NTAC launches latest 'How to why to guide'

Tuesday, 19 January 2010


NTAC launches latest "How to why to Guide"
How to why to Guides logo

OD Landscape.jpgThe NHS Technology Adoption Centre (NTAC) has launched its next online 'How to why to Guide' for Doppler Guided Intra-operative Fluid Management.  This online Guide informs clinicians, particularly anaesthetists, and managers how to successfully implement Intra-operative Fluid Management into routine clinical and operational practice.

Visit the Guide!: www.howtowhyto.nhs.uk

Optimal management of fluid balance during major surgery is considered a key factor in improving surgical outcomes. Innovative and minimally invasive monitoring of cardiac stroke volume using oesophageal Doppler technology in operating theatres now enables the anaesthetist to safely and accurately administer intravenous fluids during surgery.

Benefits of this technology include:

  • Reduced risk. Fewer complications compared with other invasive monitoring techniques.
  • Minimal training. Minimal training is required for the use of the cardiac output monitors. The minimally invasive oesophageal probes are easy to insert and remove.
  • Improved patient outcomes. As a guide for fluid replacement during major surgery, oesophageal Doppler guided fluid management ensures adequate blood perfusion to major organs, reducing the risk of hypovolaemia and post-operative complications.
  • Reduced hospital stay. By addressing the challenge of hypovolaemia, the reduced risk of complications have been shown to contribute to an overall reduction in patient length of stay.
  • Benefits to patients and the NHS. A reduction in complications will enhance patient experience. A reduction in patient length of stay will enhance efficiency and improve patient care pathways.

Widespread implementation of this technique in major surgery offers the opportunity for the NHS to deliver large scale improvements in both quality of care and productivity.

The step-by-step "How to why to Guide" provides comprehensive information on this technique and reports on the experience of NTAC's 3 clinical implementation sites currently using the technology. The Guide also explains the adoption barriers and how they can be overcome. Features include a unique easy-to-use Business Case Template, a Costing Model, and a Roadmap Section to support clinicians and hospital managers in the implementation of this technique into clinical and operational practice.