Decreases Financial Costs

1
Meeting the Conditions of Coverage with the
CritLine Monitor
CLM Positively Impacts Outcomes ?Hypotension,
hypertension, CHF, myocardial infarction, organ
ischemia, stroke, sudden death
Positively Impacts Patient longevity
Decreases Financial Costs Hospitalizations/hospita
l days, meds/IV solutions to treat symptoms, meds
to treat hypertension, supplies
Quality of Life Costs Patient recovery time
AMAs?, ? rehabilitation potential
Improves Outcome Measures BP (high/low/meds), dry
weight/ECV/TBW, residual renal function,
inter/intradialytic symptoms, sudden death, left
ventricular mass index (echo), hospitalizations/mo
rbidity/mortality/economics/QOL hemoglobin
variability
2
Intradialytic Morbidities

• Root Cause Analysis Via
• The Crit Line Monitor
• Anemia
• Hypoxemia
• Oxygen carrying capacity
• (1.39 x Hgb x SaO²)
• Hypervolemia
• Hypovolemia
• UFR is incorrect too fast / too slow
• Patient is at dry weight
• Position effects
• Effects/ need for hypertonic replacement fluid
• Low cardiac output ( SvO2 )
• Effects of eating

• Root Cause Analysis
• Posture
• Low O2 saturation / Oxygen carrying capacity
• Medications / Antihypertensives
• Incorrect Ultrafiltration rate Hyper/Hypovolemia
  
• Hypotonic environment / Hypoalbuminemia
• Dialysate body temp core body heating
• Splanchnic vasodilatation secondary to eating
• Severe anemia (Hct 30) / Occult hemorrhage
• Electrolyte / Acid-Base Imbalances
• Unstable cardiovascular status / Arrhythmias /
  Pericardial tamponade / MI / Poor Ejection
  Fraction
• High Output Failure r/t high access blood flow
• Residual Urinary Output gt 800 ml / day
• Septicemia
• Dialyzer reaction, Hemolysis and Air embolisim