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Perfusion information


A Lindbergh perfusion pump, c. 1935, an early device for simulating natural perfusion

Perfusion is the passage of fluid through the circulatory system or lymphatic system to an organ or a tissue,[1] usually referring to the delivery of blood to a capillary bed in tissue. Perfusion may also refer to fixation via perfusion, used in histological studies. Perfusion is measured as the rate at which blood is delivered to tissue,[2] or volume of blood per unit time (blood flow) per unit tissue mass. The SI unit is m3/(s·kg)[citation needed], although for human organs perfusion is typically reported in ml/min/g.[3] The word is derived from the French verb perfuser, meaning to "pour over or through".[4] All animal tissues require an adequate blood supply for health and life. Poor perfusion (malperfusion), that is, ischemia, causes health problems, as seen in cardiovascular disease, including coronary artery disease, cerebrovascular disease, peripheral artery disease, and many other conditions.

Tests verifying that adequate perfusion exists are a part of a patient's assessment process that are performed by medical or emergency personnel. The most common methods include evaluating a body's skin color, temperature, condition (dry/soft/firm/swollen/sunken/etc), and capillary refill.

During major surgery, especially cardiothoracic surgery, perfusion must be maintained and managed by the health professionals involved, rather than left to the body's homeostasis alone. As the lead surgeons are often too busy to handle all hemodynamic control by themselves, specialists called perfusionists manage this aspect. There are more than one hundred thousand perfusion procedures annually.[5]

  1. ^ American Psychological Association (APA): perfusion. (n.d.). Dictionary.com Unabridged (v 1.1). Retrieved March 20, 2008, from Dictionary.com website: http://dictionary.reference.com/browse/perfusion
  2. ^ Thomas DL, Lythgoe MF, Pell GS, Calamante F, Ordidge RJ (2000). "The measurement of diffusion and perfusion in biological systems using magnetic resonance imaging". Phys Med Biol. 45 (8): R97-138. doi:10.1088/0031-9155/45/8/201. PMID 10958179.
  3. ^ Engblom H, Xue H, Akil S, Carlsson M, Hindorf C, Oddstig J, Hedeer F, Hansen MS, Aletras AH, Kellman P, Arheden H (2017). "Fully quantitative cardiovascular magnetic resonance myocardial perfusion ready for clinical use: a comparison between cardiovascular magnetic resonance imaging and positron emission tomography". J Cardiovasc Magn Reson. 19 (1): 78. doi:10.1186/s12968-017-0388-9. PMC 5648469. PMID 29047385.
  4. ^ "Perfusion > What is Perfusion?". Cardiovascular Perfusion Forum.
  5. ^ "Perfusion > Perfusion Services". Specialty Care Services Group. Archived from the original on 2018-12-17. Retrieved 2017-01-02.

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Perfusion

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to a capillary bed in tissue. Perfusion may also refer to fixation via perfusion, used in histological studies. Perfusion is measured as the rate at which...

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Myocardial perfusion imaging

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Myocardial perfusion imaging or scanning (also referred to as MPI or MPS) is a nuclear medicine procedure that illustrates the function of the heart muscle...

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Perfusionist

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perfusiologist, and occasionally a cardiopulmonary bypass doctor or clinical perfusion scientist, is a healthcare professional who operates the cardiopulmonary...

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Perfusion CT

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Perfusion CT or CT Perfusion is a type of Perfusion Scanning using Computed Tomography. It is helpful in the evaluation of the vascularity of tissue in...

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Perfusion MRI

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Perfusion MRI or perfusion-weighted imaging (PWI) is perfusion scanning by the use of a particular MRI sequence[which?]. The acquired data are then post-processed...

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Parasitic twin

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parasitic twin, but may be a distinct entity. The twin reversed arterial perfusion, or T.R.A.P. sequence, results in an 'acardiac twin', a parasitic twin...

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Perfusion scanning

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Perfusion is the passage of fluid through the lymphatic system or blood vessels to an organ or a tissue. The practice of perfusion scanning is the process...

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Pulse oximetry

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between the pulsatile and baseline absorbance ("perfusion index") can be used to evaluate perfusion. SpO 2 = HbO 2 HbO 2 + Hb {\displaystyle {\ce {SpO_2}}={\frac...

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Twin reversed arterial perfusion

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Twin reversed arterial perfusion sequence, also called TRAP sequence, TRAPS, or acardiac twinning, is a rare complication of monochorionic twin pregnancies...

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Retrograde perfusion

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Retrograde perfusion (retroperfusion) is an artificial method of providing blood supply to an organ by delivering oxygenated blood through the veins....

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Cerebral perfusion pressure

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Cerebral perfusion pressure, or CPP, is the net pressure gradient causing cerebral blood flow to the brain (brain perfusion). It must be maintained within...

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Cardiopulmonary bypass

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body while bypassing the heart and lungs. Additionally, it maintains perfusion to other body organs and tissues of the patient while the surgeon works...

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Coronary perfusion pressure

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Coronary perfusion pressure (CPP) refers to the pressure gradient that drives coronary blood pressure. The heart's function is to perfuse blood to the...

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Machine perfusion

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Machine perfusion (MP) is a technique used in organ transplantation as a means of preserving the organs which are to be transplanted. Machine perfusion has...

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Cardiac magnetic resonance imaging perfusion

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Cardiac magnetic resonance imaging perfusion (cardiac MRI perfusion, CMRI perfusion), also known as stress CMR perfusion, is a clinical magnetic resonance...

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Artificial insemination

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moderate endometriosis. In non-tubal sub fertility, fallopian tube sperm perfusion may be the preferred technique over intrauterine insemination. Intratubal...

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Ischemic hepatitis

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insufficient oxygen delivery) to the liver. The decreased blood flow (perfusion) to the liver is usually due to shock or low blood pressure. However,...

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Limb perfusion

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Limb perfusion is a medical technique that is used to deliver drugs locally directly to a site of interest. It is commonly used in human medicine for...

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Hot nose sign

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The hot nose sign refers to increased perfusion in the nasal region on nuclear medicine cerebral perfusion studies in the setting of brain death. The absent...

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Hypoxemia

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caused by five categories of etiologies: hypoventilation, ventilation/perfusion mismatch, right-to-left shunt, diffusion impairment, and low PO2. Low...

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Magnetic resonance imaging

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contrast (DSC) MR perfusion". Radiopaedia. Retrieved 2017-10-14. Chen F, Ni YC (March 2012). "Magnetic resonance diffusion-perfusion mismatch in acute...

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MRI pulse sequence

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to two weeks. Coupled with imaging of cerebral perfusion, researchers can highlight regions of "perfusion/diffusion mismatch" that may indicate regions...

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Postperfusion syndrome

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Postperfusion syndrome, also known as "pumphead", is a constellation of neurocognitive impairments attributed to cardiopulmonary bypass (CPB) during cardiac...

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