Customer Visit Center (CVC) Overview Cris Buxani CVC Director.
Early detection. Proactive intervention....Edwards oximetry central venous catheter (CVC) — the...
Transcript of Early detection. Proactive intervention....Edwards oximetry central venous catheter (CVC) — the...
Early detection. Proactive intervention.
Edwards Oximetry Central Venous Catheter
ScvO2
70%
Edwards oximetry central venous catheter (CVC) — the first proven CVC with continuous ScvO
2 monitoring — reveals the true adequacy of
tissue oxygenation for clarity in early assessment and intervention.1–10
Edwards oximetry central venous catheter continuously monitors central venous oxygen saturation (ScvO2), an early indicator of compromised or inadequate oxygen delivery.6–10
By providing a more sensitive indicator of oxygen imbalance, Edwards oximetry central venous catheter identifies critical changes earlier than traditional vital signs and intermittent sampling—enabling you to recognize and prevent tissue hypoxia sooner.6–10
ECG
MAP
CVP
SpO2
ScvO2
0 Hour 1.5 Hours 3 Hours
Hemodynamic Trends
755025
100
1050
906030
15010090
ScvO2 = Early Warning and Prevention
Hemodynamic trends
Continuous ScvO2 monitoring: Proactive management of tissue hypoxia6–10
Helps guide therapy and provide real-time insight into the efficacy of intervention.6,7
Demonstrated prognostic value of continuous ScvO2 monitoring. 11
• Post-op high-risk surgeries12
• Trauma9
• Sepsis13
• Cardiac failure in congenital heart failure10
• Recovery in cardiac arrest14–15
Continuous ScvO2 monitoring has multiple applications in intra- and post-op stages: 16,17
• Risk for high blood loss, such as hepatic resections, trauma, vascular cases
• High fluid shifts in gastrointestinal cases
• Toleration of single-lung ventilation in thoracic procedures
• Early indication of failure to tolerate extubation
This graph has been created based on the cited studies
Continuous ScvO2 monitoring reveals the root cause of oxygen imbalance, allowing you to determine appropriate therapy.6,18
Edwards OximetryCentral Venous CatheterAccurate oxygenation status 2,4
Continuous ScvO2 monitoring, pressure monitoring and fl uid resuscitation
Simplicity and fl exibility — uses the same insertion techniques as central lines
Vasoactive medicationsInotropic medications
DysrhythmiaCongestive heart failure
Shock
COHemorrhage
Occult bleedingAnemia
Hemodilution
Hb
Hypoxia/hypoxemiaSuctioning, atelectasis
Ventilation/oxygenationLung disease
SaO2
SepsisWork of breathing
Fever, shiveringPain/anxiety
VO2
ScvO2
Convenient, accurate and easy to use.6,17,19
Edwards oximetry central venous catheter provides:
See advanced hemodynamic parameterswith a new level of clarity.*
The HemoSphere advanced monitor from Edwards Lifesciences reimagines the way you see, experience and interact with hemodynamic parameters. A range of clinical-support screen choices provides a new level of visual clinical support, facilitating decision making during rapidly changing situations.
*Compared to Vigilance II monitor
References inserted above
For professional use. See instructions for use for full prescribing information, including indications, contraindications, warnings, precautions and adverse events.
Edwards Lifesciences devices placed on the European market meeting the essential requirements referred to in Article 3 of the Medical Device Directive 93/42/EEC bear the CE marking of conformity.
Edwards, Edwards Lifesciences, the stylized E logo, EV1000, HemoSphere, PediaSat, Vigilance and Vigilance II are trademarks of Edwards Lifesciences Corporation or its affi liates. All other trademarks are the property of their respective owners.
© 2017 Edwards Lifesciences Corporation. All rights reserved. E6970/04-17/CC
Edwards Lifesciences • Route de l’Etraz 70, 1260 Nyon, Switzerland • edwards.com
See clearly. Stay ahead. Designed for use with Edwards’ monitoring platforms, Edwards’ oximetry central venous catheters off er the clarity of an early warning to support early intervention.
PediaSat Oximetry Catheter
The fi rst and only pediatric oximetry catheter with continuous ScvO2 monitoring to help you stay ahead of hypoxia and stages of sepsis.20–22
Edwards HemoSphereAdvanced Monitoring Platform
Adaptable module design allowsa broad range of working environments and applications.Screen options communicatepatient status at a glance.
