Copyright HEMO SAPIENS®This system is intended for a rapid, noninvasive hemodynamic assessment of
women in child bearing age and during pregnancy and for their hemodynamic monitoring
and management.
Since many hemodynamic abnormalities during pregnancy
(for instance pre-eclampsia) can be observed with current methods only during their
last, catastrophic stage, a periodic hemodynamic assessment by the HOTMAN® PRG System
during pregnancy may identify the underlying causes early enough, so they can be
successfully controlled and managed. Similarly, this system can be used in fertility
clinics to help to identify inadequate perfusion as a cause of infertility.
The normal ranges of hemodynamic parameters are adjusted automatically as a function of gestation time, entered by the operator via the keyboard (for non-pregnant, Gestation Time, GT= 0). The normal values incorporated into the HOTMAN™ PRG System software are based upon a paper Normal Values of Hemodynamic and TEB Parameters in Gravidas and Nongravidas, B. Bo Sramek, K. Nouzova and A. Parizek, presented at the 4th International Conference on Hemodynamics, 1998, and published in the textbook Systemic Hemodynamics and Hemodynamic Management.
Following is the Monitoring Page of the HOTMAN® PRG System,
displaying complete hemodynamic data of a 21-year old woman in the 20th week of pregnancy.
Please note the gestation time (GT) value to the right of the sign "CONTRACTILITY
& L.V. PERFORMANCE."
For explanation of the Monitoring Screen content
and for a comparison of the screen below to its counterpart for adult males and postmenopausal
females, go to HOTMAN BAS Monitoring Screen.
Following is the Hemodynamic Management Screen of the same patient, same time as above. For a comparison of this screen to the Hemodynamic Management Screen of adult males and postmenopausal females, go to HOTMAN BAS Management Screen.
Please note that the deviation in any hemodynamic modulator which is less than
+/- 20% is displayed as normo-----.
The identified 29% hypovolemia in this patient
is, therefore, a minor deviation, with no need for any volume management therapy.