LiDCO Blog

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HEMODYNAMIC MANAGEMENT IN ACUTE KIDNEY INJURY (AKI) PATIENTS

Acute kidney injury (AKI) in the critically ill and post-surgical patient populations has been previously associated with adverse outcomes.1  Among the adverse outcomes associated with the occurrence of AKI are increased risk of chronic renal failure and risk of death.2  Although risk factors of post-op AKI have been recognized, identifying contributing factors to AKI remains a challenge for OR & ICU healthcare professionals, as these factors are often associated, and stem from a number of causes or influences. Most recently, AKI is reported as common in COVID-19 patients admitted to intensive care units around the world, with an incidence ranging from 11-50% and is associated with an increased risk of death. It is believed that hemodynamic disruptions such as increased central venous pressure, intra-thoracic pressure elevation, untreated hypotension, volume depletion or fluid overload may also result in AKI initiation or irritation.
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VALUE-BASED, QUALITY HEALTHCARE WITH THE LiDCO HEMODYNAMIC MONITORING SYSTEM

Roughly 17% of patients receiving elective surgery suffer postoperative complications within 30 days of their procedure [1] and this figure represents the third leading cause of death globally [2]. Many programs have been designed and launched to help address the clinical and economic impact of those postoperative complications, including surgical safety checklists, minimally invasive surgery, changes to mechanical ventilation approaches [3] and more recently, specific programs targeting improved recovery after surgical procedures [4]. One of the key foundational components of these enhanced recovery after surgery (ERAS) programs is the adequate, individualized fluid and hemodynamic management of the major surgical population.
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ICU HEMODYNAMIC MONITORING IN THE ERA OF COVID-19

on Apr 20, 2020 11:29:39 AM By | Janet Kalina Tate, BSN | 1 Comment |
This blog is intended to quickly shore up what you already know about hemodynamic monitoring in critical care, highlight some pitfalls of volume assessment in COVID-19 patients and provide evidence-based advice on the use of LiDCO in critically ill patient populations.
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HEMODYNAMIC MONITORING: WHAT ARE PRELOAD RESPONSIVE VENTILATOR TESTS?

Are preload ventilator tests valid indicators of preload responsiveness?
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HEMODYNAMIC MONITORING IMPROVES OUTCOMES IN LIVER RESECTION

The liver is the largest organ in the body, located in the upper right portion of the abdomen. It is also one of the most vital organs. Some of the key functions of the liver include: Conversion of sugar into energy; Digestion of fats; Excretion of waste products; Protection against infections; Production of blood clotting factors; Regulation of sex hormones and cholesterol level; Supplies vitamins and minerals as well as metabolism and elimination of various drugs. (2)
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HEMODYNAMIC MONITORING - WHAT IS CONTINUOUS NON-INVASIVE ARTERIAL PRESSURE (CNAP)?

This is a clinical education blog focused on non invasive hemodynamic monitoring.  It explains how continuous noninvasive arterial pressure (CNAP) works and the clinical evidence that supports it.
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HEMODYNAMIC MONITORING - NOT ALL ARTERIES ARE CREATED EQUAL: TRAVELING DOWN THE ARTERIAL TREE

This is a clinical education blog on why we calibrate non invasive finger cuffs to ensure the most reliable data is generated for the patient.  Listen to the audio by clicking play below...
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HEMODYNAMICS: ARE YOU GETTING THE WHOLE PICTURE?

This is a blog about the factors that influence hemodynamics and the relationship between pressure and flow.  It discusses some common misconceptions about pressure and suggests evidence-based methods of evaluating volume and flow.  It also outlines a logical multi-level strategy for improving tissue perfusion.  Listen to the audioblog by clicking play below!
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What is stroke volume variation (SVV)?

This is a blog about stroke volume variation (SVV) providing information on the physiology behind SVV, how it is measured and its clinical relevance.
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CLINICAL EVIDENCE FOR LiDCO ACROSS THE CARE CONTINUUM

This is a blog post containing a review of publications wherein LiDCO hemodynamic monitoring was utilized across multiple hospital environments.  For conciseness, this blog post will focus solely on the ICU, operating room and emergency room, however, there are many other hospital environments that could also have been included.
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