Benefits

Benefits - Value

USCOM is a specialised Doppler Ultrasound device for measuring and monitoring circulation. It provides non invasive, beat to beat, quantitative measures of the circulation which allows early and accurate detection of dysfunction and simple optimisation of circulation by guiding appropriate choice of fluid, inotropes and vaso-active therapies in neonates, infants, children and adults. Optimising circulation saves lives!

USCOM has many clinical features

• Non-invasive
• Accurate and quick
• Saves money
• Improves care
• Simple to operate and apply

USCOM has a number of clinical uses

• Useful where-ever you would take a blood pressure reading
• Non-invasive diagnosis of circulation
• Application of advanced hemodynamics - Stroke volume resuscitation
• Non-invasive goal directed therapy
• Guides administration of fluids and drugs - inotropes and vaso-actives
• All patients and all outputs (neonates to geriatrics, 0.12l/min to 18.5l/min)

USCOM is a safe, