao, Long Cun, Liu Yan, Zhu Deming, Li Jiachun, Hei Feilong, Hou Xiaotong
Abstract
ObjectiveTo investigate the current situation of cardiopulmonary bypass(CPB) in China and analyze the causes, to guide the formulation and implementation of technology standard.
MethodsThe survey task force sent out a nationwide survey to obtain up-to-date information on perfusion practice by ChSECC(Chinese Society of Extracorporeal Circulation). The unit of analysis for the survey was the medical center performs CPB. The survey consisted 48 questions covering four topics of qualifications, including certification and education, policies and practices, device and equipment, techniques used.
ResultsThere were 540 of the 714 centers for an overall response rate of 76%. According to the annual number of CPB, they were divided into 4 groups: group A(≤50 cases/year), group B(50-100 cases/year), group C(100-500 cases/year) and group D(≥500 cases/year). The response rate of center with more than group D last year was 100%. Most of the perfusionists had certification issued by ChSECC. Although there were more than 80% of group D performed regular training and assessment of perfusionist, the result was still not ideal enough. Low utilization of safety equipment was not depend on the annual operation volume in most of responding centers. Ultrafiltration and blood protection technology had high application rate in group D compared with group A and B.
ConclusionThe certification rate of perfusionists are high. Lower the number of annual CPB cases, lower the proportion of regular evaluation and training, and lower rate of standards performance. No matter the amount of CPB, the application rate of safety equipment is not ideal. Higher the number of CPB cases, higher the utilization rate of CPB related technologies.
Key words:
Cardiopulmonary bypass; Perfusionist; Practice survey
Contributor Information
Liu Feng
Department of Extracorporeal Circulation, Cardiac Intensive Care Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
Jiang Yu
Department of Extracorporeal Circulation, Cardiac Intensive Care Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
Hao Xing
Department of Extracorporeal Circulation, Cardiac Intensive Care Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
Du Zhongtao
Department of Extracorporeal Circulation, Cardiac Intensive Care Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
Li Xin
Department of Cardiac Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Liu Bin
Department of Anesthesiology, West China Hospital of Sichuan University, Chengdu 610041, China
Zhang Xiaohua
Deprtment of Cardiac Surgery, Guangdong Provincial People's Hospital, Guangzhou 510030, China
Wang Wei
Department of Thoracic and Cardiovascular Surgery, Shanghai Children' s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
Jin Zhenxiao
Department of Cardiovascular Surgery, Xijing Hospital, Air Force Military Medical University, Xi' an 710032, China
Long Cun
Department of Extracorporeal Circulation, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing 100037, China
Liu Yan
Department of Cardiopulmonary Bypass, Wuhan Asian Heart Hospital, Wuhan 430022, China
Zhu Deming
Department of Thoracic and Cardiovascular Surgery, Shanghai Children' s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
Li Jiachun
Department of Cardiovascular Surgery, Chinese PLA General Hospital, Beijing 100853, China
Hei Feilong
Department of Extracorporeal Circulation, Cardiac Intensive Care Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
Hou Xiaotong
Department of Extracorporeal Circulation, Cardiac Intensive Care Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
