GlottaVue 1.6.5: Assistant, Rhythm Tools and Guided Case Logs

By Conor Early, CRNA, creator of GlottaVue Anesthesia.

Updated October 4, 2026 with the full GlottaVue 1.6.5 release roundup.

GlottaVue brings anesthesia references, case preparation and training tools into one app for CRNAs, anesthesia residents and nurse anesthesia students. The latest update connects a more focused Assistant experience with guided case logging, offline rhythm review and clearer ways to find the tools you use.

Availability: Google Play confirms that version 1.6.5 (131) was published on October 4. The iOS update was submitted to Apple the same day; Apple's US public listing still shows 1.6.4 at this update. Existing internal TestFlight users can already try the recent Assistant improvements. Store availability can vary while an update reaches devices.

GlottaVue Assistant: ask, clarify and review

The Assistant now centers on three entry modes: Clinical, Medications and Case plan. Start with your own question or edit an example prompt, ask a follow-up, and choose Deep dive when you want more explanation. Short answers focus on the question at hand; additional detail is available when requested. Answers can be saved to notes, copied or shared, with relevant reference illustrations where available.

Recent work improves how follow-ups handle corrections to age or weight and explicit changes between cases. Use New conversation when moving to a different patient, restate the relevant non-identifying facts, and check the inputs the answer uses. Context handling is still limited; it should not be assumed to recognize every change of patient.

For supported medication questions, the Assistant can show a weight-based reference calculation with the supplied weight, source rate and units. It checks the supplied source passage and calculation inputs before displaying the total. Missing age, an unspecified weight basis or insufficient evidence can lead to a focused clarification instead of a guessed amount. These checks do not establish that the selected regimen is clinically appropriate.

Sources distinguishes retrieved passages from summaries in the app's reference library. Open the references to check the population, indication and qualifications. Work on unnecessary retries and backend waiting also helps responsiveness, but complex questions and Deep Dive can still take longer; there is no guaranteed response time.

Guided anesthesia case logging

Adding a training case now opens a step-by-step workflow: case details, participation, clinical and anesthesia time, selected experience sections, optional notes, then review and save. Only the experience groups you choose become steps, so an uncomplicated entry does not require working through every category.

Actual and simulated experiences remain separate. Counts are explicit, and selecting a section alone does not award a credit. You can switch to the full form while keeping your entered information. Drafts remain excluded from training progress until the required review is complete. Existing progress tracking and CSV or Excel export remain available.

Save & next similar case

For a day of similar procedures, Save & next similar case saves the current record and starts a separate, unsaved entry with a suggested new label. Shared procedure, technique, role, site and date details can carry forward. The shorter repeat path is Case details → This patient → Time → Review.

Patient-specific age group, ASA classification, emergency status, times and narrative are cleared. Simulation credits are not copied. Review any carried-forward experiences for each encounter; the app does not infer a batch of patient-specific credits. Earlier saved entries remain saved if you close the final unfinished case. Read more about the student workspace and case logs.

Rhythm Center: step-by-step ECG identification

Rhythm Center is its own section, with an offline identification pathway built around the three- or five-lead monitoring commonly used during anesthesia. The guided review begins with pulse and patient status before moving through the relevant monitor findings. Your selections lead to rhythm references and intervention pathways for review.

You can go back and change an answer; dependent later answers are cleared. Unknown findings remain unresolved rather than being forced into a rhythm label. The center also includes rhythm examples and references for pacing, ectopy and related patterns. It is a manual decision-support and learning tool, not automated ECG diagnosis from a photo or video. See the intraoperative ECG rhythm recognition guide.

Care plans that follow the case

Recent care-plan improvements connect the procedure to the condition requiring surgery, with space to explain its pathophysiology and anesthesia implications. The organized flow moves from patient information and preoperative assessment through the anesthetic technique, airway, intraoperative medications and fluids, then emergence and postoperative or PACU considerations.

Medication selections and generated suggestions are organized into the perioperative sequence for review. Clearer section headings and more concise formatting make PDF and Word exports easier to scan. Pediatric equipment planning includes starting sizes or ranges where supported, alongside measurement and fit checks. Optional on-device photo import lets you review extracted details before adding them to a plan.

The structured care-plan builder remains separate from an Assistant case-planning conversation. The latest Assistant service improvements do not introduce a replacement care-plan generation system. Use the anesthesia care-plan guide for the workflow, and review every generated plan before use.

More visual references, available offline

Sourced illustrations now support more procedure, regional anesthesia, disease, cardiac and obstetric references. Figures include descriptive captions and source or licensing information so you can understand what you are viewing and where it came from. Related topics may share a figure; this is not a claim that every entry has its own unique image.

The expanded reference illustration collection complements the offline anesthesia library. AI conversations and AI care-plan synthesis require internet access; bundled references and rhythm tools remain available without it.

Easier navigation, ventilator inputs and favorites

This release also carries forward practical interface improvements:

• A prominent GlottaVue Assistant button on Home, with Rhythm Center available separately and through favorites.
• A reserved Search area that keeps the Assistant's question box and send control unobscured.
• Favorites arranged in rows of four, plus long-press shortcuts for adding supported sections.
• A compact weight selector with whole-kilogram steps above 40 kg.
• An adult ventilator tool that uses height and sex to calculate predicted body weight and display tidal-volume reference values, with clearer condition tabs and aligned settings. Pediatric and neonatal inputs remain separate from the adult formula.

A new welcome tour and clearer update controls

The refreshed welcome tour introduces Assistant modes, follow-ups, source review, Deep Dive, care-plan export and offline features. Returning users who completed the old tour see the new one once after installing this update. It can be skipped and replayed from About; consent for online AI use remains separate.

Update notices now have a place on Home. About displays the installed version and includes a manual Check for updates action, making future releases easier to find.

Try the update and share what needs work

Android users can find GlottaVue Anesthesia on Google Play. iPhone and iPad users can check the App Store listing for the iOS release as it becomes available. After updating, try the welcome tour, a focused Assistant question and the guided case-log workflow.

GlottaVue is an educational reference and preparation tool. AI evaluation has still found factual errors, source mismatches and occasional verification or provider failures; clinical validation remains unfinished. Successful software tests are not proof of clinical accuracy. Use only non-identifying details, review original references and local guidance, and apply appropriate clinical supervision. Send usability feedback through the GlottaVue contact page without including patient identifiers.