Sophia Mohyuddin, M.D.

pdating postgraduate training in vascular/cardiothoracic surgery/ and clinical skills in cardiovascular medicine. • Involved in preventive, diagnostic, and therapeutic services to patients in the vascular unit, on a clinic basis, (ABPI measurements, venous,arterial ulcer management, PAD management.)• inpatient cardiology service,• cardiovascular clinic, • cardiac catherization and interventional laboratories, • echocardiography laboratory, electrophysiology laboratory,• Cath lab management first assistcrash team/ALSpostoperative care including postoperative ICU:• endotracheal intubation and mechanical ventilation, perenteral feeding, nasogastric tubes• Trauma team, lead on occasion• DNAR training of juniors and advising relatives• insertion of central venous line,• insertion of chest (intercostal) tube.(pneumo,/hemothoraces)diaphragmatic herniations• Certifying brainstem death• Death Certification,and relative notification.• Organ Harvesting for transplant, (subject to relative consent)notification of PALS• Weaning off ventilation machines/extubation and maintenance of airway and organstability:  •  * saphenous vein harvesting,• sternotomies. thoracotomies, minimally invasive inscisions • VATS, Nuss• Aortic dissection stenting, aortography, aneurysm repair,aortoplasty patch repairs• transapical aortic valve replacements, observed as per cathlab briefly• venous cannulation,Bypass cases,
* haemostasis cases * closure of sternotomy * ASD cases, VSD cases, On pump, Cardioplegia-cold and tympanic (crystalloid/blood)Off pump-subject to additional electrophysiological detection of arrhythmias,End to end anastomosis, end to side anastomsis, grafting, pedicle and scletonising vesels,First Assist
  Mitral & aortic valve replacement
  CABG operations
,correction of cong.(H.D) ASD, VSD, AV canal, Fallot’s tetralogy.PDA.
Bental,Ross, reopening Ross, Paediatric procedures,Norwood HLHS hybrid, etc• Marfans • ( Modified Dorr procedure) • Ablations, fibre optic cryo, cox maze,(mini maze, 5 point)• transplants, revisions, aortic arch grafting, aneurysms dissections. anastomosis, (side to end) Vascular flow second grade fluid dynamics, bifurcation back flow, plaque comp, placement, shear, stress, velocity, hence decision making on graft material• hemostatic control, cardioplegia closing up, returning to Beating heart status• team work with perfusionist and anaesthetist, patient is ready to return to beating heart status,Heart Lung machine knowledge, ECMO, PEEP, CPAP etc subject to lung deflation• metabolic cooling, cold dialysis, cold lavage• V.A.T.S, ensuring port placement is secure (Leeds Course)• AF ablation as per above *Cox Maze,pacemaker insertion, single and dual chamber, dysnchronsy adaption•  * Internal mammary artery harvesting.LIMA, RIMA (pedicled and sceletonised)•   Transradial percutaneous Transcatheter minimally invasive techniques and training/Cathlab, Exit exam/European Board(CTSNET, SCTS,STS EACTS, ASGBI, ASIT)ALS(Advanced life support)ATLS(Advanced Trauma life support)CCrISP(Care of the Critically Ill Surgical Patient)MICEttore Marjorane,International school of Cardiac surgeryErice-Sicily