PediaSat Edwards EV1000Clinical Platform
Presents patient physiologic status in an intuitive, meaningful way to clinically support proactive hemodynamic management.
Edwards oximetry central venous catheter
Lumens Length (CM)
X3820SP 3 20
X3820ST 3 20
For over 40 years, Edwards Lifesciences has been helping you make proactive clinical decisions to advance the care of surgical and critical care patients.
Through ongoing collaboration with you, ongoing education and our never-ending quest for advancement, Edwards develops solutions that provide the clarity to make proactive clinical decisions.
Know more. Visit Edwards.com/OximetryCVC
References for Edwards oximetry central venous catheter brochure
For professional use. See instructions for use for full prescribing information, including indications, contraindications, warnings, precautions and adverse events.
Edwards Lifesciences devices placed on the European market meeting the essential requirements referred to in Article 3 of the Medical Device Directive 93/42/EEC bear the CE marking of conformity.
Edwards, Edwards Lifesciences, the stylized E logo, PediaSat, and PreSep are trademarks of Edwards Lifesciences Corporation or its affiliates. All other trademarks are the property of their respective owners.
© 2017 Edwards Lifesciences Corporation. All rights reserved. E6970/04-17/CC
Edwards Lifesciences • Route de l’Etraz 70, 1260 Nyon, Switzerland • edwards.com
1. Edwards Oximetry Central Venous Catheter Instructions for Use
2. Clinical PreSep PediaSat Clinical Evaluation Report.
3. FDA 510k K053609
4. FDA 510k K061585
5. FDA 510k K091786
6. Reinhart K, et al. Continuous central venous and pulmonary artery oxygen saturation monitoring in the critically ill. Intensive Care Med. 2004;30(8):1572-8.
7. Rivers EP, et al. Central venous oxygen saturation monitoring in the critically ill patient. Curr Opin Crit Care. 2001;7(3):204-11.
8. Ingelmo P, et al. Importance of monitoring in high risk surgical patients. Minerva Anestesiol. 2002;68(4):226-30.
9. Scalea, TM, et al. Central venous oxygen saturation: a useful clinical tool in trauma patients. J Trauma 1990;30(12):1539-43.
10. Ander, DS, et al. Undetected cardiogenic shock in patients with congestive heart failure presenting to the emergency department. Am J Cardiol 1998;82(7):888-91.
11. Spenceley, N., et al. Continuous central venous saturations during pericardial tamponade case report. Pediatr Crit Care Med 2007,Vol. 8,No. 3,p18.2.153.
12. Pearse, R, et al. Changes in central venous saturation after major surgery, and association with outcome. Crit Care 2005;9(6):R694-91.
13. Rady, MY, et al. Resuscitation of the critically ill in the ED: responses of blood pressure, heart rate, shock index, central venous oxygen saturation, and lactate. Am J Emerg Med 1996;14(2):218-25.
14. Rivers, EP, et al. The clinical implications of continuous central venous oxygen saturation during human CPR. Ann Emerg Med 1992;21(9):1094-101.
15. Nakazawa, K, et al. Usefulness of central venous oxygen saturation monitoring during cardiopulmonary resuscitation. A comparative case study with end-tidal carbon dioxide monitoring. Intensive Care Med 1994;20(6):450-1.
16. Noguiera P, et al. Central Venous Saturation: A Prognostic Tool in Cardiac Surgery Patients. J Intensive Care Med. 2010;25(2):111-116.
17. Vallet B, et al. Venous oxygen saturation as a physiologic transfusion trigger. Crit Care. 2010;14:213.
18. Zaja J. Venous oximetry. Signa Vitae 2007;2(1):6-10.
19. Mahajan A, et al. An experimental and clinical evaluation of a novel central venous catheter with integrated oximetry for pediatric patients undergoing cardiac surgery. Pediatric Central Venous Oximetry. Anest Anal. 2007;Vol.105, No. 6, 1598.
20. Krahn, G., et al. Early clinical evaluation of the Edwards PediaSat™ oximetry catheter in pediatric patients. Pediatr Crit Care Med 2007,Vol. 8,No. 3,p18.2.152.
21. Spenceley, N., et al. Continuous central venous saturation monitoring in pediatrics: a case report. Pediatr Crit Care Med 2008, Vol. 9, No. 2, p e13-e16.
22. Lemson et al. Advanced hemodynamic monitoring in critically ill patients. Pediatrics. 2011.