40th Anniversary Edition

Perfusionist

Bi-monthly publication of The Society of Clinical Scientists of Great Britain and Ireland

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Tel: 01909 470 777 | Email: [email protected] | Web: chalicemedical.com | @ChaliceMedical Perfusionist 1

Publication of The Society of Clinical Perfusion Scientists of Great Britain and Ireland

SCPS e-mail address: [email protected] CONTENTS SCPS web site: www.scps.org.uk EDITORIAL 3 The contents of this publication are the property of the FÀILTE, CROESO, DYNNARGH, FAILT ORT, WELCOME 4 Society, and may not be reproduced without its permission. COLLEGE COUNCIL VACANCY 4 NEWS FROM THE EXECUTIVE COMMITTEE 6 Published bi-monthly, this journal is issued free to all entitled NATIONAL SAFETY STANDARDS FOR INVASIVE to it. The views expressed in it are solely those of the PROCEDURES (NATSSIP’S) 7 contributors. Articles of scientific interest related to perfusion MESSAGE TO ALL NESCOT STUDENTS 7 are welcome, as are letters to the Editor regarding Society and WELCOME TO 8-11 perfusion matters. They should be sent to the Editor at the THE 17TH EUROPEAN CONGRESS ON address below, or e-mailed to [email protected] EXTRACORPOREAL CIRCULATION 2017 12-13 MEDICAL GAS CYLINDER COLOUR CODING CHANGES 14-15 Editor John Campbell PERFUSION DEPARTMENT PROFILE Chief Perfusionist CARDIAC RENAL CENTRE 16-17 Perfusion Department UNIVERSITY OF BRISTOL MSC PERFUSION Trent Cardiac Centre SCIENCE LAUNCH 18 PERFUSION CALENDAR 18 Nottingham University Hospitals Trust NHSP NOT FOR SALE 19 Telephone: 0115 962 7756 CONGRESS 2017 PROGRAMME 20-21 e-mail: [email protected] THE BIRTH OF THE PERFUSIONIST 22-23 THE FIRST PERFUSIONIST 24-29 1977 – WHAT ELSE WAS HAPPENING? 30-31 SOCIETY OFFICERS 40 YEARS AND COUNTING 31 President David Jenkins, FRCS PAST EDITORS AND ASSISTANTS 32 Papworth Hospital, Cambridge THE FINAL WORD 32 CONGRESS 2017 REGISTRATION FORM 23 Chairman Andrew Heggie CONGRESS 2017 PAYMENT FORM 34 Lancashire Cardiac Centre, Blackpool CONGRESS 2017 EXHIBITION BOOKING FORM 36 CAROTID STENOSIS POSTER 37 Telephone: 01253 657777 EXECUTIVE COMMITTEE 39 e-mail: [email protected]

Secretary Noel Kelleher “PERFUSIONIST” University Hospital Wales, Cardiff and Telephone: 02920 746841 THE SOCIETY OF CLINICAL e-mail: [email protected] PERFUSION SCIENTISTS

Registrar Simon Phillips of Great Britain and Ireland St George’s Hospital, London is extremely grateful to Telephone: 0208 725 1489 e-mail: [email protected]

Treasurer Simon Anderson Papworth Hospital, Cambridge for bearing the cost of postage of each edition Telephone: 01480 364415 of this publication. e-mail: [email protected]

COMMERCIAL ADVERTISING For all commercial advertising enquiries For all general enquiries from the Price on application including Society Website: membership and public: Les Allen Valerie Campbell, Administrator SITUATIONS VACANT 11 Agaton Road SCPS Price on application New Eltham The Royal College of Surgeons of England (includes entry onto Society website). London Fifth Floor, 35-43 Lincoln’s Inn Fields No VAT is payable on invoices. SE9 3RN London WC2A 3PN Contents Quarter Page (133mm x 86mm) t: 020 8859 5070 t: +44 (0)20 7869 6891 Half Page (133mm x 178mm) m: 07944 295613 f: +44 (0)20 7869 6890 Full page (272mm x 178mm) e: [email protected] e: [email protected] DESIGNED FOR VERSATILITY, ENGINEERED FOR PERFORMANCE. Bio-Medicus™ NextGen Femoral Arterial or Jugular Venous Cannulae

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In this anniversary edition we have anniversary have both a surprising attended and the work surrounding this reprinted a copy of the first edition of element of deja vu and juxtaposition. group and how engagement with this the newsletter that was the forerunner process may provided further assistance of the todays publication. The reprint The Cork University Perfusion team have to our mission to enhance both makes for extremely interesting reading, kindly provided an interesting insight to perfusion safety. in 1977, hard as it is to imagine or the Perfusion team and the development remember that we were without the of the unit in Cork form 1985 to the Noel Kelleher, society secretary reports world wide web, word processors, modern centre it is today. In our featured on the activity of the recent executive desk top publishing or mobile poster section we have the work of committee meeting. The Meetings and communications. Information and its Louise White from Birmingham Seminars Committee is in the process of delivery was dependant upon selfless Children’s hospital describing Carotid completing their preparations for the individuals ensuring that material was Stenosis. Damian McCann gives a 43rd AGM and Perfusion Congress in delivered and available to the detailed account of the recent 17th Leeds and has provided details of the membership in a reliable consistent European Congress on Extracorporeal scientific programme and events. I am format. We are privileged to have a Circulation meeting held in in Marseilles. sure that the delegates will find the first-hand account of the Birth of The programme to be both stimulating and Perfusionist from the original Editorial / Following the successful launch of the informative. production team of Dereck Wheeldon new Masters of Science course in and Don Bethune. Perfusion Science at the University of If anyone wishes to discuss any matters Bristol, Tim Pitt reports on the events of relating to the Perfusionist publication There is an article looking at the events the day on behalf of the Education and either email [email protected] or that were occurring in 1977 at the time Training committee. Andy Heggie has please come and speak with me during of the first publication of the Perfusionist. provided a report on the recent National the Congress in Leeds, also I will be Interestingly the similarities in events Safety Standards for Invasive Procedures happy to answer any questions at our occurring at the inception and 40th (NatSSIPs) committee meeting that he AGM.

Executive Committee The Society of Clinical email addresses Perfusion Scientists In an effort to standardise e-mail contact for the OF GREAT BRITAIN AND IRELAND Executive Committee of the Society and allow smooth transition of contact when positions Sub-committees 2016/2017 change following elections, we have introduced R Finance and General Purposes: some new generic e-mail addresses which we think Andrew Heggie, Simon Anderson will make communication much simpler. With R Education and Training: immediate effect the following e-mail addresses Simon Phillips (Chair), Lucy English, can be used: Alex Robertson and Tim Pitt R Meetings and Seminars: [email protected] Simon Anderson, Angela Lilley, Sophie Gray [email protected] and Denise Gonoud R Terms and Conditions: [email protected] Andrew Heggie, Simon Phillips and Noel Kelleher

[email protected] Editorial R Safety Committee: [email protected] (Valerie Campbell) Noel Kelleher, Angela Lilley Fàilte, Croeso, Dynnargh, Failt ort, Welcome • College Council Vacancy 4 Fàilte, Croeso, Dynnargh,Failtort,Welcome John Campbell,InterimEditor Perfusionist assistants. Inthelastfortyyears committees anditselectedEditors help andsupportoftheSocieties The publicationhasevolvedwiththe grateful. is eternally commercial sector, forwhichtheSociety from ourpartnersinindustryandthe possible withouttheremarkable support Perfusionist of continuouspublicationthe Society thatweknowtoday. Fortyyears This associationwouldevolveintotoour Technologists ofGreat Britain&Ireland. Association ofExtra-Corporeal Perfusionist edition. In1977anewslettertitledthe 40thanniversary September/October team Iwouldliketowelcomeyouthis On behalfofthePerfusionist all expressions ofinterest attheExecutiveCommitteemeetingscheduled forThursday9thNovember, should besubmittedtoValerie byMonday30thOctober2017. TheExecutiveCommitteewilldebate Expressions ofinterest brieflyoutlining experienceandreasons forwishingtotakeupaCouncilseat experience whowishestoputthemselvesforward forthisvacancyshouldcontactValerie Campbell, The ExecutiveCommitteeoftheSocietyisasking for expressions ofinterest from themembership. Due totheresignation ofaSocietymemberontheCollegeCouncil,followingthisyear’s Annual the College’s Administrator, foranoutlineoftheroles andresponsibilities ofaCouncilmember. Any perfusionistholdingFullmembershipoftheSociety andwitheightyears’post-registration The CollegeofClinicalPerfusionScientists has generated41volumes would nothavebeen was launchedbythe and appointanewmember tostarttheirtermfrom Novemberthisyear. General Meetingthere willbeavacantpositionontheCouncil. of Great BritainandIreland publication Remarkably wehaveprogressed from to allPerfusionistsintheUK&Ireland. specific Perfusionqualificationaccessible and theprogress oftheintroduction ofa reported widelyonPerfusioneducation Over theyearsPerfusionist improvements inPerfusionsafety. registration andongoingadvocacyfor the numerous attemptstosecure state the familiarbattlestoraisestandards, publication. Theseissueshaveincluded in thefourdecadessincethatinaugural challenges thattheprofession hasfaced issuesand consumed bytheburning Many columnincheshavebeen islands. the historyofourprofession onthese valuable informationandhasrecorded research, technicalinformation and with 485editionscontainingscientific Society Chairman Andrew Heggie has let usknow. have anycommentspleasewriteinand that youenjoythiseditionandif All thatisleftformetosayIhope challenges ofitsnextdecade. enable thispublicationtoraisethe scientific research andarticles thatwill provide thenecessaryinformation, partners inthecommercial sectorto memberships supporttogetherwithour that wecancontinuetorely onthe quadragenarian publicationwehope to thechallengesofbecominga As thePerfusionist Perfusionist’s Bristol Universityinthemidstof coincidently recently beenlaunchedat specific PerfusionMScthathas the BTECqualificationsystemtoa 40th anniversaryyear. prepares toadapt We are Getinge One brand, one promise: Passion for life

