Pre-anesthetic
ASA score, fasting, baseline vitals, weight, consent. The plan flows directly from the chart.
- ASA I–V classification
- Drug protocol from template
- Owner consent on file
Anesthesia Sheet
A calm sheet for the noisiest room.
Vitals on a five-minute grid, charted by tap or by voice. Drugs, fluids, and events on a single timeline. MAC math kept honest in the background. The medico-legal record writes itself while your team takes care of the patient.
- Q5 minVitals grid, charted by tap or by voice
- 1 sheetFrom induction through discharge
- MACTracked and trended in real time
- PDFAudit-ready, signed, exportable
From pre-op to discharge
One sheet, four phases.
Bittsi follows the case the way your team does, pre-op planning, induction, maintenance, and recovery, without ever asking you to start a new document.
Induction
Pre-meds, induction agent, intubation. Time-zero anchors the entire sheet.
- One-tap drug entry
- ETT size + cuff pressure
- Vitals grid from time-zero
Maintenance
Vitals every 5 min, MAC tracked, fluids and CRIs running on the timeline.
- Vitals by tap or by voice
- Vaporizer + flow logged
- Event annotations inline
Recovery
Extubation, sternal recumbency, pain score, discharge readiness.
- Recovery checklist
- Vitals at clinic-defined intervals
- Signed PDF to chart
Built for the surgery floor
The details that actually matter at 11am on a Tuesday.
Designed with anesthesia techs and boarded anesthesiologists. Every choice we made starts with: does this make the case safer, calmer, or both?
Vitals by tap or by voice
HR, MAP, SpO₂, RR, EtCO₂, and temperature on a five-minute grid. Tap a cell, or say the readings and Anesthesia AI charts them, each one color-coded against its reference range.
Live MAC tracking
Vaporizer setting, fresh-gas flow, and species-specific MAC values combine into a real-time depth indicator at the top of the sheet.
Drug timeline, not a list
CRIs, boluses, and fluids appear on the same timeline as vitals, so cause and effect are obvious at a glance.
Pre-calculated emergency doses
Epi, atropine, lidocaine, naloxone, pre-computed from patient weight on the crash-cart card. No math under pressure.
Smart alerts, not beeping
Trended changes, falling BP, rising EtCO₂, dropping temp, surface as gentle, dismissible badges. The machine beeps; we don't.
Print-ready, audit-ready
Export a complete medico-legal PDF with full vitals chart, drug ledger, anesthetist signatures, and recovery notes, to chart, to email, to print.
Events and annotations
Annotate the moment, not the memory.
Tap the chart at any vital to attach a note, a drug, or an event. Everything is timestamped, attributed, and signed, so the record matches what actually happened, in the order it happened.
- Inline notes. "Hypotension responded to fluid bolus" attached to the exact 10:48 vitals reading.
- Critical events. Apnea, bradycardia, hypotension auto-flagged with continuous capture into the record.
- Attribution. Every entry tagged with the user who made it, anesthetist, surgeon, tech.
- Continuous timeline. Through CPR, recovery, and discharge, one unbroken record.
Event log · Rocco Patel · OVHlive
10:32
Induction · propofol 4 mg/kg IV
Smooth induction, intubated 7.5 ETT, cuff to seal.
Tech / J. Lee10:38
Surgical prep complete · into theatre
Iso 1.4%, fresh-gas 1.2 L/min, on warmer.
Dr. Reyes10:48
Hypotension · MAP 58
5 ml/kg LRS bolus over 10 min. MAP recovered to 70 by 10:58.
Tech / J. Lee10:55
Fentanyl CRI started · 5 µg/kg/h
Multimodal analgesia, vaporizer reduced to 1.2%.
Dr. Reyes11:02
Pedicle clamp · L
HR rose +6, MAP stable.
Dr. ReyesRecovery · Rocco11:08 · vapor off
- 11:14 · 6mExtubatedswallow reflex returned
- 11:22 · 14mSternal recumbencyunassisted
- due 11:37Pain score · Q15minCSU pain scale · current 1/24
- pendingStanding and alertdischarge criterion
- pendingEating / drinkingdischarge criterion
- pendingDischarge instructionsprinted + sent to client
Recovery
A handoff, not a guess.
The case isn't over when the vapor goes off. Bittsi keeps charting through extubation, recumbency, and the long quiet hour while the patient warms back up, with discharge readiness criteria your protocol defines.
- Structured checklist tied to your protocol
- Vitals at your defined recovery interval
- Pain scoring (CSU, Glasgow, custom)
- Discharge readiness gate before client release
Medico-legal and safety
A record that holds up.
Built to standards, AAHA, ACVAA, your state board. Every entry signed, timestamped, and immutable once the case closes.
Audit-ready PDF
Plan, ASA, vitals chart, drug ledger, signatures, recovery, one document, board-complaint-ready.
Attribution on every entry
Drugs, vitals, events tagged with the user who entered them, and the time, to the second.
Immutable after close
Once the case is signed off, edits become amendments, visible, attributed, never silent.
Controlled-drug waste log
Enter the amount drawn and the amount given, and the waste is calculated for you. A second staff member signs as witness, and the disposal method is recorded.
FAQ
What anesthetists ask first.
Practical answers from the team. If something's missing, our anesthesia lead will get on a call.
Two ways. Tap the cell for the current five-minute column, or say the readings out loud and the Anesthesia AI add-on charts them for you. Every reading is color-coded against its reference range, so a value out of range stands out at a glance.
See it on a real case
A 30-minute walkthrough on your protocol.
Bring your standard OVH or dental protocol. Our anesthesia lead will run it on the sheet end-to-end, pre-op through discharge, so you can see exactly how it fits your floor.