Perioperative care, from the initial decision to undergo surgery right through to complete recovery, is a critical part of healthcare delivery. GE Healthcare’s proven perioperative solutions provide a holistic approach to perioperative care aid your effective patient management and help you optimize postoperative outcomes.

Proven perioperative care solutions to drive optimal postoperative outcomes

Typical complications in the Perioperative care include haemodynamic instability, postoperative pulmonary complications, patient awareness during surgery, postoperative pain etc. and the impact can be considerable. GE Healthcare offers a comprehensive range of patient monitoring and therapy delivery solutions that provide clinicians with a more holistic intra- and postoperative insight into the individual’s response to anaesthesia and surgical outcomes.

Intraoperative haemodynamic instability may increase the stress on a patient’s heart and other organs – such as the kidneys – leading to postoperative complications. Intraoperative hypotension is associated with myocardial injury, acute kidney injury, and death. Perioperative hypo- or hypertension and bradycardia in surgical patients are associated with adverse outcomes – including stroke, cardiovascular complications, organ injury and cardiac arrest – increasing the mortality risk.

A more holistic approach to perioperative care
can help clinicians to protect patients from unwanted haemodynamic changes and maintain autonomic stability.

The use of neuromuscular blocking drugs in general anaesthesia is linked with an increased risk of postoperative pulmonary complications due to residual paralysis. Similarly, non-protective ventilation may increase the likelihood of respiratory compromise or initiate ventilator-associated lung injury.

The adoption of a lung protective strategy is key to preventing atelectasis and postoperative deterioration of patient respiration. Quantitative NMT monitoring provides a clear picture of the individual patient’s NMBA dosage needs. It also aids administration of the antagonist at the correct time, which may decrease the incidence of residual paralysis.

1. Gruenewald et al. M‐Entropy guidance vs standard practice during…anaesthesia: a randomised controlled trial. Anaesthesia. 2007
2. Wu et al. Use of spectral entropy monitoring in reducing the quantity of sevoflurane as sole inhalational anesthetic and in decreasing the need for antihypertensive drugs in total knee replacement surgery. Acta Anaesthesiologica Taiwanica. 2008
3. Chen et al. Comparison of Surgical Stress Index-guided Analgesia with Standard Clinical Practice during Routine General Anesthesia A Pilot Study. Anesthesiology. 2010
4. Uutela et al. High levels of surgical stress index before movements of anesthetized patients. EJA. 2006
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6. Reliability of the Surgical Pleth Index for assessment of postoperative pain. Bein at Al, Eur J Anaesthesiol 2014;31:1-5
7. End-tidal versus manually-controlled low-flow anaesthesia Umberto Lucangelo • Giuliana Garufi • Emanuele Marras • Massimo Ferluga • Federica Turchet • Francesca Bernabe` • Lucia Comuzzi • Giorgio Berlot • Walter A. Zin J Clin Monit Comput DOI 10.1007/s10877-013-9516-8
8. 2 1 Based on a GE internal study with Venue GO DOC2254811. 2 Xavier Bobbia; Laurent Muller, et al. A New Echocardiographic Tool for Cardiac Output Evaluation: An Experimental Study 2018 OI: 10.1097/SHK.0000000000001273, PMID: 30300317
9. Todd et al. The implementation of quantitative electromyographic neuromuscular monitoring in an academic anaesthesia department. A&A. 2014
10. Consensus Statement on Perioperative Use of Neuromuscular Monitoring - Mohamed Naguib, A&A July 2018 • Volume 127 • Number 1
11. Electromyography offers a better compromise than acceleromyography with respect to the duration of calibration process and surrogate for the optimal time of tracheal intubation in children. Jung et Al, KJA 2016 Feb 69(1):21-26
12. An Ipsilateral Comparison of Acceleromyography and Electromyography During Recovery from Nondepolarizing Neuromuscular Block Under General Anesthesia in Humans. Linag et Alias A&A August 2013, Volume 117, Number 2
13. O'Reilly-Shah VN et al. Variable effectiveness of stepwise implementation of nudge-type interventions to improve provider compliance with intraoperative low tidal volume ventilation. BMJ Qual Saf. 2018 Dec;27(12):1008-1018
14. Study found the tool to be comparable and as highly reliable as visual counting performed by experts4 : Short J, Acebes C, Rodriguez-de-Lema G, et al. Visual versus automatic ultrasound scoring of lung B-Lines: reliability and consistency between systems. Med Ultrasonography 2019, Vol. 21 no. 1, 45-49 DOI: 10.11152/mu-1885
15. RCT, 72 patients undergoing routine surgical procedures under…anaesthesia were randomly assigned to receive either standard clinical practice (n = 35) or standard practice plus monitoring of depth of anaesthesia with Entropy.