Welcome to the Advanced Cardiac Monitoring website, incorporating the Perioperative Patient Simulation (POPS) with the Edwards FloTrac Sensor, PreSep Catheter and Vigileo Monitor.

These simulations allow you to practice hemodynamic stabilization of a patient in both a surgical and ICU environment. There are three shock cases in which to choose; cardiogenic shock, hypovolemic shock and septic shock.

You may use a combination of fluid management and inotropes to stabilize the patients. You will succeed if all vital signs (heart rate, blood pressure and cardiac index are maintained within acceptable limits for one simulated hour. (Time is speeded up by a factor of 60.)

Click on the small image of the Vigileo monitor to enlarge the monitor. You may move the image of the Vigileo monitor by selecting and dragging on the screen, or minimize it by clicking on the X in the top right corner.

You may expand the Vigileo monitor by placing your mouse over the magnifying glass in the top left.

Note: These modules were developed with Adobe Flash, and Flash is no longer supported by web browsers. However, there is a new Flash emulator called Ruffle which is under development. Currently, the POPS simulation, Virtual Bronchoscopy, Cardiac Embryology and Virtual Liver are the only PIE Flash module that works with Ruffle, but as development is ongoing, future releases of Ruffle will work with other PIE modules. This will be indicated on the web page for each module.

Ruffle can be installed as an extension to the Chrome browser which will allow these modules to play. This extension can be downloaded from the Chrome Web Store:



Vigileo cases

EV 1000 cases






日本語 (Japanese)





中文 (Chinese)





Goal Directed Therapy

This simulation allows you to practice using a goal directed fluid therapy protocol to manage a patient having high risk surgery. Select 'Fluid Protocol' from the left-hand menu inside the program to display the protocol.

POPS (Goal Directed Therapy)

We gratefully acknowledge financial support from Edwards Lifesciences for the development of these modules.

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Recent updates

July 25, 2012

POPS (GDT) and EV1000 simulations added.

April 11, 2012

Advanced Cardiac Monitoring website is launched.