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www.getinge.com News from the Executive Committee 6 . Theaccountshad beensenttothe 5.2 Thebankaccountsallshowed Treasurer’sreport 5.1 5 AnselmPriesthadwrittentoresign 4.3 AttheCollege’s request, Andrew 4.2 Andrew HeggiewelcomedJohn Chairman’sreport 4.1 4 Simon Andersonhadlookedinto Mattersarising 3.1 3 TheMinuteswere acceptedasan 2.1 Minutesofthe13thMarch2017 2 Apologieswere received from Sophie 1.2 AndyHeggie,NoelKelleher, John Attendanceandapologies 1.1 1 News . . News FROM THEEXECUTIVECOMMITTEE auditors. £104,000+ £9,000+ Account 3 £26,000+ Account 2 Account 1 healthy balancesasfollows: a replacement delegate. representative. Executivetoconsider as theEuropean Board’s UK our experience. to theSocietyinorderfrom tolearn statutory regulation andhad written NHSProtect were considering meeting on4thJuly2017. when heattendedtheNATSSIPS be givinga20-minutepresentation Andrew Heggiesaidthathewould would bedueoutsoon. be lookedaturgently, andareport thatstatutoryregulationgovernment Commission hadrecommended to Andrew HeggiesaidthattheLaw regards tostatutoryregulation. about thecurrent stateofaffairs with Heggie hadwrittentotheCollege notice. thanked himforsteppinginatshort Campbell asinterimEditorand the statusquowouldbemaintained. experienced wouldnothappenagain, assurances thattheproblems However, asHSBChadgiven changing theSociety’s bankaccounts. accurate record ofthemeeting. meeting Gray. Valerie Campbellwere inattendance. Angela Lilley, PatrickCampbelland Alex Robertson,SimonPhillips, Pitt, Gonoud, SimonAnderson,Tim Campbell, LucyEnglish,Denise . Reportsfrom theCollegePresident, ReportfromtheCollege 8.1 8 SimonPhillipssaidthathewould 7.3 Inachangefrom previous years, 7.2 AngelaLilleyreported thatthe 7.1 ReportfromtheMeetingsand 7 TheCommitteeapplaudedthe 6.6 TheExecutiveagreed toaward the 6.5 Lecturers hadbeenappointedforthe 6.4 AlauncheventfortheBristolcourse 6.3 Examiners forthepractical/vivawill 6.2 In consideringanumberofqueries 6.1 ReportfromtheEducationand 6 Executive agreed theloanrepayment circulated. The Society’s Treasurer and Treasurer andSecretary were held. an examiners’workshopwould be confirm assoonpossiblewhether questions. standing bytheirposterstoanswer the Fridayevening,withtrainees there wouldbeapostersession on speakers. suggestions hadbeenmadeforguest be onSafety, andanumberof sessionwould The Sundaymorning with theregistration bookingforms. exhibitor packshadgoneoutalong Seminars sub-committee Robertson. PittandAlex Lucy English,Tim on-going hard workofSimonPhillips, Rebecca Richardson. Salman Butt,MarkEdwards and Advanced CertificatetoDavidWalker, ensuring thedeliveryoflectures. lecturers wouldberesponsible for Bristol courseandeachteamof 27th September2017. was beingplannedforWednesday some point. whom theymayhavesupervisedat sent toaunitexaminestudent two years,andtheywouldnotbe worked ataunitduringtheprevious be askedtodeclare iftheyhave accessing thecourse. not permitoverseas-students and determinedthattheruleswould at theCollege’s rulesonself-funding our trainingprogramme, E&Tlooked have beenoffered bursariestofollow from studentsbasedoverseaswho Training sub-committee 32AngelaLilleyrequested adedicated 13.2 Pitt’s Inreply toTim query, Patrick 13.1 Anyotherbusiness 13 NoelKelleherread outanemailfrom 12.1 Correspondence 12 JohnCampbellhighlightedplansfor 11.1 Editor’sreport 11 SimonPhillipsreported thatE&T 10.2 Valerie Campbellmentionedthatthe 10.1 OfficerandExecutivepositions– 10 The Executiveagreed theaward to 9.2 The Executivediscussednomineesfor Congressawards 9.1 9 Thereport from theCollege’s 8.2 Executive Committee member. contact Valerie Campbell oran or anyotherSocietymatter, please For more informationontheabove addresses. similar [email protected] email address forthechairof M&S, Bristol courseslides. use ofCollegeandSocietylogoson that there were noobjectionstothe Campbell andAndrew Heggie said Andrew Heggie. Noel Kellehertoforward the emailto NIHR mastersinclinicalresearch. a perfusionistinHarefield aboutthe give himtheirhelpandsupport. and askedtheExecutivemembersto the nextfewissuesofPerfusionist Advanced Certificate. education rulesre: theaward ofthe would discussthechangein would besentoutinJuly2017. (John Campbell).Nominationforms Gray, Pitt)andInterimEditor Tim Committee (DeniseGonoud,Sophie Treasurer (SimonAnderson), year: Chairman(Andrew Heggie), terms ofthefollowingwouldendthis AGM 2017 the traineeforbestpresentation. chairmen asperprocedure. was askedtowriteformerSociety the Fellowshipawards. NoelKelleher hospitals. experienced incarryingoutvisitsto Secretary highlightedproblems being College Treasurer’s report. arrangement asoutlinedinthe National Safety Standards for 7 Invasive Procedures (NatSSIP’s) (Aka an update on Chairman’s activities!)

Andrew Heggie, Chairman

Amongst the many items keeping me standards could be not only developed was reached to include a reference to busy this year has been the involvement and implemented but also measured our Standards of Monitoring and Safety with NatSSIP’s, both at local and and audited effectively. document in future versions of this national level. document. In turn, we are to include a Examples of never events are included reference to the NatSSIP’s document For the uninitiated, this document was together with a number of sections that during the review of our Standards and first published in September 2015 but will be familiar to most of us, the five Safety document next year. Brief has taken time to filter down to grass steps to safer surgery, Governance and discussions ensued on the current status roots level. This committee of individuals Audit, record keeping etc. of Healthcare regulation. was commissioned by NHS England to A particular word caught my eye when bring together like minded groups who The implementation of NatSSIP’s still perusing this document, tucked away in are highly focussed on improving patient faces many hurdles as does the work the safety briefing section – Perfusionist! safety. These groups include the Clinical of the NatSSIP’s committee itself but Further enquiries led to an invitation to Human Factors Group, the GMC, CQC, in the meantime, I urge you all to give a presentation on our profession to the HCPC, AAGBI and the AfPP plus familiarise yourselves with this refreshing the NatSSIP’s committee in July. This was National Safety Standards for Invasive Procedures (NatSSIP’s) • Message to Nescot Students many other influential and respected publication. It may change the way you well received and I fielded a number of organisations think slightly, it may not but it will questions following this. In turn, we definitely give you improved insight on Aside from some frank, honest and received an offer of a permanent seat how to help enhance and shape the transparent accounts of previous failings at the NatSSIP’s table to help share future of safety in healthcare. within the NHS, the document is also experiences and contribute to a wider used as a template for good practice audience with no agenda other than With regards, with recommendations on how local that of patient safety. An agreement Andy

Message to all students completing their NESCOT PGDip/MSc studies this year

Congratulations on finishing your PGDip/MSc and becoming an accredited Perfusion Scientist. If you are attending this year’s annual congress in Leeds we hope you enjoy the meeting and the associated celebrations of your achievement, you have earned it. However…there is a slight change this year. Usually the pathology poster you presented at NESCOT is displayed at the meeting and these are judged and the highest marked receives a prize awarded at the Saturday night dinner. This year to integrate these pieces of work into the meeting more we invite students to present the contents of their poster for a short discussion (less than 5mins) during an informal session to be eligible for this prize. Two invigilators will be present in the poster area during 5.30-6.30pm on the Friday afternoon, they will ask you to very briefly describe your poster and answer a question or two. This is intended to be a relaxed discussion. As result we ask for all students to assemble in this area at 5.30pm. Non-attended posters will not be eligible for the prize. This system is standard at most academic meetings. The committee ask all units to encourage their students to support this session which is intended to increase the links between our meeting and education system. See you in Leeds. Meeting and Seminars Sub-Committee Congress 2017 8 increase theirpoolofpractical examiners, sub-committee are alwayskeen to examiners. The Education andTraining interested inbecomingSociety forthose will beheldearlierthismorning profession upon.Anexaminersworkshop standards westrivetobuildour provide theinfrastructure forthehigh another busyyearandcontinuesto Perfusion Scientists.TheCollegehashad straight intotheAGMofCollege Chairman MrAndyHeggie.Thiswilllead at 11amwithanaddress from our The meetingwillofficially beginonFriday all formscanbefoundonthewebsite. you stillneedtoregister forthemeeting reports andindustryrepresentatives. If programme, thespeakers,simulation, within itlotsofinformationonthe search SCPS.You willfindcontained the Appthrough yourdevicesappstore, delete lastyear’s meetingandre-install further thisyear. We askthatdelegates positive andaspectshavebeendeveloped feedback onthislastyearwasvery supported byourCongress App.The This year’s meetingwillagainbe important discussionplatform. will completeourmeetingandprovide an are assignedit. Thecommitteefeelsthis to supportthissessionand2CPEpoints discussed. Itisimportantforalldelegates procedures isparamountandthiswillbe safe, consistent,auditablebypass surrounding heater coolers.Providing this washighlightedbytherecent issues for ourpracticeandshare information, need forustobecomemore accountable important tousall.There isanincreasing concentrate onSafety, asubject Our halfdaySundaysessionwill extension ofthemeetingintoSunday. Firstly youmayhavenoticedthe traditional formatforavarietyofreasons. are afewchangesthisyearfrom our you thisyeartofabulouscity. There particularly lookforward towelcoming able tohostourannualmeetingandI It hasbeenseveralyearssinceLeedswas Queens Hotel,Leeds. and Sunday12thNovember2017atThe be heldonFriday10th,Saturday 11th The 43rd AnnualPerfusionCongress will messageWelcome . . . OF GREAT BRITAIN ANDIRELAND The SocietyofClinicalPerfusionScientist really hasseenanddoneitall! what weknow (and love)today. Dereck and theevolution ithasgonethrough to look backatwhere perfusioncamefrom Perfusionist hehasagreed topresent a publication ofthefirstedition the of thisyear’s 40thanniversaryof field ofperfusionfor36yearsand aspart Dereck hasworkedinandaround the invited speakerDrDereck Wheeldon. lunch onSaturday withapresentation by The scientificsessionsculminatebefore need tobepre-booked viaValerie. sessions canbefoundintheappandthey perfusion scenarios,detailsofthese allowing hands-onexperienceofvarious providing ofCPBsimulation amorning of topics.InadditionGetingeare room withpresentations onawiderange Saturday inthepresentation morning The congress programme continueson your owntorelax orexplore Leeds. and thentheremainder ofyoureveningis be abuffet meal availablefrom 6-8pm (see elsewhere inthisedition).There will interactive posterpresentation session during thistimethere willbeanew meeting tooccurasitdoes.Inaddition continued andvitalsupportallowsthe support ourindustrycolleagueswhose opportunity tovisitthetradestandsand the ExhibitionHall.Thisisagreat traditional Manufacturers Forum,heldin Immediately followingthiswillbeour NHS Trust. from invitedspeakers withintheLeeds host citywithavarietyofpresentations there willbea sessionprovided bythe number ofpoints.Afterabreak fortea ensure youare awarded thecorrect Remember toscaninforeachsession meeting dayswilleachcarry3CPEpoints. presentations. TheFridayandSaturday starts withadiversecollectionof After lunch,thescientificprogramme aspect ofdepartmentalmanagement. Campbell hasagreed todescribethis some CollegeunitvisitsandJohn which hasrecently beenhighlightedin Framework Management.Thisisatopic there willbeapresentation on Quality information. FollowingtheCollegeAGM if youare interested contact Valerie for Denise Gonoud, Sophie Gray, Simon Anderson, Angela Beatson, See youinLeeds. future ofthiscongress. guidelines shouldhelptosecure the format howeverworkingwithin these few differences from our traditional being processed). Thiswillresult ina requirements (theapplicationiscurrently to befullycompliantwiththese funded. SCPSintendforthemeeting how conferences are arrangedand change duetoregulations imposedon Our meetingisundergoingaperiodof as itis. informative, interesting andsuccessful submitted tomakeourmeetingtheas to thankallthosepresenters whohave professional experiences. We wouldlike and presenting theirresearch and on PerfusionScientistscomingforward membership. Themeetingrelies heavily our congress for theneedsof meeting, sowecancontinuetodevelop everyone tocompleteattheendof feedback sectionwhichweinvite theappthere isasmall to Leeds.Within a wholelookforward towelcomingyou committee andExecutiveCommitteeas The MeetingandSeminarsSub- session thoughstartingat9am! you. Don’t forget ourSundaymorning success andhard work,welldoneallof 6.30pm. Thisisacelebrationoftheir for ourqualifyingstudents,startingat presentation of accreditation certificates traditional awards dinnerand Saturday eveningwillconsistofour Bristol University, areal milestone. the launchofournewMSccourseat significant yearforourprofession with our Societybody. 2017hasbeenahighly questions andinputintotheworkingof year fortheExecutiveCommittee,ask has beenoccurringwithinthisverybusy opportunity formemberstohearwhat Society AGM.Thisistheprimary to visittheexhibitionthere willbethe Following lunchandafinalopportunity Scientific Programme Exhibition Chair Treasurer 9

Leeds is a haven for lovers of culture, Corn Exchange, or stop by Leeds Opera North – and ballet – Northern shopping, party animals and food Kirkgate Market, one of Europe’s Ballet – companies. The new kid on buffs, whilst at the same time largest covered markets, to browse the block is the first direct Arena, a Wprovidingelcome the perfect getaway toto the Leedsthe vast array of independent stalls. 13,500 capacity venue which is the Yorkshire countryside, which was UK’s first purpose-built, fan-shaped recently voted the third best region in If culture is your thing, Leeds won’t ‘Super Theatre’ arena. the world to visit in 2014 by Lonely disappoint. It has more than its fair Planet. share of stately homes, historic Leeds has always been held in high buildings, museums and galleries to esteem in the food and drink realm. Leeds is now the third largest keep you occupied – highlights In recent years the city has come shopping destination in the UK include , Temple into its own with the opening on a outside London so you are never more Newsman, The Henry Moore Institute, number of independent cafés and than a few steps away from a great and the Leeds restaurants around the city. From shopping experience in Leeds. Fans of Art Gallery. Michelin starred restaurants to street the high street can hit Trinity Leeds, or food stalls in if you’re looking for luxury treats head Leeds’ heritage as a city of and Trinity Kitchen serving up an to the Victoria Quarter and Victoria entertainment is a long and illustrious ever changing variety of exciting Gate. Vintage goods and boutique one and continues to flourish today. cuisines, Leeds has something for shops can be found a plenty in Leeds The city boasts both its own opera – everyone.

INDUSTRY EXHIBITORS10th-12th October 2017 The Queens Hotel – Chalice Deltex Getinge GTA Haemonetics LivaNova Medtronic Pharmapal Congress 2017 Teleflex Terumo Werfen Congress 2017 10 This loveoftheartsisalsoprevalent in studios andspacesalloverLeeds including EastStreet Arts,whohave artists, both localandinternational that encourageandshowcaseworkfrom collectives, charitiesandorganisations Leeds isalsohometoanumberofart their exhibitions. to familyorientatedprojects inspired by children ofall ages, from fingerpainting art, hostworkshopsandactivitiesfor Tetley, whospecialiseincontemporary generation interested inthearts.The There’s alsoencouragementtogetanew musical who’s whoofLeeds. on Woodhouse Lanedecoratedwitha dogs onLandsLaneandasubwaytunnel train station,armrests shapedlikelittle covered inlife’s biggestquestionsbythe in plainsight.Lookoutforjunctionboxes A lotofthecity’s publicartisalsohidden Mandela Gardens inMillenniumSquare. Prince inCitySquare andthestunning unique urbanlandscape,suchastheBlack are numerous piecesthatgive Leedsa of theYorkshire Sculpture Triangle, there seen inanartgallery. Basedinthecentre But thecreativity ofLeedscan’t justbe experience theuniqueculture ofLeeds. of Art,there’s plentyofopportunityto independent galleriesandLeedsCollege showcasing workfrom around theworld, Gallery andTheHenryMoore Institute renowned gallerieslikeLeedsArt With Art andCulture Northern Ballet, Swan Lake – Emma Kauldhar Emma – Lake Swan Ballet, Northern T cest h rahtkn onrsd fThe Yorkshire Dales. of access tothebreath-taking countryside Thisisagreat citytoexplore witheasy no matterwhatyour age ortaste. Leeds isawarm, friendly andwelcoming citywithsomethingfor everyone, there’s never beenabettertimetoseewhy Leedsmadethisprestigious list. Voted Lonely by Planetasoneofthetop10European citiestovisitin2017, sport, world class eventsfood scene. andathriving anddrink andvibrantdiverse culture, great art, shopping, unrivalled theatres, music, increase in the number of visitors comingintothecitytoenjoy the increase inthenumberofvisitors uimi loigi ed ttemmn.There’s beenasteady isblooming inLeedsatthemoment. ourism Europe’s leadingartsorganisations. company intheNorthandoneof Opera NorthisEngland’s national opera own OperaHouseandBalletCompany. cities outsideLondontoboastbothits Leeds isproud tobeoneoftheonlyUK artwork everysingleyear. giving lectures andsigningexclusive with somehugenamesfrom theindustry and graphicnovelartonLeedsDock, Thought Bubblecelebratescomicbook mental illnessthrough publicart,while Love ArtsFestivalraisesawareness of that offer auniqueviewofthecity. installation, withlightshowsandevents theentireturning cityintoanart Night isahugefixture onthecalendar, held inLeedsthroughout theyear. Light the numberoffestivalsandcelebrations © Vagabrothers© Exchange Corn Leeds 203 stepstothe clocktower. prison cellsandclimb Victorian years ago.Here youcanseethe Town Hall,builtmore than150 you’ll alsospottheiconicLeeds Walking aboutLeeds citycentre, in thehistoryofLeeds. are gradeIlistedandsteeped Exchange.Bothbuildings Corn Market, andthemagnificent largest indoor market, Kirkgate Varieties aswellEurope’s of TheGrandTheatre andCity more gemstakeatour Victorian unique atmosphere andidentity. with historybuteachtheirown Quarter,magnificent Victoria allawash Arcade, GrandArcade andthe arcades –Queens Arcade, Thornton’s Leeds isfamousforitsstunningVictorian Masterpieces Architectural right here inLeeds CityCentre. North, soyoucancatchworldclassshows Lake andAndrea ChenierbyOpera Ballet'sSwan shows includeNorthern Leeds' manytheatricalvenues.Upcoming Both companiesregularly performat over thecountry. ballet companywhohaveperformedall BalletisaLeedsbasedtouring Northern – Leeds Museums and Galleries and Museums Leeds – Museum City Leeds

Golden Owl, Civic Hall – Andy Tryner Another favourite is the gothic over 1,000 shops. Wonderfully 11 masterpiece of Central Library diverse, Leeds combines quirky with its spectacular staircases boutiques with high-end and archways, stone beasts and luxury and the big name high mosaic tiling. street brands, so there really is something for everyone. If you’re a lover of beautiful green spaces then a visit to With shops housed in beautiful is a must. arcades and listed buildings, Situated only three miles north and a centre that can be of the city and set in a luscious covered on foot in a few hours, green park along the River Harewood House – Amanda Bond Leeds offers a shopping Aire, Kirkstall Abbey is one of experience like no other UK city. the most complete medieval art and head for the recently refurbished 12th century Cistercian Abbeys in Britain. Leeds Art Gallery (opening October 2017) EXPLORE THE STALLS It is truly jaw dropping. which has the best twentieth century Shopping in the city isn’t complete For a slice of British History the city has collection outside London. Then wander without a visit to Leeds’ historic Kirkgate plenty to offer with a number of nearby into the adjoining Henry Moore Institute Market. historical houses, including Harewood famous for its sculpture, collections and Leeds Kirkgate Market, part of which is a House, Lotherton Hall and Temple research. You may also enjoy a leisurely Grade I listed building dating from 1875, Newsam. Discover the rare breed farm at few days exploring world-class sculpture is one of the largest covered markets in and Lotherton’s newly across the four venues in the Yorkshire Europe and is open 6 days a week. There opened bird garden. One of the Treasure Sculpture Triangle. are over 400 stalls inside and a further Houses of England, Harewood is situated If your tastes are a little more cutting- 200 outside. only eight miles from Leeds. The edge then call in to The Tetley – a centre Capability Brown designed landscape Leeds City Markets for contemporary art located in the – Martin Brent provides a magnificent backdrop to stunning art deco headquarters of the where the showstopping ITV drama former Tetley Brewery. Whilst there Victoria was filmed. sample a typical Yorkshire menu including Leeds has a wealth of museums many a pint of Tetley’s in this historic setting. within walking distance of the centre. Another small independent gem is the These include Leeds Art Gallery, The White Cloth Gallery, which showcases a Tetley, the Henry Moore Institute the range of regularly changing exhibitions. Leeds has some of the finest theatres in the UK and offers a wide range of entertainment, from evenings and pantos at Leeds City Varieties, to West End plays and musicals at Playhouse and the Leeds Grand Theatre. Kirkgate Market is also where Marks & Spencer was born - Michael Marks Shopping opened his Penny Bazaar there in 1884. Leeds is a mecca for shopping, with its compact city centre which is perfectly Feed Your Passion walkable, the city is a shopper’s Kirkstall Abbey Food lovers rejoice! Leeds is jam packed – Leeds Museums and Galleries Trinity Launch Night full of eateries with menus spanning the – Trinity Leeds award winning medical Thackray globe. Museum and the City Museum which Kick start your day with a coffee from one takes you from the famed Leeds Tiger to of Leeds Corn Exchange’s independent a 3,000 year old Egyptian mummy. cafes then fuel up with delicious street food at Kirkgate Market. Alternatively, take a water taxi along the River Aire and visit Britain’s national Enjoy food from around the world at museum of arms and armour, The Royal Trinity Kitchen and try luxury taster menus Armouries, one of the most important at top quality restaurants. museums of its type in the world. Based More of a cocktail connoisseur? Enjoy Congress 2017 at Leeds Dock, it is home to the UK’s your mojito with a spectacular view in the largest collection of arms, armour and sunshine at one of Leeds’ rooftop bars. artillery, including Henry VIII’s original armour. paradise. Named the best shopping Be sure to seek out the quirky destination in the UK by the rough independents and craft ale houses for a Take your time exploring Leeds’ visual guide to Britain, Leeds City Centre has pint from Leeds own Brewery. The 17th European Congress on Extracorporeal Circulation 2017 12 presented bythenextspeaker, Mirela study period.Similar findingswere the concentration decreased over the levels exhibitedthesameincrease but remained consistentlyhigh.Lactate compared withPrebypass levels,and bypass showedamarkedincrease glucose levelsduringCardiopulmonary neonates weighing5to12Kg,the cells thatwere lessthan5daysoldon showed thatwhenusingdonorred Guiseppe Squillacifrom Italyfindings its effects onlactateandglucoselevels. the useofdonorRedbloodcellsand Paediatric presentations focusingon This presentation wasfollowedbytwo helping topreserve plateletcount. method incomplexcardiac surgery, concluded thatPRPissafeandauseful platelet richSequestrationinwhichhe presentation on plateletfunctionduring from theCzech Republicdelivered his blood cellsandplatelets.RomanHajek theme ofthepresentations wasred wheresession ofthemorning into theauditoriumfor second After aquickcoffee Imademyway Congress onECT. the hostpresident ofthe17thEuropean than theopeningaddress ofYves Fromes I arrivedattheconference 2hourslater despite whathesaid,really goodEnglish, driver dohisbesttouristspeechin After 90minutesoflisteningtothetaxi traffic accident andthecitytraffic jams. onlytocomeacross30 minutejourney a the conference centre expectingaquick On scoutingoutataxiImademywayto offer toattendthismeeting. wondering whyIhadkindlyacceptedthe and heatofMarseilleratherblearyeyed from Stanstead,Iarrivedtothesunshine to catchthered eyeflighttoMarseille Waking up04:30onaThursdaymorning Adult andPaediatricPerfusion. which covered abroad range oftopicsin piece onthehighlightsofmeeting south ofFrance.Thefollowingisashort place inthepicturesque cityofMarseille, Extracorporeal Circulation 2017 took The 17thEuropean Congress on Damian McCann, Extracorporeal Circulation 2017 The 17thEuropean Congress on Senior Perfusionist, in difficult cases. seen asabarrier tousingthesesystems that withexperience itshouldnotbe difficult partof the procedure butstated how airvolumeandhandling were a different typesofMIECCsystemsand selection. Thespeakerdescribed 4 (3), Appropriate patient/procedure (1) Ateamapproach, (2)Safetyfeatures be inplacefortheunittosucceed. that anumberofground rules should the comingyear. Thatspeakerstated approach tomitralvalvesurgeryin department plantocommencethis was ofparticularinterest tomeasmy invasive Perfusionsolutions.Thistalk focused onredefining minimally sponsored presentation byLivaNova institutions trialsandtribulations.A over thetwodaysdescribingtheir techniques withanumberofspeakers that onminimallyinvasivePerfusion A hottopicofthisyear’s FECECTwas speakers. delegates tonicelyinterrogate the promptedwhich inturn anumberof the speakersanumberofquestions After aslowstartthemoderatorsasked The floorwasthenopenedtoquestions. used intheprimeofneonatalcircuits. should berestricted to5dayswhen that theageofdonorred blood cells hyperlactatemia. Theirrecommendations 5 daysrepresent apotentialsource of suggested donorred cellsolderthan Bojan from France. Theirfindings Trent Cardiac Centre after hearingtheirearlierpresentation. system whichwasadvantageoustosee Nova wasshow-casingtheirMIECC there toexhibit theirlatestproducts. Liva Liva Nova,Medtronic andEurosets were foyer themaincompaniesofMaquet, delegates from theUKandIreland. Inthe morning’s presentations withtheother a goodopportunitytodiscussthe Lunch followedandthiswastakenas 13

