A large body of published literature examines the importance of volume management in critical care, surgery, and trauma patients.
The benefits of assessing fluid responsiveness and managing volume to optimize perfusion is well-documented in critically ill and hemodynamically unstable patients. More recently, close examination of the fluids given during the perioperative period reveals the importance of volume management in surgical patients. At the extremes of restrictive and liberal fluid administration strategies, significant complications are reported, including increasing costs, ventilator days, length of hospital stay, mortality, and other comorbidities.
The “Fluid vs Complications” curve, also known as the “Bellamy Curve“, is a useful tool to show the importance of effective volume management. Finding the optimal fluid level for a patient is a challenge clinicians face everyday. Using CVP and other cardiac pressures has been shown to be of limited use, as only ~50% of hemodynamically unstable patients will respond to fluid by increasing stroke volume and cardiac output.
The Bellamy Curve is an easy way to show core hemodynamic literature. Click here to see more.
Cheetah Medical surveils publications, abstracts, editorials/opinions, position papers, and guidelines, recommendations, and standards documents to better understand the evolution of volume management strategies. Knowledge of the accumulating evidence base allows Cheetah Medical to create and apply novel hemodynamic monitoring technology to answer the important question that clinicians ask every day: “Will my patient respond to IV fluids by increasing cardiac output and perfusion?”
The Cheetah Starling SV system helps you to understand if your patient will respond to fluids, guiding fluid management and optimizing perfusion. The literature supports it!
Fluid Management – A Growing Evidence Base
Cheetah Medical is investing in the science of clinical volume management by sponsoring targeted research that demonstrate the critical importance of volume management in the critical care units for sepsis and septic shock and other shock conditions, and in the OR to enhance recovery after surgery.
The sponsored abstracts are available here for review and download. This research analyze the Premier administrative database containing 17% of US hospital discharges.
Abstracts examine the variation in fluid administration practices and compliance with recommended fluid guidelines in different patient populations and clinical settings.