You are visiting a website that is not intended for your region

The page or information you have requested is intended for an audience outside the United States. By continuing to browse you confirm that you are a non-US resident requesting access to this page or information.

Switch to the US site

Select Your Country or Region
Send
Kontakt
Advanced Patient Monitoring

Personalized perioperative
fluid management

 

Why we believe in a tailored monitoring approach

As much as patients differ from each other, monitoring needs can also vary from patient to patient. Therefore, a customized approach to intraoperative fluid management should be applied to control, track, and observe hemodynamics in a broad range of surgical patients.[1]

In an aging population with increased comorbidity, hemodynamic monitoring has become even more critical today to optimize perioperative fluid management.[1] Close monitoring of hemodynamics during anesthetic induction, surgery and postoperatively is proven to prevent adverse outcomes.[2]

Blood flow monitoring for fluid management

From blood pressure to blood flow, volume responsiveness, systemic vascular resistance, and cardiac contractility: advanced hemodynamic monitoring enables the development of therapeutic strategies for volumetric, inotropic, and vasoactive drug management to optimize tissue perfusion.[1],[3]

Studies confirm:
improved outcomes through intraoperative
fluid management

Numerous studies document that intraoperative individual goal-directed fluid therapy improves outcomes after surgery and has a beneficial input on hospital costs.[2],[4],[5] Additionally, the Enhanced Recovery After Surgery (ERAS) protocols recommend individualized intraoperative fluid optimization through hemodynamic monitoring.[6]

Perioperative fluid management lowered risks of comoplicaitons

A lack of perioperative management among high-and medium-risk surgical patients not only demonstrates the potential to cause cardiovascular complications but also can increase the risk of developing neurological complications, kidney damage, and even mortality.[1],[2],[3]

 

Yet even basic interventions in healthy patients carry the risk of complications such as hypotension. One of the most important vital signs of patients, the blood pressure, should also be continuously monitored as an indicator of the patient’s condition.[7],[8]

 

The importance of early detection of
perioperative hypotension

Although it is difficult to find consensus on what constitutes intraoperative hypotension, studies clearly show that maintaining an intraoperative mean arterial pressure (MAP) greater than 65mmHg may reduce the risk of complications and adverse effects.[9]

Furthermore, studies suggest that limiting hypotensive blood pressure fluctuations to <30% of baseline could help prevent postoperative strokes.[10] Continuous, beat-to-beat blood pressure monitoring is a way to manage  hemodynamic conditions in the operating room safely.

Advantages of continuous blood pressure measurement

Our latest innovation in Advanced Hemodynamic Monitoring provides continuous and noninvasive parameters during surgery. NICCI offers an easy-to-use and comfortable solution to intraoperative hypotension monitoring as well as evaluation of further hemodynamic variables like blood flow, preload, and contractility parameters.

Keep you patient's fluid status balanced

Patients undergoing high- and medium-risk surgeries always benefit from close vigilance.[2] Optimal perioperative fluid administration is the key to a successful recovery.[2],[11] With a dynamic range of hemodynamic parameters, you can successfully optimize the best individual treatment for your patients.[12] Guide fluid therapy via dynamic parameters in order to optimize the balance between oxygen delivery and oxygen consumption.

 

Learn more about key parameters provided by ProAQT

Getinge CeVOX

Maintain adequate oxygen balance

Your patient's vital organs are highly sensitive to hypoxic episodes. We offer easy-to-use insight into your patient's oxygen metabolism with solutions for continuous oxygen balance monitoring.

Learn more about CeVOX monitoring

Identify your patients' risk level continuously

A summary of hemodynamic parameters at a glance, as well as the interaction of threshold values, enables immediate and targeted adjustment of treatment. Being continuously updated on any changes in the patient’s hemodynamic condition helps to adjust therapy strategies tailored to each patient.

Explore the PulsioFlex Monitoring Platform

Alle referencer

  1. Yamada T, Vacas S, Gricourt Y, Cannesson M.
    Improving Perioperative Outcomes Through Minimally Invasive and Non-invasive
    Hemodynamic Monitoring Techniques. 2018:Front. Med. 5:144.
    doi: 10.3389/fmed.2018.00144

  2. Salzwedel C, et al.
    Perioperative goal-directed hemodynamic therapy based on radial arterial pulse pressure variation and continuous cardiac index trending reduces postoperative complications after major abdominal surgery: a multi-center, prospective, randomized study. Crit Care 2013;17(5):R191.

  3. Giglio M, Marucci M, Testini M, Brienza N.
    Goal-directed haemodynamic therapy and gastrointestinal
    complications in major surgery: a meta-analysis of randomized controlled trials
    British Journal of Anaesthesia 103(5):637–46 (2009)
    doi:10.1093/bja/aep279

  4. Cecconi M, Fasano N, Langiano N, Divella M, Costa M, Rhodes A, Rocca G.
    Goal-directed haemodynamic therapy during elective total hip arthroplasty under regional anaesthesia. Critical Care 2011, 15:R132.

  5. Michard F, et al.
    Potential return on investment for implementation of perioperative goal-directed fluid therapy in major surgery: a nationwide database study. Perioper Med 2015;4(11).

  6. Mythen MG, Swart M, Acheson N, et al.
    Perioperative fluid management: consensus statement from the Enhanced
    Recovery Partnership. Perioper Med. 2012, 1:2. doi: 10.1186/2047-0525-1-2

  7. Benes J, Haidingerova L, Pouska J et al.
    Fluid management guided by a continuous non-invasive arterial pressure device is associated with decreased postoperative morbidity after total knee and hip replacement. BMC Anesthesiol. 2015;15(1).

  8. Stenglova A, Benes J,
    Continuous Non-Invasive Arterial Pressure Assessment during Surgery to Improve Outcome. Front Med (Lausanne). 2017 Nov 17;4:202

  9. Salmasi V, Maheshwari K, Yang D, et al.
    Relationship between Intraoperative Hypotension, Defined by Either Reduction from Baseline or Absolute Thresholds, and Acute Kidney and Myocardial Injury after Noncardiac Surgery: A Retrospective Cohort Analysis. Anesthesiology 2017;126(1):47-65. https://doi.org/10.1097/ALN.0000000000001432

  10. Bijker J, Persoon S, Linda M. et al.
    Intraoperative Hypotension and Perioperative Ischemic Stroke after General Surgery: A Nested Case-control Study. Anesthesiology 2012;116(3):658-664. https://doi.org/10.1097/ALN.0b013e3182472320

  11. Bellamy MC.
    Wet, dry or something else?
    Br J Anaesth. 2006;97(6):755-757. doi:10.1093/bja/ael290

  12. Benes J, Giglio M, Brienza N, Michard F.
    The effects of goal-directed fluid therapy based on dynamic parameters on post-surgical outcome: a meta-analysis of randomized
    Controlled trials. Critical Care. 2014;18(5).

Abonnement