1 / 16

Targeted Volume Management The right amount of the right fluid at the right time

Targeted Volume Management The right amount of the right fluid at the right time. The CardioQ-ODM™ in Surgery A unique solution. Perioperative Fluid Management. A fundamental influence on surgical outcome. Problem. Why? Nil by mouth Anaesthetic Surgery. Hypovolaemia

kineks
Download Presentation

Targeted Volume Management The right amount of the right fluid at the right time

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Targeted Volume ManagementThe right amount of the right fluid at the right time The CardioQ-ODM™ in Surgery A unique solution

  2. Perioperative Fluid Management A fundamental influence on surgical outcome Problem • Why? • Nil by mouth • Anaesthetic • Surgery Hypovolaemia the primary cause of non-surgical post-operative complications

  3. Targeted Volume Management The right amount of the right fluid at the right time Solution • Why? • Fuller recovery • Faster recovery • Home earlier

  4. CardioQ-ODM Volume management tailored to individual patient need Tool • Why? • It’s easy • It’s safe • It works

  5. Technology • Intervene • Early • Quickly • Safely

  6. Evidence • Level 1 grade A evidence demonstrates that TVM using ODM • Improves the quality of recovery • Reduces complications • Reduces length of hospital stay • Reduces critical care demand Good for all, crucial for some

  7. Reduction in complications RCTs in Major Surgery

  8. Reduction in Length of Stay RCTs in Major Surgery 0

  9. Unique Evidence Base • The only intra-operative haemodynamic monitor • Proven in multiple RCTs to reduce complications and shorten lengths of hospital stay • Subject to 3 independent meta-analyses • Subject to 2 independent Health Technology Assessments

  10. Why does it work?

  11. The right amount of the right fluid at the right time

  12. The Aims of TVM • To achieve optimal filling of the vascular system • Eliminate hypovolaemia • Optimise oxygen delivery • To avoid excess crystalloid use • Avoid tissue oedema • Avoid adverse impact of chloride on gut

  13. Key Components of TVM • Delivery of appropriate crystalloid volumes for ‘maintenance’ • Oesophageal Doppler-guided stroke volume optimisation using colloids to eliminate hypovolaemia - Better outcomes - Faster, fuller recovery - Earlier home

  14. Is it worth it? • Surgical teams that do this • Have lower mortality rates • Have lower readmission rates • Have shorter lengths of stay

  15. TVM in Evidence-based Protocols

  16. Reduced complications Reduced Length of Stay Targeted Volume Management The right amount of the right fluid at the right time

More Related