The Art of Making Haemodynamic Monitoring Simple

"Using HeartSmart®

tooptimise blood

flow, improves surgicaloutcomes with outstanding

cost savings and aids quicker recovery"

Dr Kenneth Warring-Davies Cardiovascular Physiologist HeartSmart

®

’s Inventor

The HeartSmart® system is dynamic, responding to rapid changes occurringduring surgery, easy to use, being as simple as placing a central venous

pressure catheter.

flow, improves surgicaloutcomes with outstanding

cost savings and aids quicker recovery"

Dr Kenneth Warring-Davies Cardiovascular Physiologist

optimise blood"Using HeartSmart to

HeartSmart.@@s Inventor

HeartSmart® is developed on well establishedlaws of cardiovascular physiology, usingphysiological parameters of heart rate, centralvenous pressure, blood pressure and corebody temperature.

HeartSmart® is an entirely NEW softwareprogram for estimating cardiac functionsdeveloped during the past thirty years.

The components of regulating cardiac outputare contractility, heart rate, preload andafterload. The HeartSmart® software usesthese physiological parameters in theempirical physiological formuale forestimating all of the haemodynamic variables.

Benefits to� The PatientLess invasive, less risks of complications andless stressful with shorter lengths (LOS) ofhospitalisation.� Medical & Nursing StaffEasy to perform, displaying continuous realtime information. A preferable system whencompared to existing technologies that mayonly give limited information.� Hospital Fund Holding ManagersReduced costs by savings in labour and timeof medical and nursing staff, reducing thetime a patient spends in hospital. Onehospital is reported saving £1.1 millionpounds by way of optimising blood flow in128 adults during surgery usinghaemodynamic monitoring.

Heartsmart® trending capabilities allow theanaesthetist or medical staff to optimise thehaemodynamic status to maximum effect.HeartSmart® is not just reserved for thecritically ill patient, it can be used in anysituation where a patient would have a CVPcatheter in situ in medical or surgical cases.One such category of patients are those whoare scheduled to undergo general surgery.The anaesthetist can catheterise the patientprior to induction. With HeartSmart® theanaesthetist can calculate oxygen supply anddemand prior to the commencement ofsurgery. The anaesthetist can confidentlyassess the overall cardiac function(s) prior toinduction.

This valuable aid will reduce the incidence ofpost–operative complications as well asassisting in the assessment and prognosis ofthe patient.

The learning curve of this procedure is usuallyhalf a day, and can be taught to paramedics,nurses and medical practitioners, who willthen be able to perform the procedureconfidently within hours.

When HeartSmart® is used to optimise bloodflow, surgical outcomes are improved andquicker recovery times help to reduce costs infinancially challenged hospitals.

Optimisations of Blood Flow

HeartSmart® has enormous potential to improve outcomes in majorsurgery with a reduction in post-operative complications, shorter staysin hospital. HeartSmart® can contribute to a real improvement indelivering healthcare with clinical excellence and potentiallyoutstanding cost savings.

There is no need for anaesthetist, surgeons or nurses to change their working practices

The Art of Making Haemodynamic Monitoring Simple

Ease of UseHeartSmart® does not require any change inClinical or Nursing Practice, there are nocomplicated learning curves needed in orderto competently use the software.

Continuous monitoringPhysicians and nursing staff are alertedimmediately a clinical situation starts todevelop. Alternatively, the anaesthetist orintensivist can see the effects of therapeutictreatment instantly, a dynamic response to:

� Fluid challenge or administration� Adjustments of mechanical ventilators� Medical and/or surgical procedures� Change of drug regimes

Portability combined withsimplicity is absolutelyessential in dealing withany emergency

HeartSmart® can be usedwhere the central venouspressure is beingmonitored with bloodpressure, heart rate andcore body temperature.When these fourcoordinates are computed the HeartSmart®

system will INSTANTLY provide ALL the indexvalues, cardiac index, pulmonary andsystemic vascular resistance indexes withmean pulmonary artery and mean pulmonaryartery occlusion (wedge) pressures, and all ofthe haemodynamic variables continuously. Ata touch of a button all of the absolutehaemodynamic values can be observed.

Clinical TrialsClinical trials have observed the performance ofthe three major technologies verses HeartSmart®for estimating cardiac output/index on all thesubjects partaking in this study. The outcomesshowed that Heartsmart’s performance matchedall current techniques.HeartSmart® and Doppler were able to trackcardiac output in either direction. The meandifference between the Thermodilution methodestimating Cardiac Output, for Doppler was 0.89litres compared to HeartSmart® of 0.32 litres perminute.HeartSmart’s® most impressive performance isagainst right and left heart catheterisation onadults and children performed routinely bycardiologist. The mean pulmonary artery andpulmonary artery occlusion (wedge) pressureswere obtained with accuracy of a few millimetresof mercury. Pulmonary artery catheterisation is not

required forHeartSmart® toperform in real time.The Power ofHeartSmart® lays in it’sSIMPLICITY of use andinterpretation of thehaemodynamicinformation being given.The haemodynamicvalues delivered byHeartSmart® areestimates based upon

the hearts performance, as a reflection of thephysiological parameters functions that areinvolved in auto - regulation of the heart.

HeartSmart® assists you to make a more reliablehaemodynamic assessment of the patient’sclinical condition, putting the POWER BACK INTOYOUR HANDS improving your Art of PracticingMedicine.

The Art of Making Haemodynamic Monitoring Simple

®

HeartSmart Ltd

Dr.B.GallagherDirector of Anaesthesia BradfordRoyal Infirmary"The inventor has produced a formula(HeartSmart®) to measure cardiacoutput from non–invasive physiologicalmeasurements. He has compared hisresults with those invasivemeasurements derived on patients inour Intensive Care Unit with a greatdegree of accuracy".

Dr.J.BerridgeConsultant CardiothoracicAnaesthetistThe Yorkshire Heart Centre Leeds"Preliminary trials of this system(HeartSmart®) have proven veryexciting. The system is dynamic,responding to rapid changes occurringduring cardiac surgery, easy to use,being as simple as placing a centralvenous pressure catheter. In additition,during periods of stability the monitorappears as accurate a measure ofcardiac output as standardthermodilution techniques".

The ideal method of measuring cardiacoutput would be non-invasive, continuous,accurate over the range of cardiovascularfunction encountered in intensive care.1

Anaesthesiaand intensive care medicine

1. Cardiac Output Measurement:Robin Berry, Jeremy A Langton

Bartlett RH, Alice in Intensiveland. Chest 1995; 108: 1129-39. 2001

Assessing the fluid status in patients with pyrexia,vomiting or depressed conscious level is

essential in neuro-surgery.HeartSmart® can guide therapy to improve cerebral

blood flow + oxygen delivery.

T: 00 44 (0)1279 406000

East Road, Harlow, EssexCM20 2XXSxXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

www.HeartSmartCardiac.cominfo@HeartSmartCardiac.com

SMS Building, St. James Centre, F: 00 44 (0)1279 406012