MAS CP 001 Medicine I
ECTS-Punkte: 5

Patient support with a heart-lung or dialysis machine not only affects the circulatory system, but the entire human organism. Perfusionists are responsible for the extracorporeal circulatory support prior to, during, and following cardiac surgery as well as support activities involving dialysis or therapy for cardiac arrhythmia. This requires a thorough and in-depth knowledge of the circulatory system. Changes in the cardiac circulation have immediate effects upon other physiological systems of the body, which requires comprehensive knowledge of these systems in order to quickly identify correlations and initiate adequate control measures. This module will cover important diseases of the human organ systems in depth and point out the diagnostic and therapeutic possibilities.

Module Description – 001 Medicine I (PDF)

Module 002 Medical Technology and Natural Science I
ECTS-Punkte: 5

During cardiac surgery, the function of the heart and lungs is replaced by a medical device called the heart-lung machine. The cardiovascular perfusionist is responsible for the patient’s life by controlling the machine properly. Therefore a fundamental technical and scientific knowledge is mandatory to under-stand the complexity of cardiovascular perfusion in order to allow correct decisions when needed.

History has shown that the principle of the heart-lung machine (HLM) today has changed little since its inception. However, new therapies and interventions are continually being developed by today’s cardiologists and cardiac surgeons due to highly specialized medical devices and technologies.

Accordingly, the perfusionist is confronted with extended requirements to be capable to manage the HLM: essential is a comprehensive insight in the complex relationships between patient and the HLM. The necessary fundamental scientific and technological knowledge will be compiled in this and the following modules.

Module Description – 002 Medical Technology and Natural Science I (PDF)

MAS CP 003 Medical Technology and Natural Science II
ECTS-Punkte: 5

Although we are supported by modern data management systems that relieve us from much manual work, collected data and parameters must still be obtained and analysed on a targeted basis. Legal and safety related aspects must be considered for data documentation and their analysis while using electrical engineering and measurement technology.

In this module, the necessary fundamental knowledge of technology, mathematics and statistics will be compiled so that the perfusionist can engage competently in data collection and documentation during independent control of the heart-lung machine (HLM) and other medical devices. Dangerous accidents can be avoided through conscientious control of devices for possible faults and defects.

Module Description – 003 Medical Technology and Natural Science II (PDF)

Module 004 Medicine II and Perfusion Science I
ECTS-Punkte: 5

Cardiopulmonary bypass (CPB) is used to maintain systemic circulation during cardiac surgery and for support for cardiac and respiratory failure. The performance of cardiopulmonary bypass is the central responsibility of the perfusionist.

The preparation and implementation of CPB support is accomplished through close coordination between the perfusionist and involved cardiac specialists. As the routine use of circulatory support systems in clinical practice is applied to a broader spectrum of treatment situations and the technical issues become more complex, broad fundamental knowledge of the functional principles governing the circulatory system is required. The scope of tasks for the perfusionist include the implantation of these systems in neighbouring hospitals to enable the transportation of patients by the involved rescue services to the proper care units.

Module Description – 004 Medicine II and Perfusion Science I (PDF)

MAS CP 005 Perfusion Science II
ECTS-Punkte: 5

An extensive equipment and monitoring technology is needed for cardiopulmonary bypass. The operation of the involved equipment is complex and requires the full attention of the perfusionist.

A surgical intervention on the heart is always a challenge, regardless of the best experience, competence and routine of all involved. There is ever-present surgical, anaesthetic, and technical risk involved. Complications can mean serious consequences or death for the patient. Yet most perfusion errors can be avoided if discovered and corrected at an early stage. Acquired expertise and the necessary attention support the detection of potential problem situations.

Module Description – 005 Perfusion Science II (PDF)

Module 006 Applied Perfusion Science I
ECTS-Punkte: 5

Cardiovascular and thoracic surgery requires a large diversity of medical devices for patient monitoring, with both invasive as well as non-invasive methods.

It is of great importance for the perfusionist to accurately define and interpret the different measured variables and successfully analyse the patient’s cardiac and circulatory functions. Emergency medical situations can be detected and often avoided if diagnosed at early stages. The continuous recording, observing, and evaluation of patient physiological parameters belong to one of the main tasks of the perfusionist.

Module Description – 006 Applied Perfusion Science I (PDF)

Module 007 Applied Perfusion Science II
ECTS-Punkte: 5

The module "Applied Perfusion Science II" deals with four main topics:

1. Paediatric perfusion is a specialised area for perfusionists performing cardiopulmonary bypass (CPB), because children who need cardiac surgery are not just “small adults”: other clinical pictures and syndromes, other circulatory conditions and paediatric dimensions require additional knowledge.

2. Perfusion techniques such as autologous blood collection, haemodilution, reinfusion of collected blood through blood salvaging techniques using the Autotransfusion device (Cell Saver) can effectively lead to a reduction of blood loss and need for foreign blood products during surgery.

3. The management of patient temperature for hypothermic circulatory arrest can reduce the risk of neurological complications during surgery on the thoracic aorta, while on the other hand patient re-warming in cases of accidental hypothermia is still a life threatening challenge.

4. The use of extracorporeal circulation (ECC) is essential to the delivery of intra-peritoneal chemotherapy or continuous hyperthermic peritoneal perfusion (HIPEC).The advantage here is that HIPEC causes fewer side effects than intravenous chemotherapy, because there is very little systemic infiltration of the toxic chemotherapy.

Module Description – 007 Applied Perfusion Science II (PDF)

Module 008 Applied Perfusion Science III
ECTS-Punkte: 5

With terminal heart failure, a mechanical assist device or a heart transplantation is necessary.

The increase in life expectancy through the progress of medicine increases the prevalence for congestive heart failure. For the 200'000 people experiencing congestive heart failure in Switzerland, optimum drug therapy remains the main treatment. In Those cases, where medical therapy is exhausted, the implantation of a cardiac assist device, such as the Ventricular Assist Device (VAD), for heart failure with cardiogenic shock is indicated as a "bridge” or "bridge to bridge” (bridge to a decision, or bridge to a further alternative) or a "bridge to recovery” (of the heart muscle). Technically, this is initially achieved through the insertion of an intra-aortic balloon pump (IABP) or the application of an extracorporeal membrane oxygenation (ECMO) circuit for short-term cardiac support.

Module Description – 008 Applied Perfusion Science III (PDF)

Module 009 Health Care Economy
ECTS-Punkte: 5

The Swiss health system is facing major challenges: the increase in the number of older people is leading to the increase in chronic diseases, leading to rising health costs.

Therefore the federal government has called for greater transparency and management of quality patient care. At the same time, according to the Health Insurance Act (KVG), it demands that services provided by care professionals must be effective, appropriate and economically delivered. This means that at all levels of medical treatment, quality management is needed, that provided care is ethically justifiable, legally correct and affordable for the promotion of safety, quality of life and equal opportunities. To this end, effective inter-professional collaboration through problem solving strategies, quality-oriented management, and clinical research form the important cornerstone.

Module Description – 009 Health Care Economy (PDF)