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Advanced hemodynamic Monitoring

Get the full
hemodynamic picture

 

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

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.

Individualize therapy strategies

Intensive care patients often come along with an unstable hemodynamic condition. Unclear volume status and therapeutic conflicts, makes it harder to implement an appropriate therapy strategy: Volume expansion? Vasopressor use or inotropic support?

Sufficient organ perfusion and optimal tissue oxygenation are of great importance. Simultaneously, it is essential to avoid volume overload, which can result in pulmonary edema and interrupted gas exchange. 

Advanced hemodynamic monitoring has, therefore, a vital role in the implementation of life-saving therapeutic strategies [2].

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

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]

Asses your patients' full hemodynamic picture

Monitoring the cardiocirculatory function is of great importance in intensive care patients. PiCCO allows for minimally invasive measurement of hemodynamic parameters like cardiac output, and it's determinants: preload, afterload, and contractility. Furthermore, the ELWI parameter allows a sensitive assessment of extravascular lung water. This set of reliable hemodynamic parameters can help determine the best individual treatment for critically ill patients. 

Discover advanced hemodynamic parameters

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.

Learn more about LiMON monitoring

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.

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

All references

  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 2013;119(4):824-836.

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

  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