Blood Volume Measurements Improved Survival
Prospective randomized control trial in Surgical ICU
N=100, 70% Septic Shock / Sepsis / ARDS
66% reduction in mortality
20% reduction in LOS
36 hour earlier treatment decisions
44% change in treatment strategy
“An important aspect of care was the earlier treatment of intravascular volume deviations in the BVA group, before the abnormality became clinically manifested.”
Mihae Yu, M.D. – Queens Hospital
66% reduction in mortality
44% change in treatment strategy
Persistently Elevated Albumin Transudation Rate Associated With Higher Mortality
Rate at which the albumin transudates out of circulation shown to be predictive of ICU mortality in cohort with 70% respiratory failure.
Retrospective Study in Surgical ICU
N = 164
“Blood Volume Analvsis is never more important than it is today. In fields such as surgery; managing blood loss, transfusion, and intravascular volume can no longer be guided by hematocrit alone. It is just too crude an instrument in the patient with significant derangements. Management must also take into account actual blood volume if we are going to make our best and most guided decisions in the surgical critical care and perioperative arenas.“
Mark T. Nelson, M.D., MEd
Civetta, Taylor, & Kirby’s Critical Care, Fourth Edition 2009