Enhanced Recovery

Enhanced recovery protocols are evidence-based care bundles that significantly improve recovery after major surgery. These principles and protocols are now standard of care in many surgical specialties.

ODM+ and Enhanced Recovery

Haemodynamic management using oesophageal Doppler monitoring (ODM+) has been well validated within the accepted protocol. In the UK, it is supported by the Enhanced Recovery Partnership in line with the National Institute of Clinical Excellence (NICE) Guidance MTG3, the NHS Operating Framework and the Department of Health Innovation Health and Wealth Review, 2011.

In Europe the Enhanced Recovery After Surgery (ERAS) group selected ODM. The group stated that ‘Oesophageal Doppler ultrasonography was chosen as the preferred method of monitoring intraoperative stroke volume due to the broader evidence base in this context’.

Which patients?

The following list identifies the surgical patients who should receive ODM, as recommended by the Enhanced Recovery Partnership (ERP):

  • Major Surgery with a mortality rate of >1% and/or
  • with an anticipated blood loss of greater than 500mls.
  • Major intra-abdominal surgery
  • Intermediate surgery in high-risk patients, including patients aged >80 years.
  • Unexpected blood loss and/or fluid loss requiring >2 litres of fluid replacement.
  • Patients with ongoing evidence of hypovolaemia and/or tissue hypoperfusion.

Professor Monty Mythen, Clinical Lead for the Department of Health’s ERP Programme & Professor of Anaesthesia & Critical Care at University College London said:

“I have worked with ODM for almost two decades and have seen the benefits in my patients.”

“By offering a much less invasive method of fluid management during and after surgery, ODM helps patients recover more quickly.  I am delighted that this guidance has highlighted the advantages of this technology, and I hope that it gives the NHS the impetus it needs to ensure better access for all.”

Download  brochure and see how ODM can be a valued component in your ERAS protocol.

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