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any one using vigileo in OR . If yes what specific scenarios do you feel that it is useful in guiding management.
any one using vigileo in OR . If yes what specific scenarios do you feel that it is useful in guiding management.
I think they require the pt to be paralysed and mechanically ventilated. That limits their usefulness vs a swan especially as a post op monitor. Also the cost makes them hard to justify for every case that requires an aline.
For patients on pressors, the Flotrac is a random number generator. Completely worthless.
For changes in CO from volume administration in patients not on pressors, it's maybe OK, but IMO doesn't tell you much you don't already know.
I used to use the Flotrac, but have pretty much stopped completely.
For patients on pressors, the Flotrac is a random number generator. Completely worthless.
For changes in CO from volume administration in patients not on pressors, it's maybe OK, but IMO doesn't tell you much you don't already know.
I used to use the Flotrac, but have pretty much stopped completely.
I am trying to understand why should anyone use Flotrac/Vigileo at all ?
There’s OK data for GDT/ERAS protocols but it’s unclear if the vigileo is the cause or simply a correlation as practitioners clearly pay more attention to volume status and multimodal techniques with these protocols.
Pt needs to be in sinus rhythm and mechanically ventilated for it to work.
The only one of these things I find at all useful is the Lidco, which allows me to calibrate it to a TEE-derived CO (3D planimetry of LVOT area x LVOT VTI x HR).
Without the calibration, it's just as useless as everything else. With the calibration, it actually spits out meaningful numbers.
Even then, I hardly ever use it.
any one using vigileo in OR . If yes what specific scenarios do you feel that it is useful in guiding management.
Yeah, this exactly.I pulse wave the LVOT from a TG long axis and just eyeball or caliper the distance from the annulus where I pulsed. Pull back to ME AV long and acquire full volume, then trace LVOT CSA in qlab at a point approximately the same distance from the annulus where I acquired the VTI. The accuracy you gain from the 3D LVOT trace more than makes up for the small error in not measuring LVOT exactly at the point you pulsed.
Especially cataracts.You guys are monitoring noncardiac cases with TEE in your private practices?