The FloTrac system automatically updates advanced parameters every 20 seconds, reflecting rapid physical changes in moderate to high-risk surgery more accurately. Advanced hemodynamic parameters provided by the FloTrac sensor offer you continuous insight to more accurately determine your patient’s fluid status. The minimally-invasive FloTrac sensor connects to any existing arterial catheter.
In just a decade, the FloTrac sensor has been chosen by clinicians more than any other volume management solution to manage over 2.5 million patients worldwide.*†
The FloTrac system algorithm has evolved based on a broad and expanding patient database that allows ongoing system performance improvements. In this latest evolution (v.4.0), Edwards continues to expand the database to include a more diverse surgical patient population in order to continuously inform and evolve the algorithm. Specifically, more of the following high-risk surgical patients were added to the database including, but not limited to:
- Pancreaticoduodenectomy (Whipple)
- Kidney Transplant
- Hip Replacement Esophagectomy
|Model||Description||Length||Unit of Measure|
|MHD8||FloTrac sensor||84 in / 213 cm||EA|
|MHD85||FloTrac sensor||84 in / 213 cm||5 EA|
|MHD6||FloTrac sensor||60 in / 152 cm||EA|
|MHD65||FloTrac sensor||60 in / 152 cm||5 EA|
|MHD6AZ||FloTrac sensor with VAMP adult system||60 in / 152 cm||EA|
|MHD6AZ5||FloTrac sensor with VAMP adult system||60 in / 152 cm||5 EA|
EV1000 clinical platform
|EVPB1||Power Adapter Bracket|
|EVPSB220||Power Adapter, 220V (Class I)|
|EVPSB220L||Power Adapter, 220V Long (Class I)|
*Data on file
†The FloTrac system is comprised of the FloTrac sensor and the Vigileo monitor or the EV1000 clinical platform.
Advanced hemodynamic parameters, when implemented within a PGDT protocol, are demonstrated to reduce post-surgical complications in moderate to high-risk surgery patients. 19 The FloTrac system provides advanced hemodynamic paratmeters that can be used in PGDT to control variability in volume administration and help you maintain your patient in the optimal volume range.
- Stroke Volume Optimization (SV) 4–12
Stroke volume measurement with the FloTrac sensor enables an individualized approach for administering fluid until SV reaches a plateau on the Frank-Starling curve, to prevent hypovolemia and excessive fluid administration.
- Stroke Volume Variation Optimization (SVV) 13
For control-ventilated patients, SVV has proved to be a highly sensitive and specific indicator for pre-load responsiveness, serving as an accurate marker of patient status on the Frank-Starling curve.
- Oxygen Delivery Optimization (DO 2 with CCO) 14
Continuous cardiac output (CCO) measured by the FloTrac system can be used (in combination with SaO 2 and hemoglobin) to monitor and optimize DO 2 with fluid (including red blood cells) and inotropic agents.
30+ randomized controlled trials and 14+ metaanalyses have demonstrated clinical benefits of hemodynamic optimization over traditional volume management. 15-18
Advanced hemodynamic parameters, when implemented within a PGDT protocol, are demonstrated to reduce postsurgical complications in moderate to high-risk surgery patients. 19 The FloTrac system provides advanced hemodynamic parameters that can be used in PGDT to control variability in volume administration and help you maintain your patient in the optimal volume range.
Edwards Critical Care Education
Edwards has been providing science-based education since 1972. We offer a full range of on-line, in-print and on-site programs that are available to your clinicians or staff.
Following are relevant educational tools:
An integrated hemodynamic monitoring system
The FloTrac sensor integrates with the Edwards EV1000 clinical platform to show patient status at a glance, for visual clinical support and increased clarity in volume administration during moderate to high-risk surgical procedures.
The EV1000 clinical platform now offers the next perspective on guiding volume administration when used with the FloTrac system. The latest visual clinical support screens available on the EV1000 clinical platform enable you to maintain your patients in the optimal volume range and reduce volume administration variability. Time In Target facilitates Perioperative Goal-Directed Therapy (PGDT) compliance, helping the user to track and manage key parameters, and create and monitor customized protocols.
Click here for complete software requirements and to download your PGDT analytics software.
This latest software update includes expanded monitoring, specifically:
- Addition of SVR parameter by adding a CVP updates
- Addition of blood pressures and pulse rate at key parameters
SYSand DIA as primary parameters
- Ability to view BP waveform
To update your existing EV1000 clinical platform, contact Edwards Lifesciences today.
Product and Setup Guides
The FloTrac sensor is designed to work together with the VAMP Optima closed blood sampling system to consistently maintain patients in the optimal volume range while reducing blood loss from sampling.21
The FloTrac sensor with VAMP Optima system allows for continuum of care for hemodynamically unstable patients that require frequent blood sampling in the perioperative setting. When paired with the VAMP Optima system, the sensor kit allows for sampling without discarding the blood, which may reduce blood loss and infection.
- 84 inches of pressure tubing and two sample sites offer flexibility for OR and ICU use
- Large 12cc reservoir provides optimized clearing volume
- Safety locking mechanism on the reservoir to prevent autofilling
- Convenient single hand operation for simplified sampling and clearing volume reinfusion
- One step flushing
- Intuitive use and clear user interface with fluid path icons
- nDEHP tubing to limit potentially harmful phthalate exposure
- Two sample site locations allow for sampling outside the sterile field in the OR and close to the patient in the ICU setting
VAMP Optima kits with LASS (Luer Activated Sampling Site) provide the following benefits
- No excessive damping of the blood pressure signal with the rotating handle that can direct the flow away from the valve
- Time and labor saving in blood aspiration mode with a single flush after blood sampling (in comparison with two boluses required with a regular stopcock)
- Minimal blood residues that may help prevent contamination and reduce infection rates
FloTrac sensor with VAMP Optima System
|VOPTIMAL||VAMP Optima with LASS||10-pack|
|MHD8VRL||FloTrac sensor + VAMP Optima with LASS + red stopcock inserts + red caps||1-pack|
|MHD8VZ5||FloTrac sensor + VAMP Optima with LASS + red stopcock inserts + red caps||5-pack|
|MHD8VRL5||FloTrac sensor + TruWave DPT + VAMP Optima with LASS + red stopcock inserts + red striped tubing + red caps||5-pack|
Edwards’ range of hemodynamic monitoring solutions offers continuous dynamic and flow-based parameters that may be used in PGDT to consistently maintain your moderate to high-risk surgery patients in the optimal volume range.
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- Marik & Cavallazzi. Does central venous pressure predict fluid responsiveness? An updated meta-analysis and a plea for some common sense. Crit Care Med 2013
- Le Manach et al. Can changes in arterial pressure be used to detect changes in cardiac output during volume expansion in the perioperative period? Anesthesiology 2013
- Bennett D. Arterial Pressure: A Personal View. Functional Hemodynamic Monitoring. Berlin: Springer-Verlag, 2005. ISBN: 3-540-22349-5
- Cecconi M, Fasano N, Langiano N, et al. Goal directed haemodynamic therapy during elective total hip arthroplasty under regional anaesthesia. Crit Care. 2011;15:R132
- Sinclair S, James S, Singer M. Intraoperative intravascular volume optimization and length of hospital stay after repair of proximal femoral fracture: randomised controlled trial. AMJ. 1997;315:909–912.
- Gan T, Soppitt A, Maroof M, et al. Goal-directed intraoperative fluid administration reduces length of hospital stay after major surgery. Anesthesiology. 2002;97(4):820–826.
- Venn R, Richardson P, Poloniecki J, Grounds M, Newman P. Randomized controlled trial to investigate influence of the fluid challenge on duration of hospital stay and perioperative morbidity in patients with hip fractures. Br J Anaesth. 2002;88(1):65–71.
- Conway D, Mayall R, Abdul-Latif M, Gilligan S, Tackaberry C. Randomised controlled trial investigating the influence of intravenous fluid titration using oesophageal Doppler monitoring during bowel surgery. Anaesthesia. 2002;57(9):845–849.
- McKendry M, McGloin H, Saberi D, Caudwell L, Brady A, Singer M. Randomised controlled trial assessing the impact of a nurse delivered, flow monitored protocol for optimisation of circulatory status after cardiac surgery. BMJ. 2004;329:358.
- Wakeling H, McFall M, Jenkins C, Woods W, Barclay G, Fleming S. Intraoperative oesophageal Doppler-guided fluid management shortens postoperative hospital stay after major bowel surgery. Br J Anaesth. 2005;95(5):634–642
- Noblett S, Snowden C, Shenton B, Horgan A. Randomized clinical trial assessing the effect of Doppler-optimized fluid management on outcome after elective colorectal resection. BJS. 2006;93(9):1069–1076.
- ChytraI, Pradl R, Bosman R, Pelnar P, Kasal E, Zidkova A. Esophageal Doppler-guided fluid management decreases blood lactate levels in multiple-trauma patients: a randomized controlled trial. Crit Care. 2007;11:R24.
- Benes J, ChytraI, Altmann P, et al. Intraoperative fluid optimization using stroke volume variation in high risk surgical patients: results of prospective randomized study. Crit Care. 2010;14:1-15.
- Donati A, Loggi S, Preiser JC, Orsetti G, Munch C, Gabbanelli V, Pelaia P, Pietropaoli P. Goal-directed intraoperative therapy reduces morbidity and length of hospital stay in high-risk surgical patients. Chest. 2007;132:1817–1824.
- Grocott et al. Perioperative increase in global blood flow to explicit defined goals and outcomes after surgery: a Cochrane systematic review. Br J Anaesth 2013
- Giglio MT, Marucci M, Testini M, Brienza N. Goal-directed haemodynamic therapy and gastrointestinal complications in major surgery: a meta-analysis of randomized controlled trials. Br J Anaesth 2009; 103: 637–46
- Dalfino L, Giglio MT, Puntillo F, Marucci M, Brienza N. Haemodynamic goal-directed therapy and postoperative infections: earlier is better. A systematic review and meta-analysis. Crit Care 2011; 15: R154
- Corcoran T et al. Perioperative Fluid Management Strategies in Major Surgery: A Stratified Meta-Analysis. Anesthesia – Analgesia 2012
- Hamilton MA, Cecconi M, Rhodes A. A systematic review and meta-analysis on the use of preemptive hemodynamic intervention to improve postoperative outcomes in moderate and high risk surgical patients. Anesthesia – Analgesia 2011; 112: 1392–402.
- CL Gurudatt. Perioperative fluid therapy: How much is not too much? Indian J Anaesth. 2012 Jul-Aug; 56(4): 323–325
- Bellamy, MC. Wet, dry or something else? B J Anaestha. 2006; 97(6): 755–757
Cannesson, Arterial Pressure Variation and Goal Directed Fluid Therapy 2010
Hamilton, A Systematic Review and Meta-Analysis on the Use of Preemptive Hemodynamic 2001 |
Pearse, Effect of a Perioperative, Cardiac Output Guided Hemodynamic Therapy 2014