Operating Room

The goal in the OR is to optimise fluid and drug therapy prior and during surgery. Successful hemodynamic monitoring in OR reduces the resources need for high-dependency (ICU).

The challenge is managing the unstable patient and the the need is the flexibility to adapt to the acuity of the patient switching seamlessly between non-invasive and minimally invasive hemodynamic monitoring using LiDCOrapid and LiDCOunity, allowing the depth of anesthesia to be measured.

Suitable for a variety of procedures including elected bowel surgery, aortic aneurism, vascular surgery.

Multimodal intraoperative monitoring: Observational case series in major peripheral vascular surgery

Multimodal intraoperative monitoring: Observational case series in major peripheral vascular surgery

Patient Population
High-risk peripheral vascular surgery.

LiDCO Monitor
LiDCOrapid as the hemodynamic part of a multimodal monitoring approach.

Trial Design
Actual mortality after multimodal approach vs predicted V-POSSUM.

Outcome Impact
30-day mortality at 0.8% significantly lower than the 9% mortality predicted by the V-POSSUM amputation rate less than 2% after one year. Post-operatively only 8% (10 patients) went to a high dependency unit (HDU).

Restrictive strategy of intra-operative fluid maintenance decreases major complications after high-risk surgery

Restrictive strategy of intra-operative fluid maintenance decreases major complications after high-risk surgery

Patient Population
High-risk general surgery.

LiDCO Monitor
LiDCOrapid fluid optimisation & oxygen delivery (DO2) GDT target.

Trial Design
Randomised GDT with fluid restriction vs GDT with liberal maintenance fluids.

Outcome Impact
Allowed GDT DO2 targeting while restricting maintenance fluids; reducing expected complications rate from 61.5% to 20%.

RCT effect of peri-operative hemodynamic therapy algorithm major gastrointestinal surgery outcomes

RCT effect of peri-operative hemodynamic therapy algorithm major gastrointestinal surgery outcomes

Patient Population
OPTIMISE – High-risk gastrointestinal surgery.

LiDCO Monitor
LiDCOrapid guided hemodynamic algorithm with dopexamine infusion vs usual care.

Trial Design
Prospective multi-centre randomised.

Outcome Impact
Lower, compound complications (36.6% v 43.4% n.s.) The inclusion of results in a meta-analysis indicates intervention was associated with a clinically significant lower level of complications.

Find out more about our entire range of hemodynamic monitoring equipment for the Operating Room…

              

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