The global home of perfusion

Where the world of perfusion beats

What it is, how to train, clinical best practices, equipment and the events that bring the community together. The heart of perfusion, for perfusionists worldwide.

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Fundamentals

What is perfusion and what does a perfusionist do?

Perfusion is the technique of maintaining the circulation of oxygenated blood through the body when the heart and lungs are stopped during surgery. The perfusionist is the healthcare professional who operates the cardiopulmonary bypass (CPB) machine and life-support systems such as ECMO, ensuring organs receive oxygen while the surgeon operates on the heart.

Cardiopulmonary bypass (CPB)

The heart-lung machine temporarily takes over cardiac and pulmonary function during open-heart surgery.

ECMO support

Extracorporeal membrane oxygenation for critically ill patients with severe cardiac or respiratory failure.

The professional

The perfusionist runs the equipment, monitors gases, coagulation and temperature, and decides second by second.

The profession

How to become a perfusionist

One of the most specialized and least known healthcare professions in the world.

Training

Routes vary by country: typically a health-science or nursing background plus a dedicated, board-accredited perfusion program.

Duration

Programs blend theory and clinical practice, often spanning two years, focused on cardiac surgery and extracorporeal circulation.

Salary

Compensation varies widely by country and experience — from roughly €30k in parts of Europe to six figures in the US.

Recognition

Professional status differs by country; formal recognition is an ongoing topic for the global community.

Clinical quality

Best practices in perfusion

The pillars of safe perfusion, grounded in international guidelines (EACTS/EACTAIC/EBCP).

1

Goal-directed perfusion (GDP)

Keeping flow and oxygen delivery (DO₂) within safe thresholds to protect renal function.

2

Anticoagulation management

ACT/heparin control to prevent circuit thrombosis without increasing bleeding risk.

3

Minimizing hemodilution

Low-prime circuits and cell salvage to preserve the patient's blood.

4

Checklists and safety

Pre-bypass checklists and structured communication with the surgical team.

5

Temperature management

Controlled cooling and rewarming for neurological and myocardial protection.

6

Record keeping

Continuous parameter logging for audit, continuous improvement and research.

Technology

Equipment and brands

The leading manufacturers of heart-lung machines, oxygenators and ECMO systems.

Getinge

HL 40 heart-lung machines and the Cardiohelp ECMO system, a benchmark in many hospitals.

Medtronic

A broad range of oxygenators; launched its VitalFlow ECMO system in Europe in 2025.

LivaNova

Heir to Sorin; CPB platforms and the TandemLife support system.

Terumo

Globally used oxygenators and extracorporeal circulation systems.

Fresenius (Xenios)

Cardiopulmonary support and ECMO solutions through its Xenios division.

And more

Braile, Eurosets, Nipro and others round out a moderately concentrated market.

Global community

Worldwide perfusion events

The congresses where the community gathers, learns and advances. See the full directory.

Mar2026

AmSECT International Conference USA

The largest gathering of the American Society of Extra-Corporeal Technology.

Apr2026

EuroELSO 2026 — Dublin Europe

European extracorporeal life support (ECMO) congress.

Oct2026

EACTS Annual Meeting — Barcelona Europe

The major cardiothoracic surgery meeting, with perfusion sessions.

Oct2026

EuroPerfusion 2026 — Belgrade Europe

European perfusion congress by the EBCP.

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