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Understand complex hemodynamic conditions

The life of your critically ill patient depends on the right decision for the next therapeutic step. Therapeutic conflicts often arise at the critical care bedside, where you need dependable information you can trust. A set of reliable hemodynamic parameters can help determine the best individual treatment for your patients.[1] 

Hemodynamic questions to ask

Monitoring does not lower patient mortality or morbidity, per se - however, it provides valuable information that should be used to set up a treatment plan and apply individualized goal-directed therapy to the patient as early as possible. In order to ensure a broad foundation of information, a range of parameters can be provided and used as a basis for therapy decisions.

Is the patient's blood flow adequate?

Check CI, SVI

Is the patient's preload optimal?

Check GEDI

Is the patient's afterload optimal?

Check SVRI

Is the patient's cardiac contractility optimal?

Check GEF/CFI, CPI, dPmx

Is the patient volume responsive?

Check SVV/PPV

Is the patient in risk of pulmonary edema?

Check ELWI

What is the origin of pulmonary edema?

Check PVPI

Individualized hemodynamic monitoring shows following advantages [1], [3]

Better outcomes through individualized hemodynamic management
Better outcomes through individualized hemodynamic management

Careful management of cardiac output and it’s determinants can guide physicians through the resuscitative process of critically ill patients. Adapting individualized hemodynamic monitoring protocols leads to optimized therapeutic interventions and has the potential to improve outcomes.[3] 

CeVOX advanced hemodynamic monitoring of patient's oxygen balance

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.

LiMON advanced hemodynamic minitoring module for accessing liver functionality

Assess sufficient liver function

In liver resection and transplantation it is key to assess liver function in time. Let our solution for non-invasive liver function monitoring help you to do the assessment at the bedside and to select the optimal therapy for your patient.

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  1. 1. Goepfert M, et al., Individually Optimized Hemodynamic Therapy Reduces Complications and Length of Stay in the Intensive Care Unit: A Prospective, Randomized Controlled Trial. Anesthesiology 013;119(4):824-836.

  2. 2. Busse L, Davison D, Junker C, Chawla L. Hemodynamic Monitoring in the Critical Care Environment, Advances in Chronic Kidney Disease 2013

    https://doi.org/10.1053/j.ackd.2012.10.006
  3. 3. Yuanbo Z, Jin W, Fei S. et al. ICU management based on PiCCO parameters reduces duration of mechanical ventilation and ICU length of stay in patients with severe thoracic trauma and acute respiratory distress syndrome. Ann. Intensive Care 6, 113 (2016). https://doi.org/10.1186/s13613-016-0217-6