Hemodynamics Matter: ASA Poster Highlights Contribution of Accurate Fluid Management in the Most Challenging Cases

A new poster confirms the important part played by Esophageal Doppler Monitoring (EDM) of hemodynamics when it comes to delivery of happy outcomes from the most challenging clinical situations. 

The poster appeared at October’s American Society of Anesthesiologists (ASA).  Find it here.

“Intraoperative Esophageal Doppler Monitoring in a neonate with severe heart defect for non-cardiac surgery”, Syed Z. Ali et al

The case study detailed how clinicians treated a 3 day old with multiple heart problems, presenting for complex gastrointestinal surgery. 

With the patient undergoing open abdomen surgery, one of the biggest surgical challenges was the maintenance of fluid balance. In such a small and compromised patient this was clearly extremely important. Indeed the team employed both Central Venous Pressure (CVP) and Esophageal Doppler Monitoring (EDM) to inform decisions. Of note, the authors state that “CVP did not correlate well as an indicator of filling pressure.”

Hemodynamics improved with fluid application as confirmed by EDM

The patient “responded to fluid treatments with improved hemodynamics, confirmed by EDM data.”

The outcome was successful with the patient said to have “tolerated the procedure well” and with “no anesthesia complications noted.”

In conclusion the authors state that “EDM provided clinically relevant cardiac index data in a 3 day old neonate with complex cardiac pathophysiology.”

Authors comments;

Dr Ali commented that, “Measuring hemodynamics using the EDM in these patients is vital. Indeed CVP alone does not provide me with an accurate understanding on the patients filling status.”

Co Author Dr Vu added, “EDM correlated with clinical condition in this particular patient.”

Hemodynamics matter, says Deltex Medical CEO

Andy Mears states, “We’re obviously thrilled every time we see another presentation in which our technology has contributed to a successful outcome. Moreover this case reinforces how important it is that clinicians have access to the most accurate, relevant and sensitive form of hemodynamic monitoring. At a human level, this is why we do what we do, and why we are passionate about sharing the message.”

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