Advancing Hemodynamic Management

20. February 2025

Nihon Kohden Europe, in collaboration with the European Society of Anaesthesiology and Intensive Care (ESAIC), is proud to announce the release of our latest podcast episode, “Advancing Hemodynamic Management: Exploring the Potential of Non-Invasive Cardiac Output Monitoring.”

This engaging podcast features a conversation between Dr. Miguel Tavares, an experienced Intensive Care Physician, and Arman Grieb, a clinical hemodynamics expert. They delve into the critical role of cardiac output monitoring in optimizing patient care and explore the exciting potential of non-invasive methods, particularly Pulse Wave Transit Time (PWTT) analysis.

Key Highlights of the Episode:

1.    The Limitations of Traditional Monitoring: The discussion begins by highlighting the limitations of relying solely on traditional blood pressure monitoring for a comprehensive understanding of a patient's hemodynamic status. Dr. Tavares and Mr. Grieb emphasize that blood pressure alone often fails to provide a complete picture of circulatory function, making it difficult to assess true cardiac performance and tissue perfusion.

2.    Introducing PWTT Analysis: The podcast introduces Pulse Wave Transit Time (PWTT) analysis as a promising non-invasive technique for assessing cardiac output. The experts explain the underlying principles of PWTT and how it can provide valuable real-time insights into changes in cardiac output without the need for invasive procedures. They discuss how PWTT offers a less invasive alternative to methods like echocardiography or pulmonary artery catheters, potentially reducing patient risk and discomfort.

3.    Clinical Applications and Benefits: The conversation explores the potential clinical applications of PWTT analysis in various settings, including intensive care, operating rooms, and emergency departments. The speakers discuss how PWTT can assist clinicians in making more informed decisions regarding fluid management, vasopressor use, and other interventions aimed at optimizing hemodynamic stability. They emphasize the potential of PWTT to provide early warnings of hemodynamic deterioration, allowing for timely intervention and potentially improving patient outcomes.

4.    Integrating PWTT into Clinical Practice: Dr. Tavares and Mr. Grieb discuss the practical aspects of integrating PWTT analysis into clinical practice. They consider how this technology can complement existing monitoring tools and contribute to a more comprehensive approach to hemodynamic assessment. The conversation touches upon the potential benefits of PWTT in various patient populations, including those with critical illness, heart failure, and sepsis.

5.    The Future of Hemodynamic Monitoring: The podcast concludes with a look at the future of hemodynamic monitoring, highlighting the growing importance of non-invasive techniques like PWTT. The speakers express their enthusiasm about the potential of these technologies to improve patient care and outcomes.
This podcast offers a valuable resource for clinicians, researchers, and anyone interested in learning more about the latest advancements in hemodynamic monitoring. Whether you are a seasoned expert or just beginning to explore this field, this episode provides valuable insights into the potential of non-invasive cardiac output monitoring to revolutionize patient care.

Listen to the Podcast Here: 

ESAIC website - https://esaic.transistor.fm/s4/2 
YouTube - https://www.youtube.com/watch?v=S51c1aeBJKY&t=75s 
Apple Podcasts - https://podcasts.apple.com/us/podcast/esaic-podcast-series-on-anaesthesia-intensive-care/id1608044069 
Spotify - https://open.spotify.com/show/4ZTgr2TzEzDo664YRaqNGR