an interesting paper investigating the efficacy of DHCA versus Antegrade Cerebral Perfusion (ACP) during dissection of the ascending aorta and Arch. In the single blind randomised study patients were allocated into 2 groups. Group 1 of 29 patients underwent surgery using DHCA at 18ºc and 29 patients had surgery under moderate (24ºc) combined with ACP. His findings showed 39% of patients in the DHCA group exhibited neurological complications compared with 13.8% of those in the ACP group. He concluded that ACP during Aortic surgery was more advantageous over DHCA in terms of cerebral protection. The afternoon session like the morning As the first days sessions drew to a close session was extremely well attended it was time to find the hotel and grab a The day’s program showcased a and this is a testament to the excellent quick nap before joining a number of my number of interesting case studies high quality program put together by fellow delegates for dinner in a beautiful from a team who performed a Ross the organisers. The session was kicked coastal restaurant. We sampled food procedure on a 1500 gram premature off by a presentation by Francesco traditional to the area and thought how new-born with bacterial Endocarditis, Canesi of Italy whose research focused lucky we were to be there at that to a Swiss team who used a MIECC on the use of a new approach to moment. system to rewarm a patient from The 17th European Congress on Extracorporeal Circulation 2017 septic shock using an adsorption filter accidental hypothermia. The Friday morning’s scientific session during CVVHDF. The mechanism of commenced with the necessary scan These examples highlight the excellent action it to trap a set of target it in order to obtain the all-important work being performed by Perfusionist’s molecules related to the endotoxin certificate of attendance and a strong across Europe. And further highlights which is responsible for sepsis. The coffee. Once again the number of the importance and need for scientific result of using this filter showed a delegates in attendance was high. The meetings in which all members of the significant reduction in inflammatory focus on the morning session was on Perfusion community can attend mediators, mortality rate at 28 days Aortic valve surgery and the differing regardless of the method of funding was reduced by 23% and with a methods of cerebral Protection during and no doubt FECECT 2019 will better recovery of renal function. Aortic dissections and Arch repairs. continue the high standards Vladimir Shmyrev from Russia delivered exemplified in Marseille 2017. Each scientific session ended with an interactive section wherein the delegates via the use of an electronic keypad answered questions relating to perfusion techniques. The answers from the previous FECECT Krakow 2015 were used to formulate a presentation by Dick je Long looking at trends in Extracorporeal technology and cardiac surgery in Europe between 2011 and 2015. No doubt the information collected from this meeting will be delivered in a presentation at the next FECECT meeting. Medical Gas Cylinder Colour Coding Changes 14 addressing thisissuehasbeen agreed. Regulatory Agency (MHRA)aproposal for and theMedicines &Healthcare products Compressed GasesAssociation(BCGA) In discussionsbetweentheBritish and medicaloxygencylinders. adopted thesamecolourforindustrial Part 3),andsomecompanieshad white shoulders(asdefinedinBSEN1089 and industrialoxygencylindershave be paintedthesamecolour. Bothmedical medical andnon-medicalcylinderscould of thecylinders,there isnowariskthat permits theuseofanycolourforbody defined inBS1319C. AsBSEN1089 Part3 colours formedicalgascylindersasthat standard retained thesameshoulder minor changestoshade,thenew medical gascylinders.Apartfrom some Part 3didnotspecifythebodycolourfor coding forothercylinders,BSEN1089 mixtures). But, inlinewiththecolour dioxide, heliumandthevariousgas (including oxygen,nitrous oxide,carbon specify thecolourforcommongases gases thenewstandard continuedto However, forcylinderscontainingmedical and didnotspecifytheactualproduct. (such asoxidising,flammable,inert,etc.) was developedtoidentifythetypeofgas such asafire). Theshouldercolourcoding (should theybeinvolvedinanincident associated withthecontentsofcylinders to beableidentifythetypeofrisk was toenabletheemergencyservices The mainpurposeofthenewstandard cylinders notclearlydefined. with thecolourcodingforbodyof cylinder shouldercolourswere specified, European Standard wasthat onlythe Coding. BCGA PolicyStatementonColour Revision 1:2013MedicalGasCylinders Technical InformationSheet20 This ledtoBS1319Cbeingwithdrawn. cylinder colourcoding,BSEN1089Part3. European standard waspublished on standard, BS1319C.In1997,anew the requirements specifiedin theBritish medical gascylindersinaccordance with In thepastUKgasindustrypainted Background Coding Changes Medical GasCylinderColour The newcolourcodingwillbeawhitecylinderbody, whilstmaintainingtheexistingproduct specificshouldercolouration. have already noticedthatsomeofthenewstylecylindershavebeenappearinginyourowndepartmentsandareas. New MedicalGascylindercolourcodingisbeingintroduced replacing thecurrent shoulderandcylinderbodycolours.You may The majorchangewiththenew accordance withtheshoulder colour. colour coded,they shouldbein Where valveguards are fitted, iftheyare colour withthecontrastingband. 2. uppermost andseparatedfrom thebody ensuring thatthewhitebandis used tocolourcodetheshoulder, shoulder. Alternatively, bandingmaybe they are paintedinquartersaround the shoulder colouritisrecommended that Where twocoloursare indicatedforthe 4809 NOTES:1. Produced by:BCGATSC7ISSN0260– Revision 1Published:03/10/2013 promotional material.3of4BCGATIS20 cylinder mustnotbeusedfor on thecylinderbutbodyof permissible todisplaythecompanyname or alongtheaxisofcylinder. Itis either horizontallyaround circumference be atleast60mmhighanddisplayed lettering usedtodisplaythenameshould For cylindersupto240mmdiameter, the displayed alongtheaxisofcylinder. name shouldbeatleast40mmhighand diameter, theletteringusedtodisplay lettering. Forcylindersupto140mm the lengthofcylinder, usinglarge product name couldbedisplayeddown cylinder product, itisproposed thatthe cylinders. between medicalandnon-medical provide theuser withacleardistinction formally adoptthisrequirement to is proposed that theUKshouldalso requirements formedicalgascylinders.It as thenationalcolourcoding been adoptedinmanyEUMemberStates cylinders white.Thisproposal hasnow 4809 paintingthebodiesofallmedical Produced by:BCGATSC7ISSN0260– 20 Revision1Published:03/10/2013 non-medical cylindersby2of4BCGATIS cylinders shouldbedifferentiated from paper wastheproposal thatmedical requirements. Apartofthisposition companies tointerpret thenewstandard of cylinderstoassisttheirmember position paper(PP-01)oncolourcoding Association (EIGA)publishedashort 2001, theEuropean IndustrialGas Proposals forpaintingcylindersInJanuary To assistwiththeidentificationof British Standards Institution(BSI). Gases Association (EIGA)www.eiga.eu www.bcga.co.uk Compressed GasesAssociation(BCGA) (MHRA) Healthcare products RegulatoryAgency For moreinformation: Linde • British OxygenCompany • Technical Information Sheet20Revision • Information Sources EIGA PP-01.Gascylinders.Colour • BCGA TIS6.Cylinderidentification. • BS EN1089Part3.Transportable gas • BS 1319C.Coloursforthe • Reference of thecontentagascylinderlabel. gas cylindersandanexplanationofsome the colourcodingsystemusedtoidentify Information Sheet6provides aguideto use ofmedicalgases.BCGATechnical emphasised toallthoseinvolvedinthe important distinctionshouldbe medical andnonmedicalgases,this always distinguishclearlybetween contents ofallgascylinders.Labellingwill is theprimemethodofidentifying It shouldbenotedthatcylinderlabelling will carryoutthisprogramme ofchange. with theircustomerstoexplainhowthey bodies. Eachsupplierwillbeincontact cylinders willbeinwithwhite After 2025,allsuppliesofmedicalgas bodies incompliancewiththispolicy. ‘old’ wayaswellcylinderswithwhite may wellreceive cylinderscoloured inthe code specifiedforthecylindershoulder. that itisdoesnotconflictwiththecolour or paintedadifferent colour provided theymaybeleftunpainted Alternatively During thisperiodofchangecustomers Policy StatementonColourCoding. 1: 2013MedicalGasCylindersBCGA coding. requirements. Colour codingandlabelling Colour coding. identification (excludingLPG)-Part3: container valves.Gascylinder medical gascylinders identification ofthecontents www.mhra.gov.uk European Industrial Medicines & British 15 Medical Gas Shoulder colour(s) Body – Body – NO CHANGE small cylinders small cylinde rs Old style Future “New style” Medical oxygen White

