LiDCO Hemodynamic System

Product: LiDCO Monitor with Haemodynamic readings.

LiDCO® Haemodynamic Monitoring System

The LiDCO Haemodynamic Monitoring System provides beat-to-beat advanced haemodynamic monitoring to support informed decision-making in high-acuity care areas such as the Operating Room.

  • Uses already existing arterial line and blood pressure transducer to monitor haemodynamic parameters
  • PulseCO™ algorithm converts beat-to-beat blood pressure into its constituent parts, flow and resistance, scaled to each patient's age, height, and weight
  • Proven to be reliable on patients on vasoactive drugs1

Clinical Evidence

Clinical Evidence

 

Reductions in Postoperative Complications and Costs

  • In a randomised controlled trial of 734 patients undergoing major gastrointestinal surgery, researchers found haemodynamic optimisation with LiDCO led to more than 20% reduction in postoperative complications and, as a result, patients monitored with LiDCO were on average $530 less expensive to treat over 6 months than control patients who were not monitored.2, 3

Reductions in 30-Day and 180-Day Mortality

  • In a study comparing the outcomes of 1200 major abdominal surgery patients, researchers found that, following the implementation of a program including LiDCO technology, there was a significant decrease in mortality at 30 days (from 21.8 to 15.5%) and 180 days (from 29.5 to 22.2%).3

Parameters and Indicators

Parameters and Indicators

 

The beat–to–beat parameters displayed by the LiDCO monitor provide immediate feedback on a patient’s fluid and haemodynamic status. 

The LiDCO monitor provides the following parameters:

  • Stroke Volume (SV): The amount of blood pumped by the left ventricle of the heart in one contraction
  • Cardiac Output (CO): The amount of blood the heart pumps through the circulatory system in a minute, calculated by multiplying the stroke volume by the patient’s heart rate
  • Systemic Vascular Resistance (SVR): Reflects the resistance to flow and is calculated as the quotient of pressure and cardiac output
  • Oxygen Delivery (DO2): The amount of oxygen delivered to the issues, calculated as the product of cardiac output and oxygen concentration
  • Stroke Volume Variation (SVV): A dynamic variable that can predict fluid responsiveness in mechanically ventilated patients, SVV is the variation in stroke volume across at least one respiratory cycle
  • Pulse Pressure Variation (PPV): Another dynamic variable that can predict fluid responsiveness in mechanically ventilated patients, PPV is the variation in arterial pulse pressure across at least one respiratory cycle
  • Arterial Elastance (EaDyn): The ratio of PPV to SVV, EaDyn helps predict blood pressure response to fluids in preload-responsive patients.5
  • dP/dt: The rate of pressure change (dP) over time (dt) during isovolemic contraction of the ventricles, i.e. in the period before the aortic valve and/or pulmonic valve opens, when there isn’t considerable change in left atrial and /or right atrial pressure. It can be used as a measure of contractility.6

Key Features

Key Features

 
LiDCO monitor on stand

Easy Setup and Operation

Easy Setup and Operation

 

The LiDCO Monitor is designed for efficient setup and simple operation, with an intuitive, easy-to-interpret display—facilitating effective haemodynamic management even on those patients who are haemodynamically unstable and require fluid and drug support.

LiDCO Monitor with cord linking to reader
  • Plug and play operations using the invasive blood pressure output port on the vital signs monitor
  • Monitor using the existing blood pressure transducer, eliminating the need for an additional disposable

RESOURCES

References:

  1. 1.

    LiDCO data on file.

  2. 2.

    Pearse R et al. Effect of a perioperative, cardiac output-guided haemodynamic therapy algorithm on outcomes following major gastrointestinal surgery: a randomized clinical trial and systematic review. JAMA 2014; 311(21):2181-90.

  3. 3.

    Sadique Z, et al. Cost-effectiveness of a cardiac output-guided haemodynamic therapy algorithm in high-risk patients undergoing major gastrointestinal surgery. Perioper Med (Lond). 2015 Dec 14;4:13.

  4. 4.

    Tengberg LT et al. Multidisciplinary perioperative protocol in patients undergoing acute high-risk abdominal surgery. Br J Surg 2017 Mar; 104:463-471

  5. 5.

    García et al. Dynamic arterial elastance as a predictor of arterial pressure response to fluid administration: a validation study. Crit Care. 2014 Nov 19;18(6):626. doi: 10.1186/s13054-014-0626-6. PMID: 25407570; PMCID: PMC4271484.

  6. 6.

    Mason et al. Assessment of cardiac contractility. The relation between the rate of pressure rise and ventricular pressure during isovolumic systole. Circulation. 1971 Jul;44(1):47-58. doi: 10.1161/01.cir.44.1.47. PMID: 5561416.

For professional use. See instructions for use for full prescribing information, including indications, contraindications, warnings, and precautions.

PLCO-008000/PLM-12985C-1225