Temporary Pacing Simulator: A Training Tool for Clinicians

Cardiovascular diseases (CVDs) are the leading global cause of death, impacting nations worldwide. Despite medical advancements, managing patients who require temporary pacing (TP) after cardiac surgery remains challenging. TP devices are essential for stabilizing patients with unstable arrhythmias or post-surgical complications but demand manual adjustments and precise clinician management, unlike permanent pacemakers. There is an urgent need for improved TP training and standardisation, hindered by a lack of formal guidelines and adequate protocols. Existing simulators often omit crucial haemodynamic parameters and complex clinical scenarios, limiting their effectiveness. This paper introduces an advanced Temporary Cardiac Pacing Simulator (TCPS) that provides comprehensive physiological signals and complex scenarios for realistic training. It simulates various pacing modes—atrial, ventricular, and dual-chamber—while modeling pacing failures and haemodynamic changes. Sophisticated algorithms replicate clinical responses, offering real-time feedback and dynamic visualizations to enhance learning. Additionally, an innovative feature optimises atrioventricular (AV) delay settings, crucial for improving patient outcomes in both acute and postoperative care.

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Publication Details

Journal
Applied Sciences
Published
2025-01-09
DOI
https://doi.org/10.3390/app15020573
Primary Topic
Cardiac pacing and defibrillation studies
Type
article
Field-Weighted Citation Impact
0.00

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article

Temporary Pacing Simulator: A Training Tool for Clinicians

Ashraf W. Khir, Alexander Tindale, Ioana Crețu, Maysam Abbod et al.
Applied Sciences
Cardiac pacing and defibrillation studies
article

Temporary Pacing Simulator: A Training Tool for Clinicians

Ashraf W. Khir, Alexander Tindale, Ioana Crețu, Maysam Abbod, Wamadeva Balachandran, Hongying Meng
article en

Abstract

Cardiovascular diseases (CVDs) are the leading global cause of death, impacting nations worldwide. Despite medical advancements, managing patients who require temporary pacing (TP) after cardiac surgery remains challenging. TP devices are essential for stabilizing patients with unstable arrhythmias or post-surgical complications but demand manual adjustments and precise clinician management, unlike permanent pacemakers. There is an urgent need for improved TP training and standardisation, hindered by a lack of formal guidelines and adequate protocols. Existing simulators often omit crucial haemodynamic parameters and complex clinical scenarios, limiting their effectiveness. This paper introduces an advanced Temporary Cardiac Pacing Simulator (TCPS) that provides comprehensive physiological signals and complex scenarios for realistic training. It simulates various pacing modes—atrial, ventricular, and dual-chamber—while modeling pacing failures and haemodynamic changes. Sophisticated algorithms replicate clinical responses, offering real-time feedback and dynamic visualizations to enhance learning. Additionally, an innovative feature optimises atrioventricular (AV) delay settings, crucial for improving patient outcomes in both acute and postoperative care.

Applied SciencesVol. 15(2)
Durham University (GB), Guy's and St Thomas' NHS Foundation Trust (GB), Harefield Hospital (GB), Brunel University of London (GB)
British Heart Foundation
Openalex Percentile: Top 99%
Cardiac pacing and defibrillation studies
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Temporary Pacing Simulator: A Training Tool for Clinicians — Ashraf W. Khir, Alexander Tindale, et al. · Applied Sciences (2025) | TGRS Research Map | TGRS