Medical air Black/white quarters

Medical nitrous oxide Blue

ENTRONOX Blue/white quarters (50% oxygen/ 50% nitrous oxide)

Medical Grey Medical Gas Cylinder Colour Coding Changes Coding Colour Cylinder Gas Medical carbon dioxide

HELIOX 21 Brown/white quarters (oxygen 21%/ helium 79%) 16 Perfusion Department Profile Cardiac Renal Centre

Eoin Coleman, Chief Perfusionist, Cork University Hospital

The two cardiothoracic theatres in CUH and the large acute Regional hospital period in 1991. A second dedicated serve a population of approximately in Cork was seen an ideal second site. cardiothoracic theatre was added in 1 million adults. Currently the Perfusion This new cardiothoracic surgical unit 1992. staff consists of four accredited commenced operating in Nov. 1985 in Perfusionists and two trainees .The a dedicated theatre in the ground floor As Chief Perfusionist, Martin led by students are attending NESCOT/Bristol theatre complex of CUH. It was staffed example. He was very keen on research University in order to obtain their MSc by a single Consultant surgeon, Mr Tom and he always maintained very high in Perfusion Science and accreditation Aherne, a single Perfusionist, Martin professional standards in the Perfusion with the College Of Clinical Perfusion Hargrove and a small but dedicated Department. He presented original Scientists of Great Britain and Ireland. team of nursing staff. It is a credit to research at many international meetings Our staff have a variety of different these early pioneers that this initial unit and published numerous perfusion backgrounds which has proved useful in has survived and prospered to become articles in peer reviewed journals. His bringing new ideas to research projects, the extensive team of today. In its first first-hand experience of and subsequent problem solving and patient care. calendar year the unit performed publication of a case of “electrical approx. Two hundred cardiac cases and power failure in theatre” being one of The Cardiothoracic surgical service was numbers expanded continuously over his most memorable. He always first set up in Cork in Nov 1985 in subsequent years to cope with the encouraged new trainees and qualified response to the growing demand for ever- increasing demand for cardiac staff to carry out research and publish in Cardiothoracic surgical services surgery, averaging 460 Cardiac cases peer reviewed journals and hence kept nationwide .The Mater hospital in per annum at present. The first Trainee the Cardiac Surgical and Perfusion Dublin was the sole adult Cardiac Perfusionist in the Department, Eoin Department in CUH on the map. Three surgical unit in the country at that time Coleman was appointed after a six year of the staff in the department obtained

Perfusion Department Profile –Perfusion Department Profile Cork University Hospital Renal Centre, Cardiac The CUH Perfusion team – Back row (left to right): Nikki Brennan, Lorraine Browne, Con Marshall, Catherine Collins. Front row: Eoin Coleman, Barbara Roche their Fellowships of the College of 17 Perfusion as a direct result of this research.

A second Consultant Surgeon (Mr Aonghus O’Donnell) was appointed in 1995, along with further specialised theatre nursing staff. Over subsequent years the Perfusion unit continued to expand with the appointment of the second trainee Perfusionist Catherine O’Mahony and a third cardiothoracic consultant Mr Hinchion. A further qualified Perfusionist Con Marshall and a further Trainee Barbara Roche were added to the growing Perfusion teams over the following years as the service The Cardiac Renal Centre at Cork University Hospital continued to grow.

One point of interest at this time is Department of Health with a business this region. In 2012 an additional that the Perfusion staff also assisted plan pointing out the necessity and Cardiothoracic Consultant Mr the surgical team with permanent potential benefits of this to cater for Doddakula was appointed shortly after pacemaker implantations in adult the growing demands of the services in the opening of this new facility. patients (approximately 200 per annum), CUH. He oversaw the planning, design which involved measuring the thresholds and equipping of the CRC and it was The overall numbers of Cardiac surgical of the implanted leads. This service a very proud day when the opening patients is on target to reach 460 adult which was unusual for a Perfusion ceremony finally came to pass after cases in 2017 including acute and department evolved due to the lack many years of tireless effort. emergency procedures. The increasing of surgical facilities in age profile and more complex disease Department. The Perfusionists acquired For the last six years the cardiothoracic profile- mean this workload is very an in-depth knowledge of pace making theatres have been located in this demanding for all involved. Martin technology which did prove to be a very purpose-built custom-designed retired three years ago and the two useful area of research in subsequent Cardiothoracic and Renal Centre on new trainees (Lorraine Browne and efso eatetPoie–Cardiac Renal Centre, Cork University Hospital Perfusion Department Profile – years in conjunction with CPB. That the grounds of Cork University Hospital. Nicola Brennan) were subsequently service has now been passed on to The fifth floor incorporates two appointed to ensure continuation and the Cardiology Department. The cardiothoracic theatres and a Cardiac future development of the Perfusion Perfusionist Team in CUH have also ITU with provision for additional HDU service in CUH. Barbara Roche has also performed and presented many facilities. The other floors include been appointed joint Chief/Tutor in unusual cases over the years such pre/post-surgical wards and renal recent months in response to the new as Hyperthermic Isolated limb patient facilities, cardiology ward and student appointments. Future perfusions and Heated Intra-peritoneal diagnostic facilities. The basement developments in CUH may include chemotherapy (for Pseudomyxoma). incorporates 2 Cath labs, 1 hybrid lab, moves towards minimally invasive Other unusual cases included profound electro-physiology lab and a dedicated cardiac surgery and endoscopic hypothermic giant cerebral aneurysm ambulance bay for acute admissions. developments with resultant changes repair and the rewarming of accidental This is a very modern and well planned in CPB technology and techniques. hypothermia cases using CPB. facility where important related services These developments together with are in close proximity to each other. The promising new research projects in the Mr O’Donnell and his colleagues could facility and its dedicated staff provide all department will ensure the profession see the need for the construction of a elective and emergency adult cardiac remains both fascinating and new integrated Cardiothoracic/Renal and thoracic surgical services along challenging for all involved in the Centre (CRC). He approached the with cardiology and renal services for foreseeable future. University of Bristol MSc Perfusion Science Launch • Perfusion Calendar 18 one perfusionlecturers suchasMichael students, membersindustryandweek made upofUniversitystaff, 20new There were over75attendees present Bristol HeartInstitute. launch eventwithintheatriumof the the perfusioncommunityto attend a this historiceventtheuniversityinvited Monday 25thofSeptember. Inlightof began theiracademiclectures on 2017 intakeofperfusionstudents Bristol. Asmanyofyouwillknowthe Perfusion ScienceattheUniversityof the excitinglaunchofMScin I’m delightedtowritethisupdateon Tim Pitt, Science Launch University ofBristolMScPerfusion ACTACC EducationMeeting 2 16th to17thNovember,2017 Queens Hotel,Leeds,UK Anniversary Congress 2017 43rd Britain andIreland Perfusion ScientistsofGreat The SocietyofClinical 10th to12thNovember,2017 Glaziers Hall,London Surgery AnnualMeeting Minimally InvasiveCardiac British andIrishSocietyfor Kings Cross, LondonNW12BJ Friends House,173-177 EustonRd, 2nd to3rdNovember,2017 Education andTraining PERFUSION CALENDAR Education andTraining Committee,duly Simon Phillips,speakingonbehalfofthe new MSc. dedication andhard workinformingthe and thankingallinvolvedfortheir speech welcomingeveryonetoBristol Professor SarahGeorgegaveashort executives were abletojointheevent. Society andCollegeofPerfusion Webb andSteveRobins,bothour attended byformerchairmenGerry day. Additionallyaswellbeing received “PerfusionHistory”lecture that whowasdeliveringawell- Whitehorn Masterclass onAorticSurgery Heart ResearchUK Friday 24thNovember,2017 Scottish EventCampus Glasgow SCTS Annual Meeting 18th to20thMarch,2018 Bad Oeynhausen,Germany (EUMS) Circulatory SupportSummit 12th EuropeanMechanical masterclass-2017-liverpool-new https://heartresearch.org.uk/grants/ University ofLiverpool 29th Novemberto2ndDecember,2017 She warmlyexpressed how students joiningthefaculty. Perfusion andtheperfusion was tohavetheMScin reiterated how pleasedshe the medicalfacultyand welcomed thestudentsinto Professor Astrid Linthorst this partnership.Finally, that hadbeendevotedinto for alltheeffort andtime thanked theUniversityteam opportunity. felt tonotbehavingthesame were tobeinvolved orhowjealousthey involved waseitherhowdelightedthey began. Thecommonmessagefrom all each otherbefore lectures theafternoon perfusion, tradeandstudentstomeet chance formembersoftheuniversity, After thespeechesthere wasashort shared experience. both partnerswouldbenefitfrom the schools’ collectiveknowledgeandhoped perfusion couldfeedinwiththemedical (Venue &Location TBC) Cardio-Thoracic Surgery Association for European Meeting – 32nd EACTSAnnual October 2018 Manchester UK 2018 EACTA AnnualCongress 19th to21stSeptember,2018 Asghton Stadium,Bristol ACTACC ScientificMeeting 14th to15thJune,2018 19

“prepare it for sale” (DOH , Explanatory Memorandum to NHSP The NHS Professionals Special Health Authority (Abolition) Order 2010, February 2010). It currently holds a bank of over 90,000 workers filling more than 2 million shifts, saving the The Department of Health’s (DOH) planned sell off the NHS £70 million every year. However, it only works with staffing agency NHS Professionals (NHSP) has now been around a quarter of trusts, meaning that many others rely abandoned by the Government. Health Minister Philip heavily on more expensive agencies to supply additional Dunne reported to Parliament on September 7th 2017 that staff. We would like more trusts to work together to fill shifts the DOH has announced that NHS Professionals Limited – a via collaborative banks, and there will be opportunities for company which supplies flexible staffing to the NHS – will NHS Professionals Limited and others to support this work. now remain wholly in public ownership, after offers to buy a majority stake in the company undervalued its growing Since the decision was taken to seek offers for the Company, potential. NHSP has significantly increased its performance such that audited profit before tax for the year ended 31st March In November 2016, the Government decided to instigate a 2017 was 44% higher than in the previous year. This sale of a majority share in NHS Professionals Limited as a improvement in financial performance continues to be built potential path to providing it with the extra expertise, upon in the first quarter of the current year. The company’s technology and investment it needed to work with more improved financial and operational performance means it hospitals and drive greater savings for the NHS. However, can now invest in improved IT infrastructure, expand its now after careful consideration, the Government has services to the NHS and transform into a world-class provider concluded that none of the offers received for the Company of flexible staff whilst remaining under public ownership – through the open, rigorous bidding process reflected the generating further savings for the NHS, all of which will company’s growing potential and improved performance. continue to be reinvested in frontline services.

NHS Professionals was established as a limited liability The statement concluded that ‘’the Government is fully company by the last Labour Government in 2010, with a committed to providing world-class NHS services that are specific intention to give it greater commercial freedoms and free at the point of the use, now and in the future’’.

A portable and customisable training system that offers a high fidelity simulation experience when used in-line with a circulatory support circuit.

The Parallel can recall mIDYRXULWHn pre-designed scenarios to occur separately, concurrently or simultaneously. 5HDOLVWLFDOO\VLPXODWHmSDWLHQWnEOHHGLQJDLU entrainment and line occlusions. Utilises a wireless communication protocol between all components to allow UHPRWHWUDLQLQJ.

