morevisibilityfortheanesthesiologist.Moresafetyforthepatient.
0%
from brain-blind to brain-guided anesthesia
brain4care adds non-invasive, real-time visibility of intracranial dynamics to your hemodynamic monitoring — so every intervention is guided by how the brain actually responds, before systemic or electrical signs appear.
vasoactive drugs
See their real impact on the brain, not just on blood pressure.
anesthesia and sedation
Follow their effect on cerebral perfusion as it happens.
ventilation and circulation
Understand how each adjustment reaches the brain.
surgical positioning
Trendelenburg, robotic and prone positions, monitored safely.
intracranialdynamicsmonitoringaddsanewlayerofinformationtotraditionalhemodynamicmonitoring,soclinicaldecisionscanconsiderthebrain’srealresponsetoeveryintervention.
inpractice,itexpandstheteam’sabilitytoanticipateandpreventneurologicaldeteriorationbeforesymptomsappearandriskescalates.
the challenge
anesthesiacansilentlychangebrainphysiology&cerebralperfusioncandeterioratebeforesystemicorelectricalsignsbecomeevident.
commondriversintheOR:
cerebral perfusion can fall before other signs appear:
normal perfusion
Preserved compliance: the brain tolerates hemodynamic oscillations.
early hypoperfusion
Compliance starts to fall — the earliest moment to act, and the one brain4care makes visible.
advanced hypoperfusion
Small changes in volume or pressure now compromise cerebral dynamics.
Critical hypoperfusion
Without visibility, care becomes reactive — with risk of herniation and death.
with brain guided care
visibility and proactivity since early hypoperfusion
+ neuroprotection + safety
a paradigm shift
whenintracranialdynamicsarevisibleinrealtime,perfusionmanagementstopsbeingreactiveandbecomesphysiologicallyguidedbythebrainitself.
across the perioperative journey
continuous brain visibility, from pre-op to recovery
01. Pre-operative
Framer is a design tool that allows you to design websites on a freeform canvas, and then publish them as websites with a single click.
02. Intra-operative
Framer is a design tool that allows you to design websites on a freeform canvas, and then publish them as websites with a single click.
03. Post-operative
Framer is a design tool that allows you to design websites on a freeform canvas, and then publish them as websites with a single click.
Complementary by design
Framer is a design tool that allows you to design websites on a freeform canvas, and then publish them as websites with a single click.
compliance changes come first
cerebralperfusionpressureisthedifferencebetweenmeanarterialpressureandintracranialpressure.
whencompliance—theabilitytoabsorbvolumechanges(ΔV/ΔP)withoutasignificantriseinpressure—isreduced,ICPclimbs,CPPfallsandcerebralbloodflowiscompromised.Changesincomplianceprecedethedeteriorationofperfusion.
changesincomplianceprecedethedeteriorationofperfusion.
real clinical case
abdominal surgery
in a high neurological-risk patient
riskofintracranialhypertensionassociatedwithabdominalcompartmentsyndrome,afterarecentdecompressivelaparotomywithvacuum-assisteddressing.
monitoringstartedbeforeinductionandcontinuedthroughout.
thepatientbeganwithpreservedintracranialcompliance(greenzone).
