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supporting haemodynamic stability

  • DEPTH OF ANAESTHESIA

     

    The entropy group showed 40% less1 hyper-⁄hypotension, tachycardia, bradycardia and somatic responses compared to the standard group15

     

    Entropy-guided anaesthesia is associated with significantly less frequent need of antihypertensive drugs2

  • ANALGESIA ASSESSMENT

     

    85% less unwanted events—SPI monitoring results in more stable haemodynamic 3

     

    High levels of SPI seem to be related with an increased risk of patient movements4

     

    SPI may help predict postoperative pain5,6

  • AUTOMATED ANAESTHESIA DELIVERY

     

    EtC helps achieve a quicker and more precise depth of anaesthesia level avoiding over- and under- dosage of agent7

     

    To reach a pre-established EtAA value manual interventions are flattened7

  • PHYSIOLOGICAL IMAGING

     

    Up to 82% of time savings with the Venue Auto VTI tool compared to manual methods8

     

    In hemorrhagic shock model, the Venue Auto VTI tool was found to be better correlated with CO measured by thermodilution than manual echocardiographic measurements8

minimizing pulmonary complications and respiratory compromise

  • DEPTH OF NEUROMUSCOLAR BLOCK

     

    EMG technology decreased the rate of reintubations per year9

     

    EMG offers a better compromise for detecting rocuronium onset and intubating condition in children10

     

    EMG is considered the gold standard for measuring residual paralysis11,12

  • LUNG PROTECTIVE VENTILATION

     

    Proper ventilation during anaesthesia can help reduce postoperative lung complications and avoid additional days in the ICU13

  • PHYSIOLOGICAL IMAGING

     

    Ultrasound Auto-B Line tool delivers diagnostic support for atelectasis, pulmonary effusions, pulmonary edema, and/or pneumonia, providing the overall lung score in one single step14

  • DIGITAL SOLUTION

     

    Combining ventilator data with lung protective guidelines, individualized targets, and real-time notifications help clinicians to increase adherence to protocols

    Analytics provide a consistent overview of overall adherence to lung protective strategy and targets for improvement 13

Comprehensive range of patient monitoring, therapy delivery and digital solutions to better analyse individual’s response to anaesthesia and surgical outcomes

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  1. Gruenewald et al. M‐Entropy guidance vs standard practice during…anaesthesia: a randomised controlled trial. Anaesthesia. 2007
  2. Wu et al. Use of spectral entropy monitoring in reducing the quantity of sevoflurane as sole inhalational anesthetic and in decreasing the need for antihypertensive drugs in total knee replacement surgery. Acta Anaesthesiologica Taiwanica. 2008
  3. Chen et al. Comparison of Surgical Stress Index-guided Analgesia with Standard Clinical Practice during Routine General Anesthesia A Pilot Study. Anesthesiology. 2010
  4. Uutela et al. High levels of surgical stress index before movements of anesthetized patients. EJA. 2006
  5. Surgical pleth index: prediction of postoperative pain and influence of arousal. Ledowsky, BJA 117 (3): 371-4 (2016) 
  6. Reliability of the Surgical Pleth Index for assessment of postoperative pain. Bein at Al, Eur J Anaesthesiol 2014;31:1-5
  7. End-tidal versus manually-controlled low-flow anaesthesia Umberto Lucangelo • Giuliana Garufi • Emanuele Marras • Massimo Ferluga • Federica Turchet • Francesca Bernabe` • Lucia Comuzzi • Giorgio Berlot • Walter A. Zin J Clin Monit Comput DOI 10.1007/s10877-013-9516-8
  8. 2 1 Based on a GE internal study with Venue GO DOC2254811. 2 Xavier Bobbia; Laurent Muller, et al. A New Echocardiographic Tool for Cardiac Output Evaluation: An Experimental Study 2018 OI: 10.1097/SHK.0000000000001273, PMID: 30300317
  9. Todd et al. The implementation of quantitative electromyographic neuromuscular monitoring in an academic anaesthesia department. A&A. 2014
  10. Consensus Statement on Perioperative Use of Neuromuscular Monitoring - Mohamed Naguib, A&A July 2018 • Volume 127 • Number 1
  11. Electromyography offers a better compromise than acceleromyography with respect to the duration of calibration process and surrogate for the optimal time of tracheal intubation in children. Jung et Al, KJA 2016 Feb 69(1):21-26
  12. An Ipsilateral Comparison of Acceleromyography and Electromyography During Recovery from Nondepolarizing Neuromuscular Block Under General Anesthesia in Humans. Linag et Alias A&A August 2013, Volume 117, Number 2
  13. O'Reilly-Shah VN et al. Variable effectiveness of stepwise implementation of nudge-type interventions to improve provider compliance with intraoperative low tidal volume ventilation. BMJ Qual Saf. 2018 Dec;27(12):1008-1018
  14. Study found the tool to be comparable and as highly reliable as visual counting performed by experts4 : Short J, Acebes C, Rodriguez-de-Lema G, et al. Visual versus automatic ultrasound scoring of lung B-Lines: reliability and consistency between systems. Med Ultrasonography 2019, Vol. 21 no. 1, 45-49 DOI: 10.11152/mu-1885
  15. RCT, 72 patients undergoing routine surgical procedures under…anaesthesia were randomly assigned to receive either standard clinical practice (n = 35) or standard practice plus monitoring of depth of anaesthesia with Entropy.