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Tel: 01909 470 777 | Email: [email protected] | Web: chalicemedical.com | @ChaliceMedical 20 Friday 10th November 08.00 Examiners Workshop 09.00 Registration and Coffee 11.00 Chairmans Welcome: Andrew Heggie 11.05 College of Clinical Perfusion Scientists AGM 12.05 Developing a quality management framework for clinical perfusion services – John Campbell, Nottingham University Hospitals Trust 12.35 Lunch 13.35 SCIENTIFIC SESSION 1 – Chairperson: TBC A review of the Chemosat delivery system from a perfusion perspective – Kathryn Chapman, University Hospital Southampton 13.50 Could the development of an ‘adaptive goal directed perfusion strategy’ reduce the incidence of postoperative acute kidney injury in patients with chronic kidney disease and/or anaemia undergoing ? – Jack Satchwell, St George's Healthcare NHS Trust, London 14.05 Minimising the risk of Mycobacterium Chimaera infection during cardiopulmonary bypass by removal of the heater cooler units from the operating room – Jacqui Simmons, University Hospitals Coventry & Warwickshire 14.20 Save a heart Nigeria – Simon Anderson, Cambridge Perfusion Service, Papworth Hospital 14.35 Left ventricular dilatation, the presence of intra-cardiac thrombus and short-term outcome of primary heart graft failure patients managed with ECMO – Alister Sutherland, Golden Jubilee National Hospital, Glasgow 14.50 Review of hypoxic monitoring strategies in cardiac surgery patients – Indie Bilkhoo, University Hospital Southampton 15.05 Tea and Coffee Break 15.35 SCIENTIFIC SESSION 2 – Chairperson: Steve Robins GUEST SPEAKER Current concepts in cardiac anaesthesia and cardiopulmonary bypass – Dr S Balaji, Consultant Anaesthetist, Leeds Teaching Hospital NHS Trust 16.20 Dealing with patient outcome – the unspoken about aspect of being a perfusion scientist – Jenny Ormerod, Clinical Psychologist, Leeds Teaching Hospital NHS Trust 16.35 Q? – D J O'Regan, Network Q Health Foundation and Consultant Surgeon, Leeds Teaching Hospital NHS Trust 17.15 Manufacturers Reception with Student Poster Presentation – Exhibition Area

BREAKOUT SESSIONS The following Breakout sessions will be available during the Congress. Please register prior to the sessions at the registration desk. Sessions have a limited number of participants. Sessions will be held in the Headingly Suite. Haemostastis Management The Califia Simulator Haemonetics, Haemostastis Management Maquet Simulation of untoward CPB incidences Friday 10th November and their management Session 1 – 13.30-14.10 Saturday 11th November Session 2 – 14.20-15.00 Session 1 – 08.15-10.15 Session 2 – 10.45-12.45

N.B. Times above may vary slightly. Delegates are kindly asked to n congress programme congress Congress 2017 Congress 21 Saturday 11th November 09.00 SCIENTIFIC SESSION 3 – Chairperson: David Jenkins, President Mechanical assist of the left ventricle – managing the IABP and other assist devices – Kacey Dee, Clinical Lead, Teleflex 09.15 Oxygen extraction rate: a superior trigger for blood transfusion during cardiopulmonary bypass? – Nicola Brennan, Cork University Hospital 09.30 Real time monitoring for early intervention in CPBCDI® Blood Parameter Monitoring System 500 and SenSmartTM Model X-100 Universal Oximetry System – Gernot Miemietz, European Marketing Manager Monitoring, Terumo Europe N.V., Leuven, Belgium 09.45 A prospective observational study into the use of Mannitol in CPB prime and subsequent survey of UK units to analyse current fluid management trends – Eanan Harkin, Belfast Health and Social Care Trust 10.00 Temperature management on cardiopulmonary bypass – Lorraine Browne, Cork University Hospital 10.15 Towards minimally invasive in perfusion: A global perspective – Luca Corazza, LivaNova 10.30 Overview of the current situation with regards the Paratherm Heater Cooler supplied by Chalice Medical Limited and Microbacterium Chimaera – Richard Hartshorne, Chalice Medical 10.45 Tea and Coffee Break 11.15 SCIENTIFIC SESSION 4 – Chairperson: TBC Gastrointestinal complications following ‘on-pump’ cardiac surgery: What are the causal factors and how can they be ameliorated? – Richard Sakyi, St George's University Hospitals NHS Foundation Trust, London 11.30 Elephant trunk, how to solve a challenge – Jose Cañamares, Cambridge Perfusion Service, Papworth Hospital 11.45 Clinical evaluation of the Cascade® Abrazo c-ACT against the Actalyke ® MAX ACT POC devices used for heparin management, preliminary results – Rochelle Wilson, Nottingham University Hospital 12.00 When two heads are better than one: The ‘branch-first’ technique of aortic arch replacement without circulatory arrest or deep hypothermia – John Fitzgerald, Wellington Regional Hospital, 12.15 Therapeutic monitoring of anticoagulation during extracorporeal membrane oxygenation – Kate Howson, Queen Elizabeth Hospital, Birmingham 12.30 Between burnout and boredom – Basil Henrick, Mater Misericordiae University Hospital, Dublin GUEST SPEAKER 12.45 40th year of publication of the Perfusionist – Dereck Wheeldon, First Editor of the Perfusionist 13.15 Lunch 14.30 Society of Perfusion Scientists AGM 16.30 Tea

Sunday 12th November Congress 2017 09:00 Safety in Perfusion: Discussion Session – Noel Kelleher and Angela Beatson 12.00 Meeting Close note that the exhibition will be closed during the scientific sessions. The Birth of the Perfusionist 22 or become knownasPumpTechnicians eclectic group oftechnicianswhohad at theMaterHospital,Dublin.This fromto garner her senior clinicians Slevin andthesupportshewasable influence oftheenigmaticMary formed inMarch 1974,underthe technologists hadjustbeen fledgling SocietyofExtracorporeal It was early 1977 and the Dereck Wheeldonand The BirthofthePerfusionist Perfusionists ofGreat BritainandIreland. and lessawkward titleofTheSociety the AGM,torathermore descriptive A yearlaterthenamewaschanged,at was formedandaconstitutiondrafted. Ireland, forthe timebeing.Acommittee Technologists ofGreat Britainand Association ofExtracorporeal decided toadopttheAmericanmodel; organisational titlebutitwasfinally discussion, regarding anappropriate inaugural meeting.There wasmuch technicians aspossibletoattendthis at thetime,inorder toallowasmany the 46cardiac surgicalunitsoperating approved the closure ofallbutafew Surgeons ofGreat BritainandIreland Society ofThoracicandCardiovascular In auniquecooperativemove,the and associatedcertification. requisite training,educationalstandards professional organisationwiththe needed tobemeldedintoa Heart-Lung technicians , desperately Don Bethune,withthanksto you willseethat weattemptedtocover reproduced from in thisjournal, which first veryamateurish editionis produce abi-monthlynewsletter. The allthisinmind,wesetoutto With of cardiac surgeryatSt.Thomas’. a pioneeringcardiac surgeonandhead with thesupportofMarkBraimbridge, the sterlingefforts ofRegHobbsand via theSt.Thomas’MedicalSchool,by Perfusion wasalsoestablished,initially education. ThefledglingSchoolof formulating future policiesand a consultativebodywithrespect to which wasrecognised bytheNHSas physiologists andRespiratorytechnicians, Physics, Dentaltechnicians,Electro- which comprisedMedical Medical Technology (FAMT) Federated Associationsof as theformationof many good initiatives such These efforts involved status withintheNHS. to obtaining professional programme withaview appropriate educational efforts to establishan vehicle to facilitate the essential toprovide a age.Itwasalso internet and experienceinthispre- effectively share knowledge normal opportunitiesto group which hadlittle communication amongsta would be good and effective this organisationtoflourish, the more important requirements for We atPapworth, recognised thatoneof Roy Gill stimulate discussion.Oneofourmajor the issueswehopedwouldinformand sheet ofpaperfollowedbytransferring cutting andpastingitemsontoanA3 mechanical typewriterandthenliterally typing outthecopytextonanold concerns wasthatofimprovingconcerns this topic–TowardsSafer international conferenceinternational on Cardiac Surgery culminated inthefirstever minimising therisks.This by DonaldLongmore in and methodsfor 1980. pitfalls, theirprevalence awareness of the major The mechanicsof of initiativestoraise resulted inanumber producing this literary of perfusionandthis masterpiece ofa the qualityandsafety newsletter, involved – convened this onto a Roneo sheet1 which was then and news, a Bibliography, Letters to the we later moved to a number of front 23 used to make the requisite copies. In Editor, Product News, Situations Vacant, page design changes selected from March 1979 we moved to a two column a Calendar, meeting reports and news reader competitions (see illustration). format, in order to provide space for from AMSECT. It took time but slowly It is most gratifying and encouraging, to more copy although, reading issue No. members started to use this vehicle as a those of us who were privileged to be 13 today, it is obvious that my eyesight forum for the exchange of experience involved in the pioneering days of was a tad better in those days. The and opinions – the latter sometimes perfusion, to see how the profession has production and distribution of these quite heated! We were now also able to matured into such a worthy organisation early newsletters was kindly provided sell back page adverts in order to make with well-established scientific and Tony Gatland, CEO of Pall Biomedical. the Newsletter self-funding. professional standards. We were fortunate to have the support Early edition front pages tended to of a growing number of perfusion reflect or illustrate the leading article but 1 www.memidex.com/roneo+duplicator companies which later provided the means to produce a high quality professionally printed newsletter under the guidance of Gerry Linley (Chief Perfusionist at Guys) who took over as editor in 1980. Gerry recruited the ever Anniversary40th Edition helpful George Prior of GMP, to do the printing in September 1985, following Perfusionist the publication of the 50th edition! Bi-monthly publication of         

Sourcing copy from the membership,    which totalled some 79 Active, 16 Student, 25 Associate and 7 Overseas members from 46 centres in 1980, was difficult and we tried to establish a Volume 41, Number 5 September/October 2017 number of regular columns in order to stimulate discussion. These included; an editorial, a leading article, Society notices

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Contact details: TERUMO UK Ltd. Otium House, 2 Freemantle Road, Bagshot, Surrey, GU19 5LL, U.K. Phone: +44 77 40 40 54 71, E-mail: [email protected] Terumo® and CAPIOX® are registered trademarks of Terumo Corporation. ©2016 Terumo Cardiovascular Systems Corporation. January 2016. 868241 1 Internal testing. The First Perfusionist – Vol. 1, 1977 24 The FirstPerfusionist Vol. 1,1977 – 25 The First Perfusionist – Vol. 1, 1977 The First Perfusionist – Vol. 1, 1977 26

