Hand in hand for better patient care


FLOW-i and ProAQT

Did you know that atelectasis affects over 90 % patients undergoing surgery? 

Anesthesia-induced lung collapse is a well-known entity which can be avoided by a good ventilatory strategy. FLOW-i’s new lung recruitment maneuver aims to gently open the alveoli to make a lasting diff erence for your patients (3).

A good ventilatory strategy involves a good hemodynamic strategy

In the automatic recruitment maneuver, a stepwise increase in pressure is applied for a time period set by the user. It’s designed to reduce the occurrence of hemodynamic compromise. In combination with the ProAQT technology it is possible to detect any hemodynamic changes automatically, continuously and in real time – prior, during and aft er an recruitment maneuver.

Advanced Patient Monitoring shows the response of your patient to lung recruitment

Occult hypovolemia can be detected prior to the recruitment maneuver followed by appropriate perioperative fluid management that will decrease post-surgical complications.

  • ProAQT
  • FLOW-i
  • Facts
  • Algorithm
  • Literature

ProAQT Sensor and PulsioFlex Monitor

• Minimally invasive

• Easy to attach to aterial line

• Continuous trend monitoring


The change of CO and SV is detected in realtime. Also Preload (SVV, PPV), Afterload (SVRI) and Contractility (dPmx, CPI) parameters provide clinicians better insights.

FLOW-i Recruitment Maneuver (RM)

• Stepwise

• Automatic

• Dynamic compliance continously displayed


FLOW-i measures and displays the dynamic compliance in real time, which is used to find the optimal lowest PEEP that keeps the lungs open.
Lung recruitment fact

5 – 10 %

of all surgical patients develop Postoperative Pulmonary Complications (PPCs). In thoracic or abdominal surgeries even up to 30 – 40 % develop PPCs (1)



Fluid management fact

37 % – 55 %

of postoperative complications can be prevented through perioperative goal directed fluid therapy (2,6)

Prediction of Fluid Responsiveness

The degree of stroke volume reduction induced by an lung recruitment maneuver can represent a functional test to suggest preload responsiveness and, therefore, predict fluid responsiveness (5).

Literature

1) Khuri SF, Henderson WG, DePalma RG, Mosca C, Healey NA, Kumbhani DJ. Determinants of long-term survival after major surgery and the adverse effect of postoperative complications. Ann Surg 2005, 242: 326-41.

2) Goepfert M, et al. Individually optimized hemodynamic therapy reduces complications and length of stay in the intensive care unit. Anesthesiology 2013, 119(4):824-36.

3) Tusman G, Bohm SH, Warner DO, Sprung J. Atelectasis and perioperative pulmonary complications in high risk patients. Curr Opin Anesthesiol 2012, 25:1-10.

4) Tusman G, Belda JF. Treatment of anesthesia-induced lung collapse with lung recruitment maneuvers. Current Anesthesia & Critical Care 21 2010, 244-249.

5) Biais M, Lanchon R, Sesay M, Le Gall M, Pereira B, Futier E, Nouette-Gaulain K. Changes in Stroke Volume Induced by Lung Recruitment Maneuver Predict Fluid Responsiveness in Mechanically Ventilated Patients in the Operating Room. Anesthesiology 2016, V 126: 1-8.

6) Cecconi M, Fasano N, Langiano N, Divella M, Costa M, Rhodes A, Rocca G. Goal-directed haemodynamic therapy during elective total hip arthroplasty under regional anaesthesia. Critical Care 2011, 15:R132.

 

PULSION is part of Maquet Getinge Group