NICCI - Plug and play hemodynamic monitoring
NICCI is easy to set-up and provides non-invasive continuous hemodynamic monitoring. The results are comparable to invasive arterial line measurements in terms of continuity, accuracy and waveform dynamics.
Parameters provided: APsys, APdia, Mean Arterial Pressure, Pulse Rate, Cardiac Index (CI), Stroke Volume Index (SVI), Stroke Volume Variation (SVV),
Pulse Pressure Variation (PPV), Systemic Vascular Resistance (SVRI), Cardiac Power Index (CPI) and Left Ventricular Contractility (dPmx)
1. Turn on monitor
Smart design elements make the device easy to clean and prepare for use.
2. Attach finger cuff
The two-finger cuff alternates between fingers automatically for improved patient safety. It is ergonomically designed to fit the patient.
3. Attach upper arm cuff
The integrated NIBP Module provides automatic calibration during the procedure and is available in several sizes.
4. Calibrate and start
NICCI analyses the pressure curve and derives parameters providing valuable information about the blood flow, preload, afterload and contractility.
Clinical outcomes supported by continuous haemodynamic monitoring and fluid management
Improved fluid management
A more balanced fluid delivery during and after surgery can further reduce the likelihood of post-operative complications.
Even more beneficial is Goal-Directed Fluid Therapy (GDFT), which can reduce patient morbidity by 27.7% and complications by 41.7%.
Fewer days in the hospital
Fewer complications mean patients spend an average of 1.16 fewer days in the hospital.
Vafi Salmasi, Kamal Maheshwari, Dongsheng Yang, Edward J. Mascha, Asha Singh, Daniel I. Sessler, Andrea Kurz; Relationship between Intraoperative Hypotension, Defined by Either Reduction from Baseline or Absolute Thresholds, and Acute Kidney and Myocardial Injury after Noncardiac Surgery: A Retrospective Cohort Analysis. Anesthesiology 2017;126(1):47-65.
Daniel I Sessler, Joshua A Bloomstone, Solomon Aronson, et al. Perioperative Quality Initiative consensus statement on intraoperative blood pressure, risk and outcomes for elective surgery. Br J Anaesth. 2019 May;122(5):563-574.
The studies mentioned have been performed with the CNAP System. Getinge integrated the technology and algorithm into the PulsioFlex platform. Based on bench tests the NICCI system equals in performance and accuracy the CNAP System so that the clinical results can be used equally
Bijker J., Persoon S., Peelen L., et al. Intraoperative Hypotension and Perioperative Ischemic Stroke after General Surgery.Anesthesiology. 2012;116(3):658-664.
Salmasi V., Maheshwari K., Yang D., et al. Relationship between intraoperative hypotension, defined by either reduction from baseline or absolute thresholds, and acute kidney and myocardial injury after noncardiac surgery: a retrospective cohort analysis. Anesthesiology. 2017;126:47–65.
Salzwedel et al. Perioperative goal-directed hemodynamic therapy based on radial arterial pulse pressure variation and continuous cardiac index trending reduces postoperative complications after major abdominal surgery: a multi-center, prospective, randomized study. Critical Care 2013;17:(191).
Grocott et al. Perioperative increase in global blood flow to explicit defined goals and outcomes after surgery: a Cochrane systematic review. British Journal of Anaesthesia. 2013;111(4):535-48.