Managing sepsis is time-sensitive.7,8 It is critically important that patients are diagnosed as soon as possible, and receive the appropriate intensive care.
Septic patients may present widely diverse hemodynamic profiles. Intermittent monitoring of critical and rapidly changing patient parameters provides insufficient information when determining volume responsiveness.
When every moment counts, access to advanced dynamic and flow-based hemodynamic parameters offers valuable insight to help you guide proactive volume administration decisions.6
Edwards Lifesciences advanced hemodynamic monitoring solutions can help you detect sepsis symptoms early, help guide treatment evaluation and comply with CMS/NQF bundle guidelines.6,10-12
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.6
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.9, 13-14 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.9
SVV, SVR, CCO
The FloTrac system 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 FloTrac system is minimally-invasive and connects to any existing arterial catheter to escalate the level of continuous monitoring as patient acuity changes. Continuous monitoring of CO and SV provides actionable information about sensitive changes in preload.9
The Edwards oximetry central venous catheter meets the CMS core measures recommendation for placing a central line when giving vasopressors.15-16 You can meet reassessment requirements with one device by utilizing Edwards oximetry CVC for measuring continuous ScvO2 and CVP. The Edwards oximetry CVC provides continuous ScvO2, an early indicator of compromised or inadequate oxygen delivery demonstrated to reveal critical changes earlier than vital signs alone, enabling you to respond sooner.17-21
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.
Caution: Federal (United States) law restricts this device to sale by or on the order of a physician.
See Instructions For Use (IFU) / Directions For Use (DFU) for full prescribing information, including indications, contraindications, warnings, precautions and adverse events.
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