Dynamic Anesthesia Delivery
- when Every. Breath. Counts.
At Getinge we are passionate about patient safety and care efficiency. That’s why we have developed Dynamic Anesthesia Delivery for our Flow Family anesthesia machines – innovative technology that puts the clinician in control, supplying safer and more precise anesthesia for any patient, case or situation.
Our unique anesthesia technology makes the difference
With our flow anesthesia technology – tailored ventilation performance to ICU standards, precise dosage, gentle lung protection and active hypoxic prevention – you can easily ensure the perfect flow for each patient, finetuning anaesthesia delivery in real time, breath by breath. Enhanced patient safety and reliable care outcomes,
that’s the firm focus of dynamic anaestesia delivery.
Safe and easy low-flow anesthesia
with Automatic Gas Control (AGC)
Automatic Gas Control (AGC) makes low-flow anesthesia delivery safe.
With simple pre-settings, specifying the targeted inspired oxygen, end-tidal anesthetic agent levels and required speed, AGC solves the rest. Our innovation offers high precision combined with improved comfort and increased safety.[1] [2] [3] [4] [5] [6]
MAC Brain - better anesthetic agent dosing
For more precise control of depth of anesthesia, we created MAC Brain. A unique tool that visualizes the difference in agent concentration between the lungs and the target organ, the brain. The reliability of the data puts you in control, letting you plan and deliver more efficient dosing of agents with safety and ease.[9] [10] [11]
Lung recruitment - gentle steps against atelectasis
Ventilation performance to ICU standards
Innovative Flow Core Technology is designed to promote efficient agent usage, providing the power and precision to ventilate even the most challenging patients. This is due to the combination of our Volume Reflector with its smart re-breathing system and our proven Servo gas modules, adjusting pressure and flow constantly within every breath.[14] [15] [16] [17]
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User-friendly anesthesia workstations in the OR
The Flow family is our line-up of anesthesia machines for a dynamic anesthesia delivery and cover the needs of operating and emergency rooms. Developed together with clinicians, they are designed to facilitate a great scope for personalization and patient safety. With an intuitive interface and emphasis on ease of use[18], they ensure a streamlined workflow and efficiency that offers
enhanced cost control and resource management.
Flow-i anesthesia machine
- our intelligent model
Flow-i is the intelligent workstation, a highly advanced anesthesia machine offering superior ventilation performance, decision support features, a wider range of settings of flows and pressures, and the innovative AGC option. Flow-i provides safe, personalized and cost-efficient care,also for the most challenging patients. Available in three versions, it’s a dynamic solution, including a heightadjustable model, and a pendant model suspended from the ceiling.
Flow-e anesthesia machine
- our extended model
Flow-e is the extended, flexible workstation for dynamic anesthesia delivery. Featuring Getinge’s proprietary innovations, the machine ensures safe, personalized care for a wide range of patients. With a larger worktop, more storage space, and generous mounting possibilities for auxiliary equipment, Flow-e can be customized to match your needs and preference in safe treatment for patients.
Flow-c anesthesia machine
- our compact model
Flow-c is the compact, easy-to-use dynamic workstation, enabling safe and cost-efficient treatment. The compact design is an advantage in a crowded OR with a busy schedule. Despite its small size, it has Flow Family advantages such as ventilation performance to ICU standards, precision agent dosing, hypoxia prevention technologies, an intuitive user interface, and several mounting possibilities.
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Comprehensive service and support
The prerequisite for dynamic anaesthesia delivery is 100% reliability and flexibility. Getinge 360-degree Services will maximize uptime and the long-term value of your investment. We provide a service plan that includes proactive maintenance, easy troubleshooting and prompt service by our certified field reps – ensuring your equipment is operating to its full potential, all the time.
Improve uptime in the OR
- connect your Flow anesthesia machines
Our digital service Getinge Online, connects people, products and ideas, which enables both service teams and clinicians to improve efficiency. Getinge Online gives instant access to equipment data that helps you, your team and the hospital to gain insights and maximize uptime. The data also helps you lower anesthetic agent usage and reduce the environmental footprint.
Quality consumables
The genuine Getinge consumables portfolio is specially developed for the highest possible patient safety and ease of use. Our original accessories and consumables ensure the best performance and safety for the Flow Family anesthesia delivery system.
Connectivity between devices
MSync makes it easy to connect the Flow machine to patient monitor, HIS and patient data management system with no need for third party system. Patient data is transferred via HL7 (MSync) in real time to support decision-making.
Protect your investment
Getinge 360° Services offers is a complete range of services to improve workflows, equipment uptime, staff and patient satisfaction. We have the technical and clinical knowledge to deliver state-of-the-art equipment and solutions.
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References
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Internal report EVU-197031 - 01 - Flow 4.7 Enhanced Post Market Surveillance Report 2019
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Getinge case story MX-7418, rev01: Agent savings with Flow-i AGC at Maria Middelare hospital, Belgium.
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Lucangelo U, Garufi G, Marras E, et al. End-tidal versus manually-controlled low-flow anaesthesia. J Clin Monit Comput. 2014; 28: 117-121.
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Brattwall M, Warrén-Stomberg M, Hesselvik F, Jakobsson J. Brief review: Theory and practice of minimal fresh gas flow anesthesia. Can J Anaesth. 2012 Aug;59(8):785-97
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M. Bilgi, S. Goksu, A. Mizrak, et al. Comparison of the effects of low-flow and high-flow inhalational anaesthesia with nitrous oxide and desflurane on mucociliary activity and pulmonary function tests, Eur J Anaesthesiol 2011;28:279–283
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Ryan SM, Nielsen CJ.Global Warming Potential of Inhaled Anesthetics: Application to clinical Use. Anesth Analg.2010 Jul;111(07): 92–98
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Hendrickx JF, De Wolf AM, De Hert S. O2 anybody? Eur J Anaesth 2015, 32:371–373.
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Ghijselings IE, De Cooman S, Carette R, et al. Performance of an active inspired hypoxic guard. J Clin Monit Comput. 2016 Feb;30(1):63-8t.
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Drews FA, Syroid N, Agutter J, Strayer DL, Westenskow DR. Drug delivery as control task: improving performance in common anesthetic task. Hum Factors 2006;48:85–94.
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Ross Kennedy, Margie McKellow, Richard French, Jamie Sleigh. Sevoflurane End-Tidal to Effect-Site Equilibration in Women Determined by Response to Laryngeal Mask Airway Insertion. Anesth Analg 2013;117:786–91
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Internal report EVU-194160 - User evaluation EPMS Flow 4.7 2019
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García-Fernández J, Romero A, Blanco A, et al. Recruitment manoeuvres in anaesthesia: How many more excuses are there not to use them? Rev Esp Anestesiol Reanim.2018 Apr;65(4):209-217
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Hartland BL, Newell TJ, Damico N. Alveolar recruitment maneuvers under general anesthesia: a systematic review of the literature. Respir Care. 2015;60:609-20.
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Internal test reports comparing Flow-i with vendor machines; EVU 125310, EVU-125312, EVU-125313
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Case study contributed by Dr. Waltraud Bruchelt and Dr. Günter Baumann, Dept. of Anaesthesiology and Intensive Care Medicine, University Hospital Graz, Austria.
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Ball L, Dameri M, Pelosi P. Modes of mechanical ventilation for the operating room. Best Pract Res Clin Anaesthesiol 2015;29:285-299.
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Lucangelo U, Ajčević M, Accardo A, et al. Flow-i ventilator performance in the presence of a circle system leak. J Clin Monit Comput. 2017 Apr;31(2):273 280.
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Internal report EVU-205592 NPS summary anesthesia 2019
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