I attended my first critical care meeting today. The MICU uses the vigileo monitor and flotrac device. Is this something worth trying to bring "downstairs" and training the docs and nurses to use? Or is ultrasound just as good in the ED?
Seems like there's better data out there for the NICOM Cheetah monitor but many places were enchanted by Edwards and the Vigileo / Flotrac and don't have the budget these days to shell out for another expensive cardiac output monitor. US is just as good so if you're confident in your bedside US skills (and your patient's body habitus is amenable to ultrasound) it's probably an even better surrogate for determining "fluid responsiveness" which Vigeleo does by giving you an SVV (stroke volume variation). US is probably also preferable in that you can get even more information from it.
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