University of Michigan study presentation at ANESTHESIOLOGY 2025 supports clinical and environmental benefits of End-tidal Control
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The retrospective analysis of nearly 15,000 general anesthesia cases of adults (18 years and older) at the
University of Michigan demonstrated End-tidal Control’s association with reduced anesthetic agent usage and greenhouse gas emissions. - End-tidal Control is the first and only FDA-approved software that automatically adjusts to maintain end-tidal oxygen and end-tidal anesthetic agent concentrations set by the clinician, with more accuracy in reaching the clinician’s targets versus manual control.
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GE HealthCare booth (#1314) at ANESTHESIOLOGY 2025 showcases the company’s advancing perioperative care portfolio that supports clinical workflows and individualized patient care.
End-tidal Control software supports the clinician in maintaining clinician-set targets for end-tidal anesthetic agent and oxygen concentrations with greater accuracy than manual adjustments.i End-tidal Control supports low-flow anesthesia,** which may help reduce the amount of anesthetic agent utilized, lowering greenhouse gas emissions and costs.ii
“Our research explored the usage and impact of End-tidal Control software in a real-world surgical setting,” said Principal Investigator Douglas Colquhoun, MB ChB, MPH, Assistant Professor of Anesthesiology at the
The retrospective observational study conducted by the
- End-tidal Control utilization in approximately half of the cases (50.5%) at the institution
- Reductions greater than 35% in fresh gas flow, sevoflurane utilization and carbon dioxide emissions during the maintenance phase of anesthesia**
- Consistent End-tidal Control usage, with the software active for 82.1% of the anesthesia maintenance phase
“Efficient and consistent care delivery is a top priority for healthcare systems today, as workforce shortages and increasingly complex patient needs continue to evolve,” said
In addition to the
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From Pilot to Practice: Rolling Out Enhanced Targeted Control-Low Flow Anesthesia Across an
Academic Medical Center [abstract Q156] - Regional Differences in Anesthetic Practice as Described by a Global Anesthetic Database [abstract A1281]
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Anesthetic Consumption and Emissions Best Practice at Evangelisches Diakoniekrankenhaus
Freiburg, Germany [abstract A1292] - The Impact of Introducing End-Tidal Control to the Operating Rooms [abstract A1309]
- Anesthetic Gas Waste and Pollution – Are We Doing Our Best? [abstract A1310]
These conference abstracts support the potential clinical and economic benefits of End-tidal Control software.
Additionally, a recent retrospective study from
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* End-tidal Control in |
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** Refer to the anesthetic agent labeling for information regarding indications for use, warnings, and other relevant clinical information specific to that anesthetic agent. For example, labeling for sevoflurane includes specific warnings related to the potential risk associated with use at a low flow rate and under certain clinical conditions. Any decisions regarding selection of anesthetic agent and flow rate should be made at the discretion of the clinician and in their medical judgment based on available information. |
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i McCabe MD, Dear GL, Klopman MA, Garg K, Seering MS. End-Tidal Control Versus Manual Control of Inhalational Anesthesia Delivery: A Randomized Controlled Noninferiority Trial. Anesth Analg. 2024
ii Tay, S., Weinberg, L., Peyton, P., Story, D., and Briedis, J. 2013. “Financial and Environmental Costs of Manual versus Automated Control of End-Tidal Gas Concentrations.” Anaesthesia and Intensive Care 41 (1): 95–101. https://journals.sagepub.com/doi/10.1177/0310057X1304100116. doi:10.1177/0310057X1304100116
iii Colquhoun D, Zhao X, Jewell ES, et al. "Analysis of Use and Outcomes of GE Healthcare End Tidal Control Across a
iv Mraovic B, Cardonell B, Johnson Q, Luchetti M, Beard JW. Automated Volatile Anesthetics Delivery with End-tidal Control: Early Results from Adoption at
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