GE Healthcare SPiO2 Faith in Pleth - Manual (Page 2)

SPI
SPI
SpO
2
S
P
i
O
2
Nociception
Antinociception Balance
SP I (Surgical Pleth Index) refl ects the
patient’s hemodynamic responses
to both opioid delivery and surgical
stimuli during general anesthesia
2-6, 8 .
Clinical Evidence
Combined Hypnosis & SP I monitoring
has shown to reduce Remifentanil
consumption by
22.7% to 25%. 7, 9
Combined Hypnosis & SP I monitoring
has proven to reduce the incidence
of unwanted perioperative events
by
85%. 7
GE SpO
2
has history of innovation
for more than 20 years through the
legacy of Datex-Ohmeda, and provides
Advanced Plethysmographic
Technologies.
Accuracy, Reliability,
and Performance, even in
challenging situations.
One of the highest performances for
SpO
2
and Pulse Rate 13 .
The accuracy of GE Healthcare TruSignal
SpO
2
technology exceeds the ISO 9919
standards of four digits, proven in 3
studies
12 .
One Sensor,
Multiple Parameters
During general
anesthesia, the use of
excessive or insuffi cient
analgesic medication
may lead to peri- and
post-operative adverse
events
1 .
Assessing a patient’s
oxygenation level is
one of the key elements
in helping clinicians
develop the best course
of treatment for their
patients 10, 11 .
100
65
70
75
80
85
90
95
Average Reference CO-Oximeter
IL682 & OSM3 (Functional SaO2)
CARESCAPE V100 monit
or
65 70 75 80 85 90 95 100
14
12
10
8
6
4
2
0
Chen 2010 Bergmann 2012
4,8
12,3
9,5
3,6
Remifentanil ␮g/kg/hr
-22,7%
(p<0.05)
-25%
(p<0.006)
Control
S
P i
 DRUG TITRATION  ACCURACY
0,00 1,00 2,00 3,00 4,00 5,00
GE TruSignal occuracy
During Ultra-low to Low Perfusion
GE TruSignal occuracy
During Ultra-low to Impaired Perfusion
GE TruSignal occuracy
During Ultra-low to Normal Perfusion
GE TruSignal occuracy
During Motion Artifact Condition
GE TruSignal occuracy
During Stationary Conditions
GE TruSignal occuracy
In Normal Conditions
2,70
2,50
1,90
1,90
1,70
1,40
A rms
A rms requirement by
pulse oximetry standard
 RELIABILITY
 PERFORMANCE
300
250
200
150
100
50
0
Control S P i
-85%
(p<0.01)
Number of Events
Hypertension
Hypotension
Bradycardia
Movement
 QUALITY OF CARE
SP I index is part of the Adequacy of Anesthesia (AoA)
concept which may help clinicians to assess patient’s
responses to anesthetic agents, opioids and NMBAs
during general anesthesia.
Surgical Pleth Index has shown :
• Signifi cant correlation with surgical stress level
2, 6, 8 .
• Signifi cant correlation with remifentanil amount 4, 6 .
• Better sensitivity to surgical stimuli than HR, BP, or RE 5 .
• Better correlation to opioid amount thanHR, PPGA, RE, or SE 3 .
• No sensitivity to the variation of hypnotic drug amount 3 .
• GE algorithms apply specifi c calibration curves based
on each sensor’s optical characteristics.
• Each GE TruSignal sensor is individually tested and
calibrated.
• GE
SpO
2
Systems are compliant with the Medical Devices
Directive (CE Mark Directive 93/42, Article 12).
AoA BalView
SpO
2
Did You Know?