Case Enhancing patient safety in the OR

As you guide patients through surgery, you carefully watch many changing circumstances. When it comes to monitoring you also need to consider the incremental complexity invasive measurements mean for procedures, and the risks of complications they can mean, such as infection or thrombosis. Our non-invasive alternatives can provide you with extra insight, but without the associated complexity, costs or changes to procedures. And our smart presentation of information and integration of modelling help you accelerate your understanding of a patient‘s condition.

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Trigger timely and fast blood pressure measurements
Our unique pulse wave transit time (PWTT) parameter– in all our patient monitors – indicates a change of blood pressure – such as in hypotension or shock – to trigger non-invasive blood pressure (NIBP) measurements, even in between periodic measurements. This means you can focus on your core tasks, without an arterial line, but with the peace of mind of automated NIBP as needed.

At times when blood pressure is changing rapidly – such as right during anesthesia induction and sedation, during intubation, or if there is unexpected bleeding – you need information to help you anticipate and react quickly to possible complications. Using our Yawara Cuff 2, inflating NIBP (iNIBP) can save up to 20 seconds off measurement times by determining systole while inflating the cuff. This removes the need for repeated reflation to hunt for the right cuff pressure. It also reduces the discomfort of the NIBP measurement – particularly for patient’s with high blood pressure – to eliminate painful inflation, and thus avoid disrupting the patients rest or sleep.

PWTT is the time from the peak of the R wave in the ECG to the rising point of the pulse waveform sensed by a pulse oximeter.
Changes in the PWTT indicate changes in blood pressure.

Easily monitor hemodynamic trends
Effective fluid management has an important impact on a patient’s hemodynamic performance. Easy access to non-invasive hemodynamic information makes intraoperative fluid management practicable even for patients undergoing lower-risk surgical procedures. It can also have benefits after the OR, for patients in the recovery area or in the ICU.

Clinical support at your fingertips
Designed with quick clinical access in mind, one or two clicks allow you to view the most important information associated with any monitored parameter for quicker assessment and intervention, depending on your patient’s condition.

For example, this could be our ST-Review, which helps you to detect intra-operative ischemic events by visualizing ST segments using selected lead combinations as recommended by the ESC/ESA guidelines.

Specifically for anesthesia our monitors also include integration of pharmacokinetic (PK) modelling. This means that by also integrating information in the monitor, you can check the vital signs, administration parameters, and your customized and individualized C1 (total blood concentration) and Ce (effect site concentration) simulations simultaneously. Having easier access to comprehensive information in one place can accelerate your understanding of the patient’s condition. In the case of our solutions for anesthesia you can even include BIS or NMT trends, the result is a simplified process for reaching your decisions.

PK/ PD models for safe TIVA observation