27

The First First The

Perfusionist – Perfusionist Vol.1,1977 The First Perfusionist – Vol. 1, 1977 28 29 The First Perfusionist – Vol. 1, 1977 1977 – What Else Was Happening? 30 I I I I I In theScientificworld occurred in1977. innovations andachievementsthat back attheevents,discoveries, cardiac procedure. We nowtakealook support apatient’s circulation foranintra utilisation ofaheartlungmachineto was 24yearssincethefirstsuccessful At theinceptionofThePerfusionistit John Campbell,InterimEditor WhatElse Was Happening? 1977 – the Premiership from the Harold Wilson was JamesCallaghanhavinginherited 29th birthday. PrimeMinisteroftheUK Silver Jubilee.TheNHScelebratedits Kingdom (UK)celebratedthemonarchs Queen ElizabethIIandtheUnited The 1977PoliticalScenes developed byHochmair. multi-channel cochlearimplant, December –Thefirstmicroelectronic in Somalia. contraction ofsmallpoxwasreported October –Theworld'slastrecorded Gruentzig inZurich performed bycardiologist Andreas coronary intervention onapatientis September –Thefirstpercutaneous imaging bodyscanofahuman. perform thefirstmagneticresonance Larry Minkoff andMichaelGoldsmith July –DrRaymondDamadianwith cause ofthe"Legionnaires' disease". previously unknownbacteriumasthe January –Scientistsidentifya Balloon-tipped Catheter The RoyalCollege ofSurgeonsinIreland elected JackLynch asTaoiseach. party a20seatmajority. The21st Dáil with over50%ofthevotesecuring the were victoriousinthegeneralelection State) wasPatrickHillery. Fianna Fáil na hÉireann, (President andHeadof In theRepublicofIreland, theUachtarán now fallento15.8%. and theUKunderlyinginflationratehad nearly 70%withinthelastthree years that inflationhadpushedpricesupby circulation. revealed The government note wasabouttobeintroduced into interest rateswere at7%.Asmaller£1 from 35pinthe budgetandbank to 33pinthepound later. Incometaxin1977wasreduced the triggeringofArticle50fortyyears presidency coincidescontrastinglywith anniversary oftheUKsinitialEU presidency forthefirsttime.This40th Union(EU). TheUKundertooktheEU for membershipoftheEuropean spring of1979.Spain&Portugalapplied tosurviveuntilthe minority government Lab pact.Thearrangementallowedthe Liberal partythatwasknownastheLib- the formationofanalliancewith party survivedavoteofnoconfidenceby previous year. Labour Thegoverning that couldnothavebeenimagined). sequels andamerchandising industry history (oranumberofPrequels and tale calledStarWars andtherest is released asciencefictionfantasyfairy- loved me.Alittleknowndirector Saturday nightfeverandtheSpywho Close encountersofthethird kind, Notable filmsreleased in1977included At TheMovies success initiatedinthe1977/78season. dissimilar tothoseemanatingfrom the celebrations in2017were notso the nowfirstdivisionpostmatch Forests recent achievementtoremain in seasons. Compared withNottingham to retain thistrophy insuccessive following yearandbecomethefirstteam went ontowintheEuropean Cupthe crowned Champions1977/78.Theythen division subsequentlygoingontobe Forest were promoted tothethenFirst teaching hospitalintheUK.Nottingham opened asthefirstpurposebuilt Queens MedicalCentre beingofficially year forthelocalpopulationwith In Nottingham1977wasamomentous In Nottingham introduced. designwas modern Punt note(£1)witha Ireland. Anewsmaller the NationalUniversityof as arecognised collegeof was grantedrecognition Sporting activities In Formula One Niki Lauda won the other worlds, as a minimum, all people 31 In the sporting fields Virginia Wade was Drivers Championship with Ferrari. in all countries should have at least such a level of health that they are capable Wimbledon ladies champion and Bjorn In the All-Ireland Senior Hurling of working productively and of Borg won the men’s title. Championship of 1977 was the 91st participating actively in the social life of staging of Ireland's premier hurling Liverpool were Division one champions the community in which they live. This is knock-out competition. Cork won the and also went on to win the European an interesting target that has not still championship, beating Wexford 1-17 cup for the first time. The FA cup was being fully achieved 17 years after its to 3-8 in the final at Croke Park. The won by Manchester United. target date. Given the efforts of our All-Ireland Senior Football Championship allies across the ponds elected leader In the Grand National Red Rum rode into was won by Dublin. attempting to dismantle the previous history as the only three-time winner of 1976–1977 saw the 104th season of administrations landmark healthcare the race to date. The race also featured competitive football in Scotland, Celtic protection legislation for all US citizens. a female jockey in the starting line up for finished as the premier league the first time. Given the events both on a national and champions. international level in 2017, 40 years on In golf the 106th Open Championship at from 1977 there does appear to be a Turnberry saw Tom Watson win by one number of similarities. It could even be stroke over runner-up Jack Nicklaus. said that even maybe an element of history repeating itself? WHO Health for All Declaration The World Health Assembly (WHO) in 1977 issued the Health for All by 2000 declaration. The declarations stated that France were winner of the the five the main social target for governments nations rugby tournament. and of WHO should be the attainment by all the people of the world by the toured England to play 5 test year 2000 of a level of health that matches for the ashes resulting in a 3.0 would permit them to lead a socially victory to England. and economically productive life. In

40 Years and Counting

Colin G. Green, Copenhagen, Denmark

1977 – What Else Was Happening? • 40 Years40 Counting and • WasHappening? Else What – 1977

First of all congratulations on the 40th and Bentley Temptrol bubblers, were very some great perfusion and surgical anniversary of Perfusionist. It must be happy and gratifying. Didn’t know much personalities. I have been part of the one of the longest running European about the physiology of perfusion but early perfusion days in , perfusion journals. My active career as knew how to keep pumps and other and Japan and have very happy a practicing perfusionist (pump tech in equipment running! memories of my many visits. When I those days) ended in 1969 but my last thought about my travel schedules active involvement with extracorporeal My activities at Guys and the contacts for the years gone by, I believe that I circulation has continued until today. I made then, both locally and have worked in some 185 locations in I was slightly involved in, and aware internationally in those early days, 40 countries and probably more than of the activities in the second half of formed the basis for the career that 1,000 different operating theatres. the 1960’s to establish an association I chose to follow in the perfusion and develop training guidelines for industry. 5 years in and the So I have a lot to be very thankful for. perfusionists in the UK and Ireland. USA actively involved in product/project Extracorporeal circulation has been a It was very déjà vue to see the names management and the setting up and very active part of my life for 55 years of George Wiggins, Dudley Tipler and management of two distribution and it all began for me as a pump tech Don Caddy in the original Perfusionist companies, followed by the decision in the UK. from 1977. It brought back some great to return to Europe and continue Once again, congratulations on 40 years memories. The early days were very working in an international capacity of publication and every good wind and exciting and my time at Guys Hospital have made my entire working life very good fortune for the Society, its members working with the Guys-Ross HLM (with enjoyable. I have been fortunate to be and its future activities. disc oxygenator) and subsequent use of able to advise and assist perfusion and the Polystan Rygg-Kyvsgaard, Travenol surgical teams worldwide and to meet [email protected] Past Editors and Assistants • The Final Word 32 Simon Colah Ben Middleton Richard Mason Mark Childs Nigel Cross Keith Phoenix Nigel Gooby David Austin Alison Bashford Gerry Linley Dereck Wheeldon&DonBethune Past Editors&Assistants following esteemedindividuals. on more thanoneoccasionbythe attempts tomeetpublicationdeadlines in of midnightoilwillhavebeenburned milestone. Icantestifythatvastquantities Perfusionist their timeandskillshasenabledthe decades. Thegenerous donationof assisted theEditorsinlastfour the individualswhohaveEditedand and acknowledgethehard workofall In this40thyearitisessentialweapplaud contributing authors, letterwriters Thank youalso toalltheindividual edition. the publicationofthis40thanniversary and helpwiththelogisticsto enable assistance withinvestigations, research material, information, contributions, Les Allen.Theyhaveallprovided Harvey, Valerie Campbellandofcourse Karen MacDonald,KeithKincaid,Ian Roberts, NevilleMartin,Richard Mason, Dereck Wheeldon,DonBethune,Fred edition inonewayoranother, Namely; to enabletheproduction ofthis40th gratitude toallthosewhohavehelped edition itisessentialthatIexpress my At theendofthiscommemorative John Campbell,InterimEditor The FinalWord John Campbell,InterimEditor Past EditorsandAssistants to reach thismomentous quiet corner toofferquiet corner supportandoffer George couldalwaysbefoundina responsibility fororganisingtheevents for thoseofustaskedwiththe Whenever thingsgotalittletoomuch transporting alltherequired equipment. all theconference materialsand as official photographer, producing ever-present atcountlessAGMsacting marking thismilestone.Georgewas Perfusion haveensured thatweare His care anddedicationtohisfriendsin understatement. an be would publication George wasthebackboneofthis mentioning GeorgePrior. To saythat 40th yearofpublicationwithout also It wouldnotbepossibletocelebratethe The the present time. and politicalclimatenottodissimilar began itslifeinaturbulenteconomic Perfusionist entersitsfourthdecade,it community overtheyears.Soas and advertisersfrom ourPerfusion The beyond. throughout Great Britain, Ireland and with allunitsandcommercial partners development whilstmaintaining alink the membershipofourprofessions as avaluableinstrumentthatinforms communications from theoriginal copy technological advances in For hisdedicationtotheSocietyand the award of Life Membership2011. the Perfusionisthewashonoured with Perfusionist Perfusionist to helpinanywaypossible. Nothing wastoomuch Perfusion world. trouble forGeorge inthe has establisheditself has adaptedto the departure. this mantleafterGeorge’s untimely appreciation. Les Allenkindlytookon efforts are remembered withgreat George issadlystillmissedbuthis the Moving forward wemustalsoprepare digital processed production usedtoday. and pastenewsletterthrough tothe until tomorrow. Tomorrow isnow’’. mould aswelike, butwecannotwait ‘’The futureisliterallyinour handsto that itwillarise. into thenextdecadeand challenges publication asitembarksonits journey our memberstofullysupportthis coming years.Theobligationisonall to communicateourmessageinthe utilise thesetoolsmayinhibitourability communication formats. A failure to social embracing themodern Perfusionist for thechallengesof Eleanor Roosevelt ¡

The Society of Clinical Perfusion Scientists 33 OF GREAT BRITAIN AND IRELAND 43rd Congress, Leeds – Registration Form 10th to 12th November 2017

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34 The Society of Clinical Perfusion Scientists OF GREAT BRITAIN AND IRELAND 43rd Congress, Leeds – Payment Form 10th to 12th November 2017

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Congress 2017 Payment Form Congress * Note: Please do not write down the CSC number, but telephone or email the Society with the details When it comes to your IABP, you shouldn’t have to choose between ease of use and performance.

