EDM+ 23rd RCT shows benefit in Obese Patients
A newly published randomized controlled trial (RCT) is the 23rd to reinforce the important contribution of esophageal Doppler monitoring (EDM+). The study evaluates hemodynamic management in obese surgical patients.
Obesity is a major and increasing healthcare problem with a growing surgical caseload. Obese patients present surgical care givers with their own specific challenges. As the authors state, “Subcutaneous tissue and wound hypoxia are common in obese patients during the perioperative period. Even with supplemental oxygen, tissue oxygen tension is reduced to partial pressures, which are associated with a substantial increase in surgical site infection.”
“Subcutaneous tissue oxygenation is crucial for wound healing and serves as a major predictive factor for the development of surgical wound infections.”
It’s therefore important to apply the best haemodynamic monitoring protocol to optimise tissue perfusion.
Published in Obesity the study, here, compares conventional fluid management with Goal Directed Fluid Therapy (GDFT) using EDM+.
The authors conclude that;
“Regardless of similar systemic hemodynamics and comparable fluid requirements, goal-directed fluid therapy improved subcutaneous tissue oxygen partial pressure in the early postoperative period in obese patients undergoing laparoscopic bariatric surgery.”
Deltex Medical CEO Andy Mears comments; “It’s gratifying to see the demonstrable benefits of precision hemodynamic management in another RCT and yet another clinical setting. This study highlights the importance of optimizing subcutaneous tissue oxygenation in obese patients. Once again it’s evidence that adopting a systematic individualised hemodynamic approach using Deltex’s EDM+ technology outperforms the historic prescriptive protocol.”