Designed to keep your surgical patient in the optimal fluid range
Acumen Assisted Fluid Management software
Individualised fluid balance with intelligent decision support
Acumen Assisted Fluid Management (AFM) software is a first-of-its-kind machine learning solution that provides decision support to enable you to deliver adaptable, individualised fluid management and optimise fluid administration.
Recommends boluses based on an algorithm that predicts change in SV in response to a bolus
As the case progresses, the software automates a protocolised fluid management approach, allowing for individualised fluid recommendation
Fluid optimisation
Large patient-to-patient variability in fluid administration exists between clinicians and within surgical procedures.1–3
Standardised fluid optimisation matters
This lack of a standardised approach leads to case-by-case variations in outcomes. Too much or too little fluid administration can lead to complications including mortality, acute kidney injury (AKI) and gastrointestinal and respiratory problems – as well as increased length of stay, which leads to higher hospital costs.1-4
Perioperative goal-directed therapy (PGDT)
Implementing PGDT protocols in moderate- to high-risk surgery has shown significant clinical and economic benefits, including a reduction in morbidity and length of hospital stay.5-7
Key features of Acumen AFM software
Acumen AFM software supports you in implementing your desired fluid management protocol.
Predictive decision support
Acumen AFM software uses a rule-based machine learning algorithm to make fluid management suggestions and predict a patient’s fluid responsiveness based on haemodynamic data and past fluid responsiveness. Recommendations appear on the Acumen AFM software dashboard of HemoSphere monitor, where you can accept (or decline) the recommendation and administer a fluid bolus upon review of the patient’s complete haemodynamic state.
Individualised fluid administration
Acumen AFM software adapts and recommends patient-specific fluid administration as the algorithm analyses boluses. Throughout a surgical procedure, Acumen AFM software learns from the patient’s response to each analysed fluid bolus to refine its future recommendations.
Acumen IQ sensor unlocks Acumen Hypotension Prediction Index (HPI) and Acumen AFM software. The sensor connects to any existing radial arterial line and offers you continuous insights into your patients’ haemodynamic status.
Additional products available in the Acumen suite
HemoSphere monitor
Acumen suite is available exclusively on HemoSphere monitor, the haemodynamic monitoring platform that offers full-range cuff, sensor and catheter compatability. HemoSphere monitor enables proactive, individualised patient management.
Acumen Hypotension Prediction Index (HPI) software
Acumen HPI software is effective in detecting haemodynamic instability and substantially reducing the duration of intraoperative hypotension when used in surgical patients who require haemodynamic monitoring during non-cardiac surgery.8
A recent study demonstrated a 57% reduction in duration of intraoperative hypotension.8
Acumen IQ cuff* (noninvasive)
Acumen IQ cuff unlocks Acumen HPI software and provides continuous blood pressure and advanced haemodynamic parameters from a noninvasive finger cuff.
* Surgical patient use only, not compatible with Acumen AFM software
Acumen Analytics software
Acumen Analytics software enables you to retrospectively view and analyse haemodynamic parameters, including mean arterial pressure, providing you insights into the frequency, duration and prevalence of intraoperative hypotension in your practice.
Edwards clinical education
Haemodynamic education empowering clinical advancement
Edwards clinical education meets you no matter where you are in the learning process. With a long-term commitment to improving the quality of care for surgical and critical care patients, Edwards’ continuum of educational resources and tools support you as you solve clinical challenges today and in the future.
The Edwards Advantage
We are committed to providing your institution, clinicians and staff with a high level of customer service and support to ensure seamless product implementation and ongoing use, including:
Monday through Friday, 8:00am to 17:00pm CET
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References
- Lilot M, Ehrenfeld JM, Harrington B, Cannesson M, Rinehart J. Variability in practice and factors predictive of total crystalloid administration during abdominal surgery: retrospective two-centre analysis. Br J Anaesth. 2015 May;114:767-76. Epub 2015 Jan 13.
- Thacker JKM, Mountford WK, Ernst FR, Krukas MR, Mythen MMG. Perioperative fluid utilization variability and association with outcomes: considerations for enhanced recovery efforts in sample US surgical populations. Ann Surg. 2016;263:502-10.
- Shin CH, Long DR, McLean D, Grabitz SD, Ladha K, Timm FP, et al. Effects of intraoperative fluid management on postoperative outcomes: a hospital registry study. Ann Surg. 2018;267:1084-1092.
- Miller TE, Mythen M, Shaw AD, et al. Association between perioperative fluid management and patient outcomes: a multicentre retrospective study. Br J Anaesth. 2021;126:720-729.
- Chong M, Wang Y, Berbenetz N, McConachie I. Does goal-directed haemodynamic and fluid therapy improve peri-operative outcomes? Eur J Anesth. 2018;35:1-15.
- Brienza N, Giglio M, Marucci M, Fiore T. Does perioperative hemodynamic optimization protect renal function in surgical patients? A meta-analytic study. Crit Care Med. 2009;37:2079-90.
- Corcoran T, Rhodes J, Clarke S, Myles P, Ho K. Perioperative fluid management strategies in major surgery: a stratified meta-analysis. Anesth Analg. 2012;114:640-51.
- Prospective, single-arm, multicenter study in noncardiac surgical patients requiring arterial line monitoring compared to a historical control. Data on file.
Medical device for professional use
For a listing of indications, contraindications, precautions, warnings, and potential adverse events, please refer to the Instructions for Use (consult eifu.edwards.com where applicable).