Gender |
VAVD use |
Post heparin ACT |
Weight |
VAVD Measurement Location |
Post Protamine ACT |
Height |
Max VAVD |
First ICU Creatinine |
Fundamental Diagnosis |
ANH use |
Baseline Creatinine |
Admission Date |
ANH Volume |
Post-op Max 48hr Creatinine |
Arterial Cannula |
RAP / VAP use |
Baseline Hematocrit |
Arterial Cannula Type |
RAP / VAP Volume |
First Hematocrit in OR |
Arterial Cannula Size |
RAP / VAP Volume Returned |
Lowest Hematocrit on CPB |
Arterial Filter Type |
24 Hour Chest Tube Output |
First Hematocrit in ICU |
Arterial Line Size |
Residual Volume Processed |
Last Hematocrit on CPB |
Arterial Filter Pore Size |
Residual Volume Returned |
Last Hematocrit pre CPB |
Arterial Pump Type |
Blood Products Used |
Post Protamine Hematocrit |
Venous Cannula Manufacturer |
Cryo Volume on CPB |
Heparin Dose Response |
Venous Cannula Style |
FFP Volume on CPB |
Heparin Concentration Used |
Venous Cannula Size |
Platelet Volume on CPB |
Maximum HPT on CPB |
Venous Line Size |
PRBC Volume on CPB |
Minimum HPT on CPB |
ATS System Used |
Whole Blood Volume on CPB |
Post Heparin HPT |
Biocoating Used |
Cryo Volume off CPB |
Post Protamine HPT |
Biocoating Name |
FFP volume off CPB |
First Lactate in OR |
Hemoconcentrator Type |
Platelet Volume off CPB |
Last Lactate pre CPB |
Oxygenator Type |
PRBC Volume off CPB |
First Lactate on CPB |
Pump Boot Size |
Whole Blood off CPB |
Last Lactate on CPB |
Venous Reservoir Type |
Cryo Volume in Prime |
Post Protamine Lactate |
Prime Fluids |
FFP Volume in Prime |
24 Hour Maximum Lactate |
Prime Fluid Volumes |
Platelet Volume in Prime |
Age at DOS |
Prime Treatment |
PRBC Volume in Prime |
Surgeon Name |
Prime Medications Used |
Whole Blood Volume in Prime |
Primary Perfusionist ID |
Prime Medication Name |
Urine Volume on CPB |
Primary Perfusionist Name |
Prime Medication Dose |
Modified Ultrafiltration Used |
Primary Perfusionist Agency |
Prime Medication Volume |
Modified Ultrafiltration Time |
Assistant Perfusionist ID |
Prime Volume |
Modified Ultrafiltration Type |
Assistant Perfusionist Agency |
Highest Arterial Line Temp. |
MUF Volume Removed |
Assistant Perfusionist Name |
Lowest Temperature on CPB |
Ultrafiltration Used |
Assistant Perfusionist Agency |
Lowest Temperature Source |
ZBUF / DUF Used |
Perfusion Student |
Temp at Separation from CPB |
Ultrafiltration Volume |
Student Perfusionist Name |
Cardioplegia System |
Residual Pump Volume |
Anesthesiologist Name |
Cardioplegia Solution |
Irrigation Solution Volume |
Reoperation |
Cardioplegia Blood Ratio |
Wall Waste Volume |
CPB Time |
Cardioplegia Crystalloid Ratio |
ATS Volume Collected |
DHCA Time |
Cardioplegia Total Volume |
ATS Volume Returned |
Cerebral Perfusion Used |
Cardioplegia Crystalloid Volume |
Crystalloid Volume on CPB |
Cerebral Perfusion Time |
ph Management |
Colloid Volume |
Cross Clamp Time |
ph Management Temp Source |
Medication Volume on CPB |
Diagnosis |
ph Stat During Cooling |
Fluid Balance |
Primary Diagnosis |
ph Stat Cooling Threshold |
Baseline ACT |
Procedure |
Alpha Stat During Warming |
Maximum ACT on CPB |
Primary Procedure |
Alpha Stat Warming Threshold |
Minimum ACT on CPB |
Intraoperative Death |
Case Volume |
Arterial Line Type and Size |
Circulatory Arrest Time |
Oxygenators |
Venous Reservoir Type |
ANH Volume |
Arterial Line Size |
Blood and Blood Products |
Fluid Balance |
Venous Line Size |
Prime Volume |
Urine Output |
Pump Boot Size |
Albumin Use in Prime |
ATS Volume Transfused |
Circuit Coating |
Amicar Use in Prime |
Change in Hematocrit |
Hemoconcentrator |
Tranexamic acid Use in Prime |
Last Hematocrit on CPB |
Arterial Pump Head Type |
Antibiotic Use in Prime |
Post-Protamine Hematocrit |
ATS |
Autologous Circuit Prime Volume |
Last Lactate on CPB |
Arterial Cannulas |
Bypass Time |
Change in Lactate |
Venous Cannulas |
Cross-clamp Time |
Target HPT |
Cannula Size |
Regional Perfusion Time |