A&D TM-2655P Manual de usuario descargar pdf (Pagina 59)

Quick, non-invasive and motion tolerant features, enable routine

utilisation of haemodynamic monitoring in the emergency department

Improve Sepsis management with quick diagnosis, determination of fluid

responsiveness and ability to monitor, fine tune or course correct

Can assist with differential diagnosis of acute haemodynamic states such

as shock and sepsis

Passive Leg Raise Protocol (5-10 minutes) – simple, accurate, bedside,

fluid responsiveness decision making tool

Orthostatic Bioreactance protocol (5-10 minutes) - Differential diagnosis

for shortness of breath- heart failure vs Non Heart Failure

Cost effective haemodynamic optimisation of critical care and

resuscitated patients without the need for invasive lines

Chronic Heart Failure Management

Enables highly accurate, real time, continuous and robust measurements

of CO

Use to better understand the patient’s disease status and response to

treatment

Can assist to differentiate between heart failure and chronic pulmonary

disease (COPD)

Pacemaker Optimisation

In heart failure patients treated with a biventricular pacemaker (CRT),

NICOM has been used to determine the optimal pacemaker AV delay

and VV delay settings

The real-time, non-invasive insight enables fine- tuning of the CRT to

optimise stroke volume and cardiac output

The test is simple to perform, and can be completely performed by a

nurse or technician, without the need for echocardiography and other

ancillary tests

Passive Leg Raise Protocol (5-10 minutes) – simple, accurate, bedside,

fluid responsiveness decision making tool

Can assist with differential diagnosis of acute haemodynamic states such

as shock and sepsis

Refine drug titration, especially in patients requiring treatment with

cardiac agonists and vasopressors

Cost effective haemodynamic optimisation of critical care and

resuscitated patients without the need for invasive lines

Assist with fluid management and early warning signal for impending

haemodynamic instability

Monitoring and management of heart failure patients

Complete haemodynamic monitoring including CO, SVV NIBP and TPR

enables fine-tuning of fluid management

Can be used Pre-Induction, Perioperatively or in Recovery to assist with

fluid management

Can be used in wide range of surgical procedures due to flexibility of

electrode placements

Ability to check fluid responsiveness in awake, sedated or anaesthetised

patients

Refine drug titration

Cost effective haemodynamic optimisation without the need for invasive

lines

Early warning signal for impending haemodynamic instability

Passive Leg Raise Protocol (5-10 minutes) – simple, accurate, bedside,

fluid responsiveness decision making tool

Clinical Applications

The NICOM can be used on both conscious and unconscious patients to equal effect, wherever real time insight into cardiac output and other haemodynamic

parameters is important. A summary of applications is given below but please see www.cheetah-medical.com/clinical-applications for more details as well

as case studies of practical examples for clinical practice.

Theatre/Recovery

ICU

A&E

Cardiology Departments