New guide for intra-operative fluid management
9 February 2010
The UK's NHS Technology Adoption Centre (NTAC) has launched an
online guide for Doppler Guided Intra-operative Fluid Management.
The Guide informs clinicians, particularly anaesthetists, and managers
how to successfully implement intra-operative fluid management into
routine clinical and operational practice.
Optimal management of fluid balance during major surgery is
considered a key factor in improving surgical outcomes. Innovative and
minimally invasive monitoring of cardiac stroke volume using oesophageal
Doppler technology in operating theatres now enables the anaesthetist to
safely and accurately administer intravenous fluids during surgery.
Benefits of this technology include:
- Reduced risk. Fewer complications compared with
other invasive monitoring techniques.
- Minimal training. Minimal training is required
for the use of the cardiac output monitors. The minimally invasive
oesophageal probes are easy to insert and remove.
- Improved patient outcomes. As a guide for fluid
replacement during major surgery, oesophageal Doppler guided fluid
management ensures adequate blood perfusion to major organs,
reducing the risk of hypovolaemia and post-operative complications.
- Reduced hospital stay. By addressing the
challenge of hypovolaemia, the reduced risk of complications have
been shown to contribute to an overall reduction in patient length
- Benefits to patients and the NHS. A reduction
in complications will enhance patient experience. A reduction in
patient length of stay will enhance efficiency and improve patient
Widespread implementation of this technique in major surgery offers
the opportunity for the NHS to deliver large scale improvements in both
quality of care and productivity.
The step-by-step How to why to Guide provides comprehensive
information on this technique and reports on the experience of NTAC's
three clinical implementation sites currently using the technology. The
Guide also explains the adoption barriers and how they can be overcome.
Features include a unique easy-to-use Business Case Template, a Costing
Model, and a Roadmap Section to support clinicians and hospital managers
in the implementation of this technique into clinical and operational
The Guide is available at: