Title: Pellerito's Corner - February 2015
Author: Peter Pellerito, President & CEO
Facility: ImaCor Inc. Garden City NY

This month, our priority is time and how it's managed. In business, we focus on efficiency and productivity knowing that, sometimes, timing can be everything. However, time is nowhere more precious than in the ICU, where a difference in seconds can save a life.

For this reason, we'd like to draw your attention to the time-saving benefits of advanced hemodynamic management programs. As many physicians say, the ability to swiftly resuscitate trauma and acute care patients is crucial to their recovery. In minutes, for example, their fluid status may change from under to over filled. The ability to swiftly and accurately assess a patient's hemodynamic status is essential in the ICU. Yet, many of the tools currently in place do not provide critical care teams with the information they need.

hTEE provides the essential information on cardiac function on one screen. Measures of Left Ventricular End Diastolic Area, Superior Vena Cava collapsibility, and RV/LV ratio are displayed adjacent to real-time hTEE imaging. These views along with the point in time imaging capability allow physicians to answer the important questions regarding resuscitation.

The LVEDA (left ventricle end-diastolic area) and FAC (fractional area change) are used to measure and determine whether the ventricles are filled, and whether they are pumping well; the superior vena cava (SVC) view indicates whether the patient is fluid responsive. The RV/LV ratio facilitates assessment and management of RV function over time, preventing RV failure. Together, with direct visualization, these points in time images help physicians avoid fluid overload in critically ill patients.

Programs for advanced hemodynamic management swiftly provide physicians with the true measurement of cardiac function so that time isn't wasted when it matters most. The timeline from Memorial Hermann Houston Hospital demonstrates how quickly critical care teams can use this information to make appropriate management changes. As with sepsis patients, the interventions made with Programs for Advanced Hemodynamic Management can have an extraordinary impact on their recovery.