Innovative Technologies

What is esCCO?

The next generation of non-invasive hemodynamics monitoring

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Nihon Kohden is redefining Quality of Care with an innovative technology – esCCO, by introducing volumetric information to all care levels despite the level of invasiveness. The trending performance of esCCO to track changes in cardiac output and stroke volume has been evaluated in clinical studies and its accuracy has been shown to be relevant for clinical use1) 2). With esCCO, the quality of hemodynamic monitoring will be improved for all care levels.

Features of esCCO

  • Reliable measurement with non-invasive calibration
  • No special skills required
  • No additional sensors
  • Real time and continuous

esCCO for fluid optimization

It has been reported that optimal fluid management based on volumetric parameters such as stroke volume and cardiac index could improve patient outcome including shorten length of stay and reduced complication rate3)4). So now, there is a growing demand for less invasive and more efficient method for managing hemodynamic trends for better patient care. Non-invasive and easy-to-use esCCO can provide a useful solution for this purpose by making up for the shortcomings of other method currently available in the market.

Volumetric information for all care levels

esCCO provides cardiac output information only using common vital sign parameters of ECG, SpO2 and blood pressure, requiring no additional sensors or special trainings. Hemodynamic trend monitoring will be available with esCCO for all care levels, not only during major surgeries but also in lower-risk procedures showing a higher chance of bleeding or any hemodynamic stress. Also, esCCO can be a reliable index during fluid administration in various clinical settings. Adding esCCO to the conventional patient monitoring may lead to optimization of fluid management, decreased risk of complications and eventually to better outcome including reduced length of stay.

Potential applications of esCCO

  • General monitoring of patients in ER, OR, ICU and general ward
  • Hemodynamic monitoring after pulmonary artery or transpulmonary thermodilution catheter removal
  • Hemodynamic optimization of patients who are ineligible for more aggressive and risky techniques (f.e. pulmonary artery catheter)
  • Support in the decision making process for goal-directed fluid management and more
  • Triage tool for early detection of sudden deterioration 

esCCO can provide volumetric information for more comprehensive and continuous hemodynamic trend monitoring, improving the quality of patient care and clinical outcomes.

1) Ishihara H, Okawa H, Tanabe K, Tsubo T, Sugo Y, Akiyama T, Takeda S. A New Non-Invasive Continuous Cardiac Output Trend Solely Utilizing Routine Cardiovascular Monitors. J Clin Monit Comput 2004; 18: 313–320.
2) Yamada T, Tsutsui M, Sugo Y, Sato T, Akazawa T, Sato N, Yamashita K, Ishihara H, Takeda J. Multicenter Study Verifying a Method of Noninvasive Continuous Cardiac Output Measurement Using Pulse Wave Transit Time: A Comparison with Intermittent Bolus Thermodilution Cardiac Output. Anesth Analg. 2012 Mar 30
3) Wakeling HG et al. Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery. Br J Anaesth 2005; 95 : 634-42.
4) Mayer J et al. Goal-directed intraoperative therapy based on autocalibrated arterial pressure waveform analysis reduces hospital stay in high-risk surgical patients: a randomized, controlled trial. Crit Care 2010; 14: R18.
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