Vital Sign Trending
How Trend Apply mode works: animating vitals from current to target over 3–300 seconds, pause/play controls, what can't be trended, and mid-trend behavior.
Written By LJ Merchant
Last updated 1 day ago
Vital Sign Trending
Trend Apply mode lets you change a vital gradually over time, the way real physiology works — SpO2 rising as you bag the patient, HR responding to medications, BP dropping as a patient bleeds out.
Immediate Apply vs. Trend Apply
Next to the Apply New Vitals button is a toggle:
- Immediate Apply (default) — vitals change instantly on Apply
- Trend Apply — vitals animate from current value to target value over a chosen duration
The Trend Time Selector
When Trend Apply is selected, a time selector appears:
- Plus (+) button to increase time
- Minus (−) button to decrease time
- Editable text field — type a duration directly
Range: 3 to 300 seconds. Values outside this range are clamped. Non-numeric input reverts to the last valid value.
How the Math Works
Linear interpolation between current and target values. Example:
- Current HR: 60
- New HR: 100
- Trend time: 40 seconds
- Math: (100 − 60) ÷ 40 = 1 bpm per second
HR climbs 1 bpm per second for 40 seconds, settling at 100.
Multi-Vital Timing
If you stage changes to multiple vitals in one Apply, all trends start at the same moment and finish at the same moment — even though individual vitals change at different per-second rates. One shared trend timer per Apply event.
Trend Controls (Active While a Trend Is Running)
- Pause — freezes the trend timer. Vitals hold at their current mid-trend value. Press again to resume from the same point with the remaining time.
- End Trend — stops the trend immediately. Vitals stay at the current mid-trend value. They do not revert. Trend controls reset, ready for the next Apply.
Visual Indication
While a trend is running:
- Controller shows a countdown ("23s remaining"), target values (e.g. "HR: 60 → 100"), and a directional arrow on each trending vital
- Display Monitor shows the change happening in real time — subtle, not announced
What Cannot Be Trended
Discrete state changes apply immediately even in Trend mode:
- Rhythm changes (e.g. sinus to V-fib)
- Capnography waveform changes
- Pleth morphology changes
- Alarm state changes
- INOP toggles
If a rhythm change is staged alongside numeric vital changes, the rhythm flips instantly while the numbers trend.
Starting a New Apply Mid-Trend
If you click Apply while a trend is already running:
- The existing trend on affected vitals is cancelled
- A new trend starts from the current mid-trend value to the new target over the new duration
- Vitals not included in the new Apply continue their existing trend uninterrupted
Time Field Locked During Trend
The time selector is disabled while a trend is actively running. You can only change the duration before the next Apply. This prevents confusing mid-trend recalculations.
Integration with NIBP
If BP is trending when an NIBP cycle completes, the cuff captures whatever value the trend has reached at that moment — not the target value. Multiple auto-cycles during a trend will capture different points along the trend curve.