Intraoperative monitoring in the operating room (OR) is critical for ensuring patient safety, optimizing anesthesia, and enhancing surgical outcomes. That is why even the basic configuration of the UM 300-S patient monitors includes all channels required by the Standards at Harvard Medical School for anesthesiology.^[1] It contains ECG, SpO2, CO2 (module, sensors are not included), NIBP SMART, TEMP, HR and RESP.

But due to totally new take on modular system, channels set in UM 300 patient monitor can be easily extended to advanced application for anesthesiology.

Extended Set For Anesthesiology

• BIS™ (Depth of anesthesia);
• CO2 (Capnography in main or sidestream);
• AAg + O2 (Multigas monitoring);
• NMT (Neuromuscular transmission);

Also in the basic configuration is included advanced tool set:
• Automated Anesthesia Record function;
• Drug dose calculator;
• Ventilation calculator;
• Oxygenation calculator.

The monitoring of BIS™, NMT, and AAg levels all play complementary roles in the management of anesthesia during surgery.^[2,3] Each parameter provides unique information that contributes to the safe and effective administration of anesthesia.

Such a set of channels provide a full picture of the patient’s anesthetic state. Together, they offer precise control over the anesthetic process. Using these tools can ensure that the patient receives exactly the right amount of anesthesia, can lead to quicker recovery times, fewer complications, and better overall outcomes.

Automated Anesthesia Record

Automated anesthesia record in UM 300-S Patient Monitors allows clinicians to catalog actual events in OR, drugs administration, and the patient’s reactions to them (bleeding, bronchospasm, desaturation, etc.). As well as to register the correlated patient’s monitoring data: NIBP, HR, Resp, Temp, EtCO2, BIS™ and NMT.

In overloaded circumstances of OR anesthesia record should be “delegated” to the patient monitor. This will allow the clinicians to pay more attention to the patient and priorities. There is agreement that anesthesiologists are better able to organize their intra-operative activities when automated record keeping is utilized.^[4]

Ventilation and drug calculators integrated into patient monitors in OR are crucial tools for clinicians, as they help to optimize and personalize patient care during surgery.^[5] These calculators ensure that critical parameters related to ventilation and drug dosing are accurately managed in real-time, enhancing patient safety and improving clinical outcomes.^[6]

Extended Measuring Channels Set

All measuring modules in our extended set are compactly placed on the back panel without unhandy consoles, connected via universal UniPort™ connectors, recognized, and visualized automatically. All are compatible with all monitors in the unit.

You can combine sets not only for anesthesiology, but also for cardiology, hemodynamic, and neonatology. Or you can create your own configuration to meet your specific needs.

The extended set includes 12 lead ECG, Multigas (AAg), depth of anesthesia monitoring (BIS™ channel), invasive blood pressure (up to 4 channels), invasive cardiac output (thermodilution), impedance cardiography (ICG), NMT, and EEG/aEEG.

References

1. John H. Eichhorn, MD. Standards for Patient Monitoring During Anesthesia at Harvard Medical School/ John H. Eichhorn, MD; Jeffrey B. Cooper, PhD; David J. Cullen, MD.

2. Lewis et al. Bispectral index for improving intraoperative awareness and early postoperative recovery in adults. Cochrane Database Syst Rev. 2019 Sep 26;2019(9):CD003843.

3. Dutu et al. Neuromuscular monitoring: an update. Rom J Anaesth Intensive Care. 2018 Apr;25(1):55–60.

4. Weinger et al. The effect of electronic record keeping and transesophageal echocardiography on task distribution, workload, and vigilance during cardiac anesthesia. Anesthesiology. 87;144-55,1997.

5. Muralidharan et al. Fusion of Bottleneck Features Derived from CNNs to Enhance the Performance of Multi-Parameter Patient Monitors. In 2020 Second International Conference on Inventive Research in Computing Applications (ICIRCA) (pp. 601-605).

6. Kruger et al. Advanced integrated real-time clinical displays. Anesthesiology Clinics, 2011 Sep;29(3):487-504.