LiDCOunity Monitor

The new monitor comes with a host of helpful features and functionalities.

• Intuitive interface – Access multiple parameters at the same time
• Integrated clinical protocols – In-built tools to improve patient care
• New widescreen display – See more, all at once
• Battery – Portability and ease
• Connectivity – HL7 enabled for EMR connectivity
• Improved menus – Simplified workflow
• Built in normal parameters – To improve patient care
• New education screens – Based on the users experience
• Touchscreen visual feedback – For when working at speed

The LiDCOunity monitor is a single platform which combines both the LiDCOplus and LiDCOrapid functions. This provides a single solution to monitoring needs throughout the hospital.

The clinician can choose which mode is most appropriate to the clinical situation. The LiDCOunity can be used non-invasively, minimally invasively with a radial arterial line and can be calibrated with the lithium dilution technique.

It is the only technology available that can be calibrated with a standard radial arterial line and without the need for a central line.

The LiDCOunity uses the PulseCO algorithm which converts blood pressure to its constituent parts of flow (CO, SV) and resistance (SVR).  The PulseCO algorithm is scaled to each patient with either the lithium dilution technique or the nomogram using age, height and weight.

LiDCOunity offers

• 3 in 1 platform for monitoring in any clinical situation;
• Non invasive monitoring, minimally invasive monitoring via the radial arterial line, calibrated values
• Very easy to set up and use;
• Designed to be used to allow for early and prompt monitoring in sepsis;
• The clinician can see why the blood pressure has changed which helps with important clinical decisions;
• The LiDCOunity also provides parameters which help to decide when to start and stop giving fluid;
• One disposable for both arterial line and non-invasive which is cost effective;
• Depth of anesthesia monitoring with BIS.

The LiDCOrapid with continuous non-invasive arterial pressure (CNAP ) module provides continuous cardiac output non-invasively, without the requirement for an arterial line.

The CNAP dual finger cuffs provide a continuous, non-invasive pressure which is then analysed by the validated PulseCO algorithm to derive beat to beat hemodynamic data.

• LiDCOrapid with CNAP is safe and easy to use, allowing for effective hemodynamic management of all surgery types;

• The device allows for monitoring prior to induction as well as throughout surgery. This enables immediate fluid and drug management and the setting of hemodynamic baselines;

•CNAP is used with the PulseCO ‘pulse power’ algorithm which reliably tracks hemodynamic change in the presence of inotropes and vasoactive drugs.

• The CNAP dual finger cuff system is scaled to the brachial artery with an arm cuff to provide a reliable continuous absolute value for blood pressure.

• SVV, PPV, HR and change in SV will be comparable to those derived from an invasive arterial line.

CNAP, How it works…

The CNAP uses a vascular unloading technique dates back to the Czech physiologist Jan Peňáz in the 1970s. It is the basic principle for detecting blood volume changes in the finger and transforming plethysmographic signals into continuous blood pressure information.

The dual finger cuff inflates and deflates to maintain a constant blood volume which produces a non-invasive pressure waveform. This is then individually scaled to the patient using a brachial arm cuff measurement.

For cardiac output monitoring, the continuous, non-invasive blood pressure waveform is analysed by the
validated PulseCO algorithm.

• An infrared light source and sensor measure continuous blood volume in the finger;
• The finger pressure cuff inflates and deflates to maintain a constant blood volume;
• This counter pressure produces a continuous BP waveform;
• An absolute BP via the brachial arm cuff is then used to scale this waveform to the brachial artery pressure;
• The validated PulseCO™ algorithm derives SV, CO, SVR and SVV from the non-invasive waveform.