GETINGE Hemodynamic Monitoring System User Guide

June 1, 2024
GETInGE

GETINGE Hemodynamic Monitoring System

GETINGE-Hemodynamic-Monitoring-System-PRODUCT

Product Information

Specifications

  • ScvO2*: 70-80%
  • VO2I: 125-175 ml/min/m2
  • DO2I Hb**: 400-650 ml/min/m2
  • SaO2 / SpO2: 96-100%
  • CI: 3.0-5.0 l/min/m2
  • HR/PR: 60-100 1/min
  • SVI: 40-60 ml/m2
  • GEDI: 680-800 ml/m2
  • ITBI: 850-1000 ml/m2
  • SVV***: < 10 or > 10
  • PPV***: < 10 or > 10

Product Usage Instructions

Hemodynamic Parameters

  • Oxygen Delivery: Amount of oxygen carried by the blood to organs.
  • Blood Flow: Volume of blood flowing through the circulatory system per unit time.
  • Stroke Volume: Volume of blood pumped out by the heart with each beat.

Cardiac Parameters

  • Cardiac Index (CI): Measure of cardiac output adjusted for body surface area.
  • Heart Rate: Number of heartbeats per minute.
  • Stroke Volume Index (SVI): Output per heart beat adjusted for body surface area.

Fluid Responsiveness Parameters

  • Stroke Volume Variation (SVV): Dynamic indicator of fluid responsiveness.
  • Pulse Pressure Variation (PPV): Variation in pulse pressure indicating fluid responsiveness.

Frequently Asked Questions (FAQ)

  • *Q: What are the normal values for ScvO2 and SaO2 / SpO2?
    * A: ScvO2 should be in the range of 70-80%, and SaO2 / SpO2 should be between 96-100%.

  • Q: How is Stroke Volume calculated?
    A: Stroke Volume is calculated as the difference between end-diastolic volume and end-systolic volume in the heart.

  • Q: What does Cardiac Index (CI) represent?
    A: Cardiac Index is a measure of cardiac output adjusted for body surface area, providing a more standardized comparison acrossindividuals.

Hemodynamic Normal Values

GETINGE-Hemodynamic-Monitoring-System- \(1\)

Absolute values (non-indexed values) are only usable in trend screens and have no normal range. A high-normal / high ScvO can be a sign of insufficient O utilization 14-18 g/dl (Male); 12-16 g/dl (Female) SVV and PPV are only applicable in fully ventilated patients with a tidal volume ≥ 8 ml/kg PBW (predicted body weight) and without cardiac arrhythmias

Hemodynamic Decision Model

NOTE: PULSION Medical Systems is a medical device manufacturer and does not practice medicine. PULSION does not recommend these values for use on a specific patient. This decision model is not obligatory.

GETINGE-Hemodynamic-Monitoring-System- \(2\)

  • V+ = volume loading
  • V – = volume withdrawal
  • Cat = catecholamine / cardiovascular agents

Please reevaluate your clinical decisions and the set target parameters.

Therapy Options

GETINGE-Hemodynamic-Monitoring-System- \(3\)

Targeted Values

  • Volume Responsiveness?
    (Passive Leg Raising / Endexpiratory Occlusion Test / Volume Challenge / SVV / PPV?)

  • Contractility Problem?
    (GEF / CFI / Echo?)

This information is intended for an international audience outside the US. This information is aimed exclusively at healthcare professionals or other professional audiences and are for informational purposes only, is not exhaustive and therefore should not be relied upon as a replacement of the Instructions for Use, service manual or medical ad-vice. Getinge shall bear no responsibility or liability for any action or omission of any party based upon this material, and reliance is solely at the user’s risk. Any therapy, solution or product mentioned might not be available or allowed in your country. Information may not be copied or used, in whole or in part, without written permission by Getinge.
Pulsion Medical Systems SE · Hans-Riedl-Str. 17 · 85622 Feldkirchen · Germany · +49 89 45 99 14-0 · [email protected] · DMS- 0006646 · 03/2024
www.getinge.com

References

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