Understanding the hemodynamic status of a patient guides the diagnosis, risk assessment and treatment in a variety of clinical settings. Measuring hemodynamic parameters allows treatment to be selected more appropriately, encourages a better understanding of the circulatory system and improves clinical outcomes.
The non-invasive Electrical Cardiometry (EC) Monitors are the only impedance based monitors validated and US market released for use in all patient populations (neonates, pediatrics and adults).2, 3, 4, 5, 6 Below is a list of specialties and corresponding patient management which can be enhanced by using EC Monitors.
| Specialty | Type of Patient Management |
|---|---|
| Cardiology Clinic | Heart failure and hypertension |
| Electrophysiology | Optimization of pacemaker timings |
| Anesthesia | Goal directed therapy (fluid loading and inotropes) in order to optimize preload, contractility and after-load |
| Obstetrics/Gynecology | Preeclampsia, postpartum hemorrhaging, post-operative recovery |
| Critical Care | Goal-directed therapy for critically ill patients at risk of shock (cardiac, septic, trauma, and burn), fluid optimization, post-surgical care, heart failure |
| Emergency | Trauma, sepsis, burn, triage, hypovolemic shock, heart failure, hypertension, dyspnea |
| Psychiatry | Monitoring cardiac function of patients on Clozapine |
1. Sodolski T et al. (2007). Impedance cardiography: A valuable method of evaluating hemodynamic parameters. Cardiology Journal, 4.
2. Norozi K et al (2007). Electrical velocimetry for measuring cardiac output in children. British Journal of Anaesthesia, 1-7.
3. Osthaus W A et al(2007). Comparison of electrical velocimetry and transpulmonary thermodilution for measuring cardiac output in piglets. Pediatric Anesthesia, 1-7.
4. Suttner S et al (2006). Noninvasive assessment of cardiac output using thoracic electrical bioimpedance in hemodynamically stable and unstable patients after cardiac surgery: a comparison with pulmonary artery thermodilution. Intensive Care Medicine.
5. Zoremba N et al (2007). Comparison of electrical velocimetry and thermodilution techniques for the measurement of cardiac output. Acta Anaesthesiol Scand, 51:1314-1319.
6. Scmidt C et al (2005). Comparison of electrical velocimetry and transoesophageal Doppler echocardiography for measuring stroke volume and cardiac output. British Journal of Anesthesia, 95 (5): 603-10.