Fighting Disease with Electronics Optimizing Diagnosis, Treatment and Clinical Outcomes Hemodynamics Graph for GDT Dr. Suraphong Lorsomradee, MD., PhD. Associate Professor, Director of TIVA Training Center, Division fo Cardiothoracicand Vascular Anesthesia Division of Liver Transplantation Anesthesia, and Department of Anesthesiology Faculty of Medicine at the Chiang Mai University, Chiang Mai, Thailand Hemodynamics Graph is available on the following NIHON KOHDEN patient monitors Dr. Suraphong Lorsomradee, a strong advocate of GDT, has shared his clinical experience using a Hemodynamic Graphic display. We present it here to summarize the benefits of this important graphic breakthrough that visually captures therapeutic progress and efficacy by giving the clinician exactly what is needed to best treat the patient. Dr. Lorsomradee has had good experience with Nihon Kohden's Hemodynamics Graph as a monitoring tool for patients' hemodynamics. He believes that the Graph may be useful in GDT. Hemodynamics Graph There has been growing global demand for advanced monitoring tools with intuitive graphic displays and more non-invasive and continuous measurements and parameters. The Hemodynamics Graph is a monitoring tool that displays comprehensive hemodynamic information on data collected from Nihon Kohden bedside monitors. The Hemodynamics Graph is designed to provide an intuitive approach to diagnostic and therapeutic decision-making during the management of hemodynamics. The unique Graphic display actually consists of 2 graphs that are interrelated: the Target Graph and the Trend Graph (Figure 1). Life Scope

Early Decision Making in Goal Directed Fluid Management Target Graph Target Zone Trend Graph Figure 1 : Hemodynamics Graph The Target and the Trend Graphs as displayed on the Nihon Kohden CSM-1900 Patient Monitor. The Target Graph shows the progress of the patients’ hemodynamic condition towards the predetermined goal. * Data provided by NATIONAL DEFENSE MEDICAL COLLEGE, Japan. If the Hemodynamics Graph can ‘catch’ therapies are time-consuming and overly the transition at the early stages of the complicated. Alternatively, goal-directed deterioration of a patient’s condition, therapy is a direct...

esCCO Information vol.4 anesthesia. If the patient is moved to the ICU, and after weaning from invasive monitoring, the Hemodynamics Graph can be used to continue monitoring with other, innovative non-invasive parameters, such as with esCCO, a non-invasive and continuous measurement of Cardiac Output. Can the Hemodynamics Graph be used for diagnosis? The Hemodynamics Graph is useful for identifying the characteristics of shock. For example, in the case of hypovolemic shock, using the Target Graph to display dynamic parameters such as cardiac output and static parameters such as blood pressure,...

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