ProAOT - PULSION Medical Systems SE

ProAOT
Perioperative Haemodynamic
Management
Fast and Easy Monitoring
• Recognise unstable patients earlier
• Make the right decision
• Track the success of your therapy

Be proactive, not reactive with ProAOT!
ProAQT ® is one component of the PulsioFlex monitoring concept. Based on over 20 years of
research by PULSION with the PiCCO Pulse-Contour-Algorithm, ProAQT allows reliable and
physiological interpretation of the patient‘s haemodynamic status.
ProAQT® technology supports goal directed therapy and allows the review of interventions
to assess their success. Within minutes the monitoring range has been expanded to include
variables such as blood flow, volume responsiveness, afterload and contractility.
The ProAQT ® -Sensor is simply integrated into the existing blood pressure measurement system.
Indications and fields
of application:
• Perioperative optimisation of:
- high-risk patients
- high-risk procedures
• Assessment of therapy effect
• Early recognition of unstable patients
• Optimisation of pacemaker therapy
Parameter portfolio:
Flow: CI Trend , CI Cal , SVI
Volume responsiveness: SVV, PPV
Afterload: SVRI, MAP
Organ function heart: dPmax, CPI
Online oxygenation: DO 2 */**,VO 2 *, O 2 ER *
Option to switch between indexed and absolute values
*in combination with CeVOX
**in combination with LiMON
Uncalibrated CI monitoring may lead to different values com-
Trend
pared to calibrated systems, when used with vasopressor treatment
or in shock states or centralisation. PULSION StepWISE ®
concept proposes escalation to the PiCCO technology with calibrated
CI preload, lungwater and contractility in these patient
groups.
► Recognise instability, make the right decision - earlier!
► Easy setup using the existing arterial-line
► Manual calibration with a reference cardiac output possible
► Based on PiCCO algorithm
How does ProAQT cardiac index monitoring work?
AP
Automatic start value determination
Based on patient characteristics and details of the arterial pressure curve
(innovative 250 Hz sampling) a start value is determined for cardiac index
trend monitoring (CI Trend )
Alternative: Manual calibration
t
To increase accuracy a measured CI value (e.g Echo) can be entered for a
manually calibrated cardiac index monitoring (CI Cal )
► Integrated Signal-Indicator increases safety
Unique:
The ProAQT info light:
• The pulsating blue LED indicates
signal quality (e.g weak signal)
• The orange LED shows ProAQT-
Sensor status (e.g zeroing required)
Continuous CI
measurement
The pulse contour of the arterial
pressure curve is analysed and
the continuous cardiac index is
measured.
Benefits of perioperative
haemodynamic management:
• Reduction in length of hospital stay by 39%
1) Intraoperative volume loading to optimise stroke volume resulted in a
significantly reduced hospital stay after repair of proximal femoral fracture.
• Reduction in complications from 45% to 14%
2) Patients experienced significantly less gastrointestinal and overall
morbidity after colorectal surgery when the intraoperative fluid
management was stroke volume guided.
reduced by
39%
Hospital stay
Control
group
Protocol
group
Sinclair 1)
Patients with
complications
45%
Control
group
Protocol
group
14%
Wakeling 2)
„The use of a preemptive strategy for
haemodynamic monitoring and coupled
therapy reduces surgical mortality and
morbidity“ 3)
1) Sinclair S, James S, Singer M Intraoperative intravascular volume optimisation and length of
hospital stay after repair of proximal femoral fracture: randomised controlled trial. British Medical Journal
1997; 315(7113): 909-12
2) Wakeling HG, McFall MR, Jenkins CS, Woods WG, Miles WF, Barclay GR, Fleming SC. Intraoperative
oesophageal Doppler guided fluid management shortens postoperative hospital stay after major
bowel surgery Br J Anaesth 2005: 95(5): 634-42
3) Hamilton MA, Cecconi M, Rhodes A. Hamilton, M.A. A Systematic Review and Meta-Analysis on
the Use of Preemptive Hemodynamic Intervention to Improve Postoperative Outcomes in Moderate and
High-Risk Surgical Patients. Anesth Analg 2011; 112: 1392-1402

ProAOT and StepWISE
ProAQT CI trend monitoring is a part of PULSION‘s StepWISE® monitoring concept, an
important factor for perioperative management and risk minimisation.
ProAQT can close gaps in patient monitoring quickly and easily. When needed, escalation
to the PiCCO-Technology delivers missing haemodynamic parameters.
The PulsioFlex ® -Monitor offers, as a host for the ProAQT-Sensor, an unique user interface
that is optimised for the demands of the OR and Emergency Medicine.
PULSION Benelux nv/sa
Tel. +32-(0)9-242 99 10
info@pulsion.be
PULSION Medical Systems SE • Joseph-Wild-Str. 20 • 81829 Munich, Germany
Tel. +49-(0)89-45 99 14-0 • Fax +49-(0)89-45 99 14-18
infoDE@pulsion.com • www.PULSION.com
PULSION Medical System Iberica S.L.
Tel. +34-(0)9-16 26 61 08
info@pulsioniberica.com
Intelligent Patient Monitoring
The patient is the focus of PULSION StepWISE® monitoring
• StepWISE ® offers patient customized monitoring
• StepWISE ® considers the clinical situation of the patient, the local situation and the
information requirement of nurses and doctors
• StepWISE ® portfolio offers different PULSION monitoring technologies to optimize
parameter settings for each situation
PULSION France sarl
Tel. +33-(0)1 41 73 09 04
info@pulsion.fr
PULSION Medical UK Ltd.
Tel. +44-(0)208 814 7970
info@pulsionmedical.co.uk
PULSION Poland Sp. z o.o
Tel. +48-(0)605 233 766
infoPL@pulsion.com
MPI8802EN_R01 © PULSION 05/2011