Optimising the use of IOFM technology

Optimising the use of IOFM Technology

• For patients undergoing high risk surgery, fluid status can have a major influence on post-operative outcome. There is good evidence now linking both hypovolemia and hypervolemia with peri-operative and post-operative complications and extended hospital stay
• IOFM guided by an optimized cardiac stroke volume, has for many years been proposed as the “gold standard” for perioperative fluid optimisation, having been demonstrated and has been shown to reduce perioperative and postoperative complications and shorten length of hospital stay. A number of IOFM technologies are now available to support clinicians in more accurately optimizing patients’ fluid status
• Without the use of IOFM technology, the volume of fluid administered to a patient depends to a large extent on the individual clinician, with large interprovider and intraprovider variability. This potential variation makes quality improvement activity extremely difficult and could mean that some patients will be put at risk unnecessarily
• This Clinical Innovation Adoption project looks to promote the adoption of IOFM technology in clinical scenarios where there is good evidence of benefit.