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References: 1. Donelli A, Jansen JRC, Hoeksel B, et al. Performance of a real-time dicrotic notch detection and prediction algorithm in arrhythmic human aortic pressure signals.J Clin Monit. 2002;17(3-4):181-185. Study sponsored by Teleflex. Teleflex, the Teleflex logo, Arrow, AC3 Optimus, AutoPilot, and WAVE are trademarks or registered trademarks of Teleflex Incorporated or its affiliates, in the U.S. and/or other countries. All data current at time of printing (09/2017). © 2017 Teleflex Incorporated. All rights reserved. MCI-2017-0479

Teleflex Grosvenor House, Horseshoe Crescent, Old Town Beaconsfield HP9 1LJ Phone: +44 (0)1494 53 27 61 · www.teleflex.com Congress 2017 Exhibition Booking Form 36 10th to12th November2017 Leeds Congress,43rd GREATOF BRITAINIRELAND AND Scientists Perfusion Clinical of Society The B&B Room £10dates): (all Occupancy Double for Supplement £40pnRoom: Superior to Upgrade £120pnOccupancy Sole Room: Standard November: 11th Saturday and 10th Friday £120 occupancy Sole November: 9th Thursday B&B RateStandard Room 1323 Telephone:243 (0)113 +44 1PJ LS1 Leeds Square, City The QueensHotel Accommodation Hotel rooms can be released into general sale. general into released be can rooms unsold of proportion a event the to prior weeks 12 From Email 2. 060 0740 0845 on Reservations Central Phone 1. Perfusionists’ Clinical of ‘Society Contact number address Email Telephone number Address name Exhibitors name Company exhibitors. Please book and pay for required evening tickets requiredevening for pay and book Please exhibitors. X IBAN: GM61MIDL40181661025619 IBAN: 16 18 40 code: Sort Tel: 020 7869 6891 · email: [email protected]: · Tel:6891 7869 020 Administrator) (Society 43) Transfer:AGM Bank Reference (Please Credit card – card Credit Exhibition space payment method payment space Exhibition Complimentary day registration & lunch is provided for provided is lunch & registration day Complimentary Account no:61025619 [email protected] bookings can using conference registration forms. registrationconference using EXHIBITION SPACE IS ALLOCATED ON RECEIPT OF PAYMENTSPACEALLOCATEDOF EXHIBITION IS RECEIPT ON please contactValerie Campbell be made THANK YOU FOR YOUR CONTINUED SUPPORT CONTINUED YOUR FOR YOU THANK by quoting: – Exhibition BookingForm Cost after 1st September 2017 = £290 m £290 = 2017 September 1st after Cost £270 m = Cost before 1stSeptember2017 Exhibition area required (minimum3m confirmed upon receipt of payment. of receipt upon confirmed be only will space stand of allocation that note Please area space Preferredstand Please seeattached Total£ cost m Reserve Cancellation after1stSeptember 2017–NOREFUND Cancellation priorto1stSeptember 2017–100%Refund N.B. RefundPolicy Email: Tel:9839238 87 +353 Gonoud Denise Ms For furtherenquiriesorqueriespleasecontact: Email: 35-43 Lincoln’s InnFields,LondonWC2A3PE 5th Floor, TheRoyalCollegeofSurgeons of Great BritainandIreland Society ofClinicalPerfusionScientists Valerie Campbell thisformwithpaymentmethodindicatedto: Please return [email protected] Tel:[email protected] 02078696891 floor 2 tacs f£ per m at a cost of £ plan for exhibitionarea. 2 ) 2 2

2 ¡ Carotid Stenosis By L ouise White

Introduction Diagnosis Carotid stenosis is caused by disease As a result, plaques form and the ವ Carotid auscultatio n to detec t the of the carotid arteries which provide functions of the arterial walls such as presence o f carotid bruits. the principle blood supply to the brain. the secretion of anti-thrombotic ವDoppler ultrasound- The criteria for The right common carotid artery is a substances and secretion of vasomotor stenosis of 60% combines a peak branch of the brachiocephalic artery substances is compromised. systolic velocity of 290cm per second whereas the left branches directly off These plaques can cause the signs and or more or an end diastolic velocity of the aortic arch. They divide at the symptoms discussed below either by 80cm per second or more. carotid bifurcation into the internal and restriction of blood flow or the passing of external branches. The external debris into the brain. carotid artery supplies various craniofacial structures. The internal carotid artery, which is supplied by 70% of the common carotid blood flow, delivers oxygenated blood to the brain. The terminal branches of this artery are the anterior and middle cerebral arteries.

Figure 3: Duplex doppler ultrasound showing severe stenosis (Naylor 2007). Treatment Figure 2: Image showing a resected ‡Anti- platelet therapy e.g. Clopigogrel endarterectomy specimen. A indicates & Aspirin ( or aspirin alone in severe stenosis containing atheromatous asymptomatic cases). debris. B indicates an ulcer. C indicates ‡Carotid endarterectomy fofor severe recent thrombus (Naylor 2007). symptomatic stenosis. ‡Lipid lowering therapy. It has been suggested that plaque ‡Statin medicine fofor those with mild to molecular composition rather than moderate hypercholesterolaemia. degree of stenosis is a more important ‡A regular programme of aerobic trigger for thromboembolic events. exercise and a diet low in saturated Græbe et al. (2009) found up-regulation fat. of CD68, IL-18, MMP-9 and Cathepsin ‡Carotid artery stenting. K gene expression in carotid plaques Figure 1: Imag e of caro tid sten osis in from patients who suffered a TIA. the in te rn al carotid artery (Naylor 2007) Clinical si g ns and symptoms The symptoms of carotid stenosis Pathogenesis include ipsilateral transient visual Carotid artery disease is a progressive obscuration, weakness or numbness of disease involving plague formation in the limbs or face, aphasia, and the carotid artery lumen, making the problems with speech. Many patients artery stenosed, therefofore reducing may present with general episodes of and limiting blood supply to the brain. dizziness, weakness, syncope and This fatty build up is caused by blurred vision. Figure 4: Caro tid stenting for carotid atherosclerosis, defined as an The restriction of blood flow or the stenosis (L anzino et al. 2009) inflammatory disease caused by passing of debris into the brain can abnormal interactions of circulating Key References produce transient ischaemic attacks ‡Chua, HC, Sitoh, YY, Earnest, A & Venketasubramanian, cells such as monocytes, lymphocytes (TIAs). These episodes in definition N (2007). Detection of internal carotid arteryry stenosis with and platelets with the endothelial cells duplex velocity criteria using receiver operating recover within 24 hours. characteristic analysis. ANNNAALS Acadedemymy of MeMedidiciinne and smooth muscle cells of the arterial When these symptoms are associated Singgaapaporere. 36, pp. 247-252. walls. ‡Græbe, M., Pedersen, S.F., Borgwardt, L., Højgaard, L., with very severe narrowing of the Sillesen, H. & KjKjaær, A. (2009) Molecular pathology in carotid artery there is an increased risk vulnerable carotid plaques:correlation with (18)- Repeated injury to the artery wall Fluorodeoxyglucose positron emission tomography (FDG- of a majajor stroke in the days, weeks or PET) EuEuroropopean Journrnal of VaVasascular and EEnndodovasculalar attracts monocytes and T lymphocytes months later. In fact, the risk is 20-30% Surgrgeryryy.. 37, pp.714-721. due to the secretion of cytokines. This ‡Lanzino, G., Rabinstein, A.A., Brown, R.D. (2009) in the following 90 days following a TIA. Treatment of carotid artrteryry stenosis: Medical therapy, compromises the barrier function and surgery or stenting? MaMayayo Clliinic PrProroceedidininnggsgs. 84 (4), smooth muscle cells also become pp.362-268. Risk factors for stroke include older age, ‡Maharaj, R. (2008) A review of recent developments in exposed causing their proliferation and diabetes, smoking, high BMI, increased the management of carotid artrtery stenosis. Journrnal of migration to the intima. Monocytes Carrddidiotthhoraracic and VaVascular . 22 (2), pp.277- fibrinogen level, elevated homocysteine 289. then take up lipid and become lipid level and dyslipidaemia. ‡Naylor, R.A. (2007) Carotid Artrtery Disease. Sururgrgeryryy.. 25 laden cells. (8), pp. 350-353 38 Opportunity Safety Committee

for Commercial New and important information has been added to the Publications page of the Companies Safety Committee webpage on the Society website: www.scps.org.uk The Editor would welcome Please visit this page and disseminate the submissions from information to your department.

the commercial sector Report(s): on interesting subjects and SR 2011/02 SR 2011/07 SA 2011/03 SN 2011/08 commercial news of relevance SV 2011/04 SN 2012/01 to the membership SN 2011/05 SV 2012/02 of the Society. SN 2011/06 SR 2012/03

Safety Committee Society and College of Clinical Perfusion Scientists of GB and Ireland

Society Membership Fees – A Reminder The renewal date for membership subscriptions is the 1st July 2017. Subscription rates are as ADVERTISE YOUR follows: Full member £55.00 JOB VACANCIES Associate member £45.00 ON THIS PAGE Overseas member £45.00 Trainee member £25.00 WHICH INCLUDES Retired member £5.00

THE The preferred method of payment is by Direct Debit.

SOCIETY WEBSITE Payment can also be made by using one of the following cards: Visa, MasterCard, American Express, and Maestro.

For further details please contact Valerie Campbell, the Society’s administrator, at: The Society of Clinical Perfusion Scientists, 5th Floor, The Royal College of Surgeons, 35-43 Lincoln’s Inn Fields, London, WC2A 3PE tel: 020 7869 6891 email: [email protected] Cuvette based technology 50µl sample Rapid results – accelerated seconds Wide range of tests – ACT, ACT-LR, ELITECH UK Limited PT and APTT Unit 6, River Park Industrial Estate Billet Lane, Berkhamsted, Herts HP4 1HL Store 400 patient results + 400 QC t: 01442 86 93 20 results f: 01442 87 67 74 e: [email protected] Liquid and electronic quality controls 40 PERFUSION DIRECTORY . . . The Society of Clinical Perfusion Scientists of Great Britain and Ireland Executive Committee 2016/17

Officers and Committee members can be contacted via our Administrator, Valerie Campbell on 020 7869 6891, email: Members are reminded that Valerie Campbell, [email protected] or at the addresses below: the Society’s Administrator, can supply information and advice on all administrative Andrew Heggie (Chairman) Victoria Hospital, Blackpool matters relating to the Society and the College. Email: [email protected] She can be contacted at: Simon Anderson (Treasurer) Papworth Hospital, Cambridge The Society of Clinical Perfusion Scientists Email: [email protected] of Great Britain and Ireland Simon Phillips (Registrar) Fifth Floor St George’s Hospital, London The Royal College of Surgeons of England Email: [email protected] 35–43 Lincoln’s Inn Fields Noel Kelleher (Secretary) London WC2A 3PN University Hospital Wales, Cardiff Email: [email protected] Tel: (+44) 020 7869 6891

Lucy English Fax: (+44) 020 7869 6890 Derriford Hospital, Plymouth E-mail: [email protected] Email: [email protected]

Angela Lilley Email: [email protected] Alex Robertson for advertising enquiries Great Ormond Street Hospital for Sick Children, London Email: [email protected] including website

Timothy Pitt Harefield Hospital, Middlesex Contact: Les Allen Email: [email protected] telephone: 07944 295613 Sophie Gray Southampton General Hospital email: [email protected] Email: [email protected]

Denise Gonoud University Hospital Galway Email: [email protected] for editorial enquiries

John Campbell (Editor) Nottingham University Hospitals Trust Contact: John Campbell Email: [email protected] Chief Perfusionist Perfusion Department Society Administrator: Valerie Campbell The Society of Clinical Perfusion Scientists of Great Britain Trent Cardiac Centre and Ireland Nottingham University Hospitals Trust Fifth Floor, The Royal College of Surgeons of England 35–43 Lincoln’s Inn Fields, London WC2A 3PN Telephone: 0115 962 7756

Tel: (+44) 020 7869 6891 Fax: (+44) 020 7869 6890 e-mail: [email protected]

E-mail: [email protected] Perfusionist publication Executive Committee 41

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