Early recognition is critical for timely intervention1
Clarity in early assessment and intervention to help you stay ahead of sepsis3
The Emergency Department is the first line of defense against sepsis, which is a progressive and time-sensitive medical emergency. CMS 3-hour bundle requirements begin at time of triage in the ED.4 Fluid resuscitation should be initiated immediately.5
When every moment counts, access to advanced dynamic and flow-based parameters offers valuable insight to help you guide proactive volume administration decisions.3
Edwards Lifesciences’ advanced hemodynamic monitoring solutions can help you detect sepsis symptoms early, help guide therapy and assessment of fluid responsiveness and comply with CMS/NQF bundle guidelines.3,6-7
Hemodynamic monitoring solutions to help you assess patients individually and meet CMS guidelines3,6-7
It is critically important that your patients are diagnosed as soon as possible and receive the appropriate, intensive care. Wide variability in the hemodynamic profiles of septic patients can complicate early diagnosis and treatment evaluation.
Edwards offers advanced hemodynamic monitoring solutions that clinicians can tailor based on each patient’s physiological needs to help proactively manage sepsis, severe sepsis and septic shock.3
Noninvasive ClearSight finger cuff
SV, SVV, SVR, CO, cBP
The ClearSight finger cuff can be used to measure flow-based parameters continuously prior to, during, and after the fluid administration portion of the 3-hour CMS sepsis bundle. The ClearSight finger cuff connects quickly and noninvasively to a broad patient population, including the elderly or obese.8-10 It can be used to test fluid responsiveness with a fluid challenge and passive leg raise for patients not mechanically ventilated. Continuous blood pressure, CO and SV provide actionable information about sensitive changes in preload.8
EV1000 Clinical Platform
The EV1000 clinical platform presents the physiologic status of your patient in an intuitive and meaningful way. Color-based indicators communicate patient status at a glance, and visual clinical support screens allow for immediate recognition and increased understanding of rapidly changing clinical situations, to help you make more informed assessments of fluid responsiveness. Designed in collaboration with and validated by clinicians, the EV1000 clinical platform offers you scalability and adaptability throughout the continuum of care, from the ED to the OR and ICU.
Make a difference
Your hospital cannot afford to wait
The sepsis bundle guidelines as presented, were published by CMS on August 4, 2014 and are presented for informational purposes only. This information does not constitute reimbursement or medical advice. Edwards makes no representation or warranty regarding this information or its completeness, accuracy or timeliness. It is not intended to make a recommendation regarding clinical practice. Laws, regulations, and payer policies concerning reimbursement are complex and change frequently; service providers are responsible for all decisions relating to clinical services, coding and reimbursement submissions. Accordingly, Edwards strongly recommends consultation with CMS, payers, reimbursement specialists and/or legal counsel regarding guidelines, coding, coverage, and reimbursement matters.
- ACEP Expert Panel on Sepsis. DART evidence-driven tool guide.
- Perman, S. Initial emergency department diagnosis and management of adult patients with severe sepsis and septic shock. Scandinavian Journal of Trauma, Resuscitation, and Emergency Medicine. 2012.
- Marik, Paul E., Xavier Monnet, and Jean-Louis Teboul. “Hemodynamic Parameters to Guide Fluid Therapy.” Ann Intensive Care Annals of Intensive Care 1.1 (2011):1. Web.
- Centers for Medicare and Medicaid Services. "Implementation of severe sepsis and septic shock: management bundle measure (NQF# 0500)." (2016).
- Gauer, R. Early Recognition and Management of Sepsis in Adults: The First Six Hours. Am Fam Physician. 2013 Jul 1;88(1):44-53.
- Operators Manual EV1000_157811A5.
- Sepsis Bundle Project (SEP) - National Hospital Inpatient Quality Measures (Version 5.0).
- Truijen et al. Noninvasive Continuous Hemodynamic Monitoring. Journal of Clinical Monitoring and Computing. 2012.
- Eeftinck Schattenkerk D, et al. Nexfin Noninvasive Continuous Blood Pressure Validated Against Riva-Rocci/Korotkoff. American Journal of Hypertension 2009; 22(4):378-383.
- Maguire S, et al. Respiratory Variation in Pulse Pressure and Plethysmographic Waveforms: Intraoperative Applicability in a North American Academic Center. Anesthesia & Analgesia 2011;112:94-6.
- Chen, Caroline, and Doni Bloomfield. "Deadly Infections Drive Billions in Hospital Bills to Medicare." Bloomberg.com . Bloomberg, 15 June 2015. Web. 06 Apr. 2016.
- Statistics, National Center For Health. NCHS Data Brief, Number 62, June 2011 (n.d.): n. pag. www.CDC.gov . Centers for Disease Control, June 2011. Web. 6 Apr. 2016.
- Report to Congress: Medicare and the Health Care Delivery System, June 2015.
