Pellerito's Corner: Winter 2016

Author: Peter Pellerito, President & CEO
Facility: ImaCor Inc. Garden City NY
Summary: The healthcare industry underwent major changes in 2015 with multiple payers and hospital consolidations, substantial cost controls, and the move from fee for service to a value based system. Some would say that for intensive care medicine, it’s all a matter of time; we say let’s focus on time specifically: How can we increase patient outcomes, quality and value through reduced delays in decision making, increase our efficiency as caregivers, and ultimately improve our critically ill patients’ trajectory by getting it right, faster?

Pellerito's Corner - March 2015

Author: Peter Pellerito, President & CEO
Facility: ImaCor Inc. Garden City NY
Summary: This month, our discussion on fluid overload and the management of sepsis continues as it's clear that these issues remain at the forefront of critical care news opportunities to impact quality metrics and cost. . In a video interview, Anders Perner MD PhD points out that we still have much to learn about appropriate fluid administration including volume, timing, and types of fluids. Physicians recognize the need for swift resuscitation but do not have the information they need to make appropriate decisions.

Pellerito's Corner - April 2015

Author: Peter Pellerito, President & CEO
Facility: ImaCor Inc. Garden City NY
Summary: My management team and I would like to thank you for your support and your commitment to optimizing hemodynamic management and reducing costs in healthcare. As you know, hTEE is the only true measurement of cardiac function with direct continuous visualization at the bedside. This breakthrough technology has been used in over 10,000 patients across the continuum of critical care. Now, more than ever before, we are committed to our mission to ensure there is adoption of this innovative technology and program for advanced hemodynamic management.

Pellerito's Corner - Summer 2015

Author: Peter Pellerito, President & CEO
Facility: ImaCor Inc. Garden City NY
Summary: Thank you for your continued support and commitment to optimizing hemodynamic management and reducing healthcare costs. ImaCor remains dedicated to ensuring the success of your Program for Advanced Hemodynamic Management with hTEE. We would like to provide you with some updates and highlights since our last communication on transforming our business.

Navicent Health hTEE Protocol

Facility: Navicent Health, Macon, Georgia, USA
Summary: Mechanically Ventilated Patients
Amy Christie MD, Navicent Health (Macon, GA, USA)


Dr. Christie presents below the protocol and algorithm developed at Navicent Health to direct in the selection of patients who meet one or more of the following criteria for the management of critically ill patients and for advancing evidence based guidelines.

Reducing Mortality in Sepsis: “Individualized, Physiological-Based Resuscitation” (Marik, 2015)

Author: Harold M. Hastings PhD Co-Founder and CTO Emeritus
Facility: ImaCor Inc. Garden City NY
Summary: I read Dr. Paul Marik’s recent review article “The demise of early goal-directed therapy for severe sepsis and septic shock” (Acta Anaesthesiol Scand. 2015 Feb 6. doi: 10.1111/aas.12479) with great interest, and once again return to what may be the major lessons from both the initial success of EGDT and the dramatic reductions in sepsis mortality: do it right; do it fast – use the right antibiotics to quickly attack the infectious microorganisms (c.f. Barochia AV et al., Bundled care for septic shock: an analysis of clinical trials. Crit Care Med 2010; 38: 668–78) and support perfusion to prevent multi-organ failure, and death before the infection is eliminated.

Pellerito's Corner - February 2015

Author: Peter Pellerito, President & CEO
Facility: ImaCor Inc. Garden City NY
Summary: ...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.

Pellerito's Corner - January 2015

Author: Peter Pellerito, President & CEO
Facility: ImaCor Inc. Garden City, NY
Summary: Welcome to our January newsletter. Our focus is on avoiding fluid overload in critically ill patients, a problem that advanced hemodynamic management addresses specifically. With less than 50% of hemodynamically unstable patients in the intensive care unit and operating room responding to fluid challenge, accurate assessment of cardiac preload and contractility become crucial in resuscitating patients.(1) By providing direct, fast, and accurate visualization of the heart, the hTEE program helps prevent fluid overload through guided resuscitation.

Pellerito's Corner - December 2014

Author: Peter Pellerito, President & CEO
Facility: ImaCor Inc. Garden City NY
Summary: It has been a significant year doubling in size at ImaCor, as we have made great strides in building our clinical Advanced Hemodynamic Management programs. These programs positively impacted the care of thousands of multi-factorial, complex patients worldwide.

Experts Converge on Fluid Resuscitation - Let's Listen

Author: Harold M. Hastings PhD CTO and Co-Founder
Facility: ImaCor Inc. Garden City NY
Summary: This year will likely become known as the "Year of the Sepsis Debate." Here I will look at some highlights on sepsis and more generally on fluid resuscitation from Anesthesia and Critical Care tweets from the 4th International Fluid Academy (IFAD). From what I have read, there is a consensus on one key part of
Early Goal-Directed Therapy (EGDT): Early. Antoine Vieillard-Baron MD, PhD says it best in citing the importance of early, personalized therapy: