Pump Oxygenator Time Sheet
Dublin Core
Title
Pump Oxygenator Time Sheet
Subject
Open Heart Surgery
Description
A blank form that was used to record the details of open heart surgery performed using the DeWall Bubble Oxygenator.
The abbreviations IVC and SVC refer to the inferior and superior venae cavae, two large veins that return deoxygenated blood from the body into the right atrium of the heart.
The abbreviations IVC and SVC refer to the inferior and superior venae cavae, two large veins that return deoxygenated blood from the body into the right atrium of the heart.
Creator
Department of Surgery, University of Minnesota
Source
"Operating Room Correspondence, 1954-1966," Box 96, C. Walton Lillehei papers, uarc2000-7, University of Minnesota Archives
Publisher
University of Minnesota
Date
circa 1950s
Rights
Use of this image is governed by U.S. and international copyright laws. Image is property of the University of Minnesota. Please contact the University of Minnesota Archives for permission to publish this image. https://special.lib.umn.edu/uarch
Format
Document
Language
eng
Identifier
oh0203
Coverage
Open Heart Surgery
Text Item Type Metadata
Text
Pump- Oxygenator TIME SHEET
1 Carbon
Patient's Name _________________________________ Hospital No. __________________
Age __________ Defect ___________________________ Date ________________________
Pump On ______________________________ Perfusion Rate _________________________
IVC Occluded _________________________ Surface Area ___________________________
SVC Occluded _________________________ Preop. Weight __________________________
Heart Open ___________________________ Postop. Weight _________________________
Defect Closed ________________________ Priming Volume _________________________
Closing Cardiotomy ___________________ Bottle Nos. _____________________________
IVC Open _____________________________
SVC Open _____________________________ Drug & Amount __________________________
Pump Off _____________________________ Added During Run __________________ cc
2nd Run ______________________________ Samples ___________________________ cc
Start of Arrest ______________________ Blood Loss _________________________ cc
End of Arrest ________________________ Final Helix Level ______________________
Aorta Clamped ________________________ Arterial Catheter Site & No. ____________
Aorta Released _______________________ Total Pump Time ________________________
Total Arrest Time ____________________
HYPO-THERMIA; BEGIN. TIME _______ END TIME _______ TOTAL TIME _______
Perfusion: Good Fair Poor
Pressures: Before After
PA
RV
LV
Aorta
Time | Art. Press. | Press | EEG | Temp. | Comments
5
10
15
20
25
30
35
40
45
50
55
Key:
+++ Excel.
++ Good
+ Fair
- Poor
[Handwritten notes: "double space", "PICA TYPE", "TO EXTEND", "Form #62", "TRY TO LEAVE REMAINING EMPTY"]
1 Carbon
Patient's Name _________________________________ Hospital No. __________________
Age __________ Defect ___________________________ Date ________________________
Pump On ______________________________ Perfusion Rate _________________________
IVC Occluded _________________________ Surface Area ___________________________
SVC Occluded _________________________ Preop. Weight __________________________
Heart Open ___________________________ Postop. Weight _________________________
Defect Closed ________________________ Priming Volume _________________________
Closing Cardiotomy ___________________ Bottle Nos. _____________________________
IVC Open _____________________________
SVC Open _____________________________ Drug & Amount __________________________
Pump Off _____________________________ Added During Run __________________ cc
2nd Run ______________________________ Samples ___________________________ cc
Start of Arrest ______________________ Blood Loss _________________________ cc
End of Arrest ________________________ Final Helix Level ______________________
Aorta Clamped ________________________ Arterial Catheter Site & No. ____________
Aorta Released _______________________ Total Pump Time ________________________
Total Arrest Time ____________________
HYPO-THERMIA; BEGIN. TIME _______ END TIME _______ TOTAL TIME _______
Perfusion: Good Fair Poor
Pressures: Before After
PA
RV
LV
Aorta
Time | Art. Press. | Press | EEG | Temp. | Comments
5
10
15
20
25
30
35
40
45
50
55
Key:
+++ Excel.
++ Good
+ Fair
- Poor
[Handwritten notes: "double space", "PICA TYPE", "TO EXTEND", "Form #62", "TRY TO LEAVE REMAINING EMPTY"]
Original Format
Paper
Citation
Department of Surgery, University of Minnesota, “Pump Oxygenator Time Sheet,” Gallery, accessed November 8, 2026, https://gallerytemp.reclaim.hosting/items/show/3308.