(BUSINESS WIRE) Cheetah Medical recently announced that a study by Duke University physicians concluded that more than $3 of costs can be avoided by hospitals for every $1 they spend during surgery by using noninvasive hemodynamic monitoring. Use of noninvasive hemodynamic monitoring for assessing fluid responsiveness in a wide range of circulatory conditions as part of a preemptive strategy for fluid optimization and associated with decreased length of stay (LOS), morbidity, and mortality following surgery.
According to Duke University assistant professor Thomas Hopkins, MD, Director of Quality Improvement at Duke University School of Medicine’s Anesthesiology Department, “Our model shows more than $3 of costs avoided for each $1 spent perioperatively on noninvasive hemodynamic monitoring. While any validated hemodynamic monitoring device can be used in the model, the CHEETAH NICOM system was used for this BIA study by Duke,” said Adi Renbaum, Principal, ANR Consulting, who helped develop the BIA model. ”Nevertheless, the cost of monitors and sensors can be customized to remain pertinent to the hemodynamic monitoring device being considered for purchase.”
Cardiac dysfunction manifests in a significant proportion of patients with severe infections, life-threatening trauma, and undergoing major surgery. This leads to insufficient cardiac output. Administration of IV fluids is usually the first step in resuscitating these patients. However, too much fluid can cause serious complications, increase the length of ICU and hospital stays, and increase the risk of death. Clinical studies have consistently shown that only about half of hemodynamically unstable, critically ill patients are responsive to fluids.
Traditionally, patients undergoing surgery for traumatic injuries have been managed with a liberal IV fluid strategy, as recommended by the Advanced Trauma Life Support Student Course of the American College of Surgeons. “There are, however, absolutely no human data to show that large volume IV fluid resuscitation reliably improves organ perfusion,” said Dr. Marik. “In fact, this approach is likely to lead to iatrogenic salt water drowning—caused by acute respiratory distress syndrome (ARDS), acute kidney injury (AKI), myocardial injury, gastrointestinal dysfunction and poor wound–healing with an increased risk of death.
