The Relationship Between Surgeons and Perfusionists During Heart Surgeries

Heart surgeries are complex procedures that require a well-coordinated team effort. Among the critical roles is that of the perfusionist, who manages the cardiopulmonary bypass during the operation. Many may assume that surgeons frequently yell at perfusionists, but this is not the case. In this article, we explore the reality of the relationship between cardiac surgeons and perfusionists, addressing the common misconceptions and sharing insights from the field.

Experiences from a Cardiac Surgeon

I have been a cardiac surgeon for over a decade, collaborating with numerous perfusionists. Our professional relationship is based on mutual respect and trust. After extensive training, the perfusionists are given autonomy to manage the cardiopulmonary bypass. This partnership allows us to focus on different aspects of the surgery, with the perfusionist handling the technical aspects and the surgeon focusing on the patient's heart and chest.

Occasional distractions or overlooked details can occur. However, these instances are rare. A gentle reminder or a polite instruction is often sufficient to correct any issues. We treat each other like a family, having worked together for more than a decade, and we are well aware of each other's working styles and temperaments.

There was one instance where a perfusionist's behavior became a concern. A particular individual would often come to work while intoxicated, which posed a serious risk to patient safety. We decided to address the issue, and while it was difficult, ensuring the safety of our patients was paramount. The perfusionist in question was not a good fit for the field and was eventually required to seek employment elsewhere.

Common Misconceptions

One common misconception is that heart surgeons yell at perfusionists during heart surgeries. This is not a typical occurrence. In my experience, surgeons prioritize clear communication and professionalism in the operating room. Once the patient is heparinized and on bypass, the surgeon's focus is on delivering cardioplegia and performing the operation. At this stage, the perfusionist's job is largely completed, and they continue to operate the pump from the side.

Another misconception is that surgeons are typically anxious or unprofessional. In contrast, cardiac surgeons are known for their calm, cool, and collected demeanor. The normal tone of voice is the rule, not the exception. Occasionally, a surgeon may raise their voice at someone else if a critical error is made, but this is rare in contrast to moments of escalated tension.

Conclusion

The relationship between cardiac surgeons and perfusionists during heart surgeries is built on mutual respect, professionalism, and cooperation. The misconception of frequent yelling or the presence of tension is simply not representative of the reality in the operating room. The success of a heart surgery relies on the strong teamwork and clear communication between these skilled professionals.

For surgeons and perfusionists to work harmoniously, it is essential to foster an environment of trust, respect, and clear communication. This collaboration ensures the best possible outcome for the patient and the continuation of a supportive, professional relationship.

Note: This article is based on personal experiences and is a reflection of a typical operating room environment. Every hospital and surgical team may have their unique dynamics, but the emphasis on professionalism and cooperation remains consistent.