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Thoracic Surgery Outcomes Improved with Oesophageal Doppler Monitoring

Deltex Medical talks about a new, randomised study in Thoracic surgery, involving its Oesophageal Doppler Monitoring (ODM) system. The study concludes that Goal Directed Fluid Management using ODM was associated with fewer postoperative pulmonary complications (PPCs) and reduced length of stay.

PPCs are an under-reported but major cause of morbidity and mortality, with hyper/hypo-volaemia both known contributory factors. Clinicians are increasingly recognising the need for accurate intraoperative fluid management.

The hypothesis tested in this new study is that improved haemodynamic monitoring and control would reduce PPCs following thoracic surgery.

The trial from the  University of Freiburg, Germany, was published in the British Journal of Anaesthesiology, in early June. Find abstract here.

100 thoracic surgery patients were randomly assigned to either standard haemodynamic management or Goal-Directed Therapy(GDT). ODM was used to guide fluid management in the latter group.

The results showed fewer complications in the GDT group (6 vs 15, p 0.047). Length of stay was shorter in the GDT patients (9days vs 11 days, p 0.005).

The authors conclude “Compared to standard haemodynamic management, Oesophageal Doppler monitor-guided GDT was associated with fewer postoperative pulmonary complications and a shorter hospital stay.”

For Deltex Medical, CEO Ewan Phillips said; “It is always exciting to see third party studies that confirm the value of our ODM technology. This is yet another trial that supports the need for accurate fluid management and we are delighted to play our part as a leader in the field.”