You have the power to prevent hypotension.
Predictive hemodynamic
monitoring
Predict. Prevent. Protect.
The depth and duration of intraoperative hypotension directly correlates with the level of patient harm, making early detection and intervention essential. Acumen HPI™ Software stands as part of your first line of defense with predictive hemodynamic insights.
- Predicts hypotension up to 15 minutes in advance
- Gives clinicians more time to investigate the potential root cause of hemodynamic instability
- Rather than reactive care, you can proactively prevent or treat hypotension
Predicts hypotension up to 15 minutes in advance.
Can’t I just use a
MAP threshold?
Using an absolute MAP threshold alone is not a reliable predictor of hypotension.*2
A large validation study suggests that using a MAP threshold to predict and avoid hypotension is not clinically reasonable because it would lead to overtreatment.*2 In fact, the study found that a MAP threshold only predicted hypotension 18% of the time.*2
*Assumes that a MAP of 72 mmHg is the optimal threshold to predict MAP <65mmHg.
Evidence shows that only 50% of episodes of hemodynamic instability solely require a vasopressor3 – making it imperative to identify and treat the root cause for each individual patient.
Predictive decision support
Treat the root cause of hemodynamic instability
Acumen HPI™ Software doesn’t just sound an alarm — it provides AI-guided predictive decision support to help you drill down to the potential root cause of hemodynamic instability and intervene sooner.
When hemodynamic instability is detected, HPI™ Smart Alerts and Trends provide you with a focused view of the potential targets for intervention, such as preload, afterload and contractility.
The Relationship View screen provides a simplified, focused view of a patient's hemodynamic status, with red and yellow indicators to guide you towards the potential root cause of hemodynamic instability.
Continuous comprehensive insights
Beyond blood pressure
Blood pressure alone does not reflect perfusion. Acumen HPI™ Software provides continuous insights into hemodynamic trends that can help clinicians detect instability and identify the potential root cause. Additional advanced parameters, dP/dt and Eadyn, provide deeper insights into the underlying cause of hemodynamic instability, supporting targeted interventions.
Unlock comprehensive insights into preload, afterload and contractility:
Clinical evidence
Clinically proven to reduce the burden of intraoperative hypotension
Backed by extensive clinical evidence, Acumen HPI™ Software has been rigorously studied for accuracy and efficacy compared to the standard of care.4
Low incidence of hypotension
41% of patients avoided hypotension when monitored with Acumen HPI™ Software, compared to 12% of patients in another large multicenter study where Acumen HPI™ Software was not used.*5,6
Brief duration of hypotension
Patients in this study experienced a median of 2 minutes of hypotension, or 1% of surgery time, when Acumen HPI™ Software was used compared with 28 minutes in another large multicenter study where Acumen HPI™ Software was not used.*5,6
Low severity of hypotension
Patients monitored with Acumen HPI™ Software experienced a very low time-weighted average (TWA) MAP <65 mmHg at 0.03. The TWA MAP <60 mmHg was 0.*5
Unlock Acumen HPI™ Software
The right access for the right patient
Acumen HPI™ Software can be unlocked with a noninvasive Acumen IQ™ Finger Cuff or a minimally-invasive Acumen IQ™ Arterial Line Sensor. This allows you to select the best monitoring solution for each patient’s level of acuity—ensuring that advanced insights never come at the cost of unnecessary invasiveness.
Noninvasive finger cuff
For patients that don’t require an arterial line, unlock beat-to-beat blood pressure with accuracy comparable to a radial arterial line and predictive hemodynamic monitoring noninvasively with Acumen IQ™ Finger Cuff.
Minimally-invasive sensor
For patients with an arterial line, Acumen IQ™ Sensor unlocks advanced predictive decision support to help you optimize pressure and flow.
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References
- Scott MJ, APSF Hemodynamic Instability Writing Group. Perioperative patients with hemodynamic instability: Consensus recommendations of the Anesthesia Patient Safety Foundation. Anesth Analg. 2024;138(4):713-724.
- Davies SJ, Ganter MT, Maheshwari K, et al. Comparison of differences in cohort (forward) and case control (backward) methodological approaches for validation of the Hypotension Prediction Index. Anesthesiology. 2024;140(6):826–838.
- Ripollés-Melchor J, Valbuena-Bueno MA, Fernández-Valdés-Bango P, et al. Characterization of intraoperative hemodynamic instability in patients undergoing general anesthesia. Front Anesthesiol. 2024;3:1405405.
- Solares G, Garcia D. The value of the Hypotension Prediction Index as a tool for treatment of haemodynamic instability: a clinical review. Anesth Clin Res. 2024;15(6):1–8.
- Kouz K, Garcia MIM, Cerutti E, et al. Intraoperative hypotension when using hypotension prediction index software during major noncardiac surgery: a European multicentre prospective observational registry (EU HYPROTECT). BJA Open. 2023 May 4;6:100140.
- Shah, N, Mentz, G, Kheterpal, S. The incidence of intraoperative hypotension in moderate to high risk patients undergoing non-cardiac surgery: A retrospective multicenter observational analysis. Journal of Clinical Anesthesia. 2020: 66; 1-12.
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