Clinical Application
Value of Electrical Cardiometry™
Value of Electrical Cardiometry™
Hemodynamic monitoring is very important in many different clinical areas. This is also the case with Electrical Cardiometry™, the world’s only impedance-based technology whose use for all age groups (neonates, children and adults) it is CE and FDA certified and approved for leading healthcare authorities in the European, American, Canadian, Japanese, Korean, Chinese and many other markets.
Electrical Cardiometry™ offers the possibilities of continuous beat to beat hemodynamic monitoring. It can also be used on patients whom invasive methods are not applicable. EC™ provides an overall view of the total hemodynamic status of the patient, hence detecting any minor changes once it happens.
Understanding a patient’s hemodynamic status and detecting any changes on time, guides diagnosis, risk assessment, and selecting the appropriate treatment in variety of clinical settings. The measurement of hemodynamic parameters enables better selection of drugs needed for therapy, and it assist in a better understanding of the circulatory system sudden changes and improves clinical outcome.
In intensive care units, either pediatrics or adults, Electrical Cardiometry™ can be used to regularly detecting early changes in hemodynamics, not only that but even predicting changes before it happen (as prediction of sudden hypotension, or fluid imbalance), quick differential diagnosis and deciding the targeted or personalized therapy, and even detecting the response for medications and drug titration for all patients and the associated fluid or cardio-vascular evidence based management decisions.
Non-invasive hemodynamic monitoring is important in neonates and pre-mature babies, invasive methods are not applicable for them. Electrical Cardiometry™ being the only impedance-based technology officially validated and approved for use in pre-mature babies and neonates, it is used for diagnostic and therapeutic assessment of hemodynamics or for all post-operative complex period, where there is a sudden change from intra-to extra uterine life.
Fluid management and inotrope titration are two of the most common procedures done in NICU. Electrical Cardiometry™ offers the possibility to detect any minor changes in neonatal fluid status and to guide and detect the response for inotropes which gives the clinicians a great value to manage these small babies.
In anesthesia, management of the circulatory system is essential, starting from the pre-anesthetic period, then anesthesia induction phase and during every phase of the surgery especially major ones (liver transplant, neuro and orthopedic surgeries, and heart surgeries).
Electrical Cardiometry™ can be used, among other things, to optimize the cardiovascular system and the fluid status (preload, contractility and afterload) during and in the critical post-operative period.
Electrical Cardiometry™ can be used in cardiology from the simple outpatient clinic management of heart failure and hypertension patients, to the advanced critical care patient with heart failure and decompensated cardiovascular system.
EC™ is a perfect tool for drug titration for heart failure and hypertension patients. This also include catheter interventions in the cath.-lab for various heart diseases or pacemaker optimization.
Electrical Cardiometry™ is of great value in hemodialysis, it provides clear data regarding the intravascular volume and extravascular fluid status as well, counting on the (wet-dry weight) to manage these patients mostly end with sudden hypotension, as most fluid is already in the interstitial space.
With the help of EC™, we can have continuous data about the intravascular volume which helps us prevent hypotension on time, and if it happens, it will help us to guide the best way to manage this patient, by fluid or inotrope or vasopressor the workload on the heart must also be monitored as well.
A large number of patients in the ambulance require a hemodynamic assessment for evaluation, specially neonates, and critical patients, patients with trauma, severe burns, patients in shock, with shortness of breath or high blood pressure.
Electrical Cardiometry™ also supports shock differentiation (cardiogenic, septic, hypovolemic shock). EC™ also offers decision support when triage is necessary.
Electrical Cardiometry™ had been widely used today in many hospital wards as the 6th. vital sign during the daily morning patient check.
It can detect any early changes in the cardiovascular system and fluid status of the patients which enable healthcare professionals to take predictive actions to prevent any further deterioration and adjust patient medications with a very simple and quick test.
Electrical Cardiometry™ can be used for preeclampsia management and to guide the best time for cesarean section with pre-eclampsia pregnant women, and in managing postpartum bleeding.
Hemodynamic monitoring can be used, among other things, to optimize the performance of athletes, as well as for the scientific analysis of performance based on the improvement of the cardiac contractility and heart performance. The basic requirement here is the non-invasive use of the Electrical Cardiometry™.
Psychotropic drugs, such as clozapine, can have a negative impact on the circulatory system. Hemodynamic monitoring can be beneficial in such cases.
Electrical Cardiometry™ can be of great importance in veterinary medicine. It has been used widely (specially in Japan and Taiwan) to save many pets live during risk surgeries, and it had been used during risk deliveries as well (Panda delivery).