James R. PRE-BYPASS 00:00 3-vessel CAD — elective CABG
📡 Patient Monitor OFF BYPASS
ECG
ART
HR
68
bpm
MAP
76
mmHg
CVP
8
mmHg
PAP
24
mmHg
SvO₂
75
%
ACT
118
sec
CORE
36.8
°C
CI
—
L/min/m²
DO₂
—
mL/min
DO₂i
—
mL/min/m²
O₂ER
—
%
PVR
—
WU
Urine Output
0
mL
🌡️ Myocardium
Myocardial Temperature XC: 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
🧪 ABG
pH
7.40
PaO₂
95
PaCO₂
40
BE
0.0
SaO₂
98
Hct
36
Hb
12.0
K⁺
4.0
Na⁺
140
iCa
1.15
Mg⁺⁺
1.8
Glu
118
Lac
1.2
Cl⁻
104
HCO₃
24
🧠 Cerebral Oximetry (NIRS) Baseline: 68% / 67%
Left
68%
Right
67%
💉 Anesthesia Control
Isoflurane (MAC) 1.0%
CPP (MAP − CVP) 68 mmHg
Target: >60 mmHg
⚙️ Heart-Lung Machine
1800 mL
Normal
🩸 Cell Saver PRO Bowl: 0 mL
Processed RBC: 0 mL ready · Pro feature
0.0L/min
Target CI 2.4 – 4.8 L/min · BSA 1.9 m²
Sweep
2.0 L
FiO₂
60%
H/C Temp
37.0°
🌀 VAVD
0 mmHg
Vacuum-assisted venous drainage · Typical −20 to −40 mmHg
Venous Clamp
CLOSED
Aortic X-Clamp
OFF
Give heparin and confirm ACT ≥ 400 before opening the venous clamp.
🩸 Pump Sucker (Cardiotomy)
Requires full-dose heparin
🌡️
Myocardial Temp during Cardioplegia
36.8 °C Not cooled
Target <15 °C for protection
Aortic Root Pressure
— mmHg
Root Vent Status
VENT OFF
Volume Delivered
0 mL
VENT CONTROLS · Manual control — Aortic Root & LV Vents
💙 AORTIC ROOT VENT
Status: OFF
Use with antegrade cardioplegia
💜 LV VENT
Status: OFF
Prevents LV distension
Cardioplegia Additives
🔥 Hot Shot Components
💊 Interventions
Vasopressors / Inotropes
Vasodilators
Anticoagulation
💉 Heparin Management
Weight-based Heparin Dose
82 kg × 400 = 32,800 U
Total Heparin Given: 0 units
⚡ Electrolytes
🩸 Metabolic / Blood
⚡ Training Events PRO unlocks full set
📋 Event Log
00:00Case loaded: James R. — 3-vessel CAD — elective CABG