Pump = on CPB · Clamp = aortic XC on (continuous) · Ischemia = time since cardioplegia stopped (resets when CP runs; use to remind surgeon for redose) · Circ Arrest = flow≈0 + ≤22°C · Reperfuse = after XC off / hot shot
🌡️ Myocardium
Myocardial TemperatureXC 00:00
36.8
MYOCARDIAL °C
37.0
BLOOD °C
0.0
GRADIENT
Target 10–15 °C during cardioplegia • Give CP after cross-clamp to cool & arrest
AAI — paces the atrium when it doesn’t fire on time. Needs intact AV conduction so the impulse reaches the ventricles. Raises HR via atrial capture.
VVI — paces the ventricle only. Used when AV block prevents atrial impulses from conducting. Ventricular rate = set rate; no AV synchrony.
DDD — dual-chamber: can pace atrium and ventricle and track atrial activity to maintain AV synchrony. Closest to normal conduction for post-CPB epicardial wires.
In this sim, turning pacing ON restores organized electrical activity at the selected rate when the heart is slow or asystolic.
📹 Pump Run Recorder PRO
Idle — press Record during a case
Every 5s stores flow, MAP, HR, SvO₂, reservoir, ACT. Replay scrubs that timeline. Export = download file · Import = load file · Delete removes a saved run.
⚡ Training Events
PRO unlocks full set
✅ Time-Out / Pre-Bypass Checklist
Pre-bypass: required before venous clamp · Wean items: available to all users