Choose the most appropriate equipment and disposable items for the procedure, review patient notes for relevant medical history, pathology and diagnosis making appropriate clinical decisions regarding the conduct of extracorporeal support i.e. perfusion technique, cannulation, type of equipment, intravenous fluid, blood products and drug additions to prime. Prepare equipment and disposable items to undertake cardiopulmonary bypass for routine and emergency cardiac surgery. Operate the heart lung machine and auxiliary equipment in order to maintain the patients clinical condition within physiological parameters, taking corrective action to compensate for changing conditions during cardiopulmonary bypass. Prepare equipment and disposable items to perform autologous blood salvage procedures both intra and post operatively for cardiac and other surgical specialities. Prepare and operate the equipment necessary for the insertion of intra-aortic balloon catheters and the continuing management of the balloon pump during the period of counter pulsation support. Troubleshooting when required. Undertake and interpret blood gas analysis. Undertake and interpret Thromboelastopgraphy Testing including Platelet Mapping and Fibrinogen Analysis where necessary. To set up and operate the relevant monitoring and safety devices. Prepare and operate equipment and disposables to perform vacuum assisted venous drainage. Prepare and operate equipment and disposables to perform carbon dioxide flushing of the operative field. Modify the extra corporeal circuit in order to facilitate haemoconcentration and modified ultra-filtration. Disassembly and disposal of all used consumable equipment in accordance with Trust and departmental guidelines. Observe recognised surgical standards of aseptic technique at all appropriate times. Maintain, clean and calibrate equipment, keeping relevant departmental records. Assist in the development and subsequent assessment of appropriate evaluation techniques for new equipment and techniques. Lead research and development projects, assisting in their initiation and control. Ensure there are adequate stock levels in all clinical areas, ordering additional stock when required. Conduct informal in-service and external formal educational and training sessions with other Perfusionists, nursing and medical staff, when required. Complete accurately the relevant departmental and clinical records, providing any statistical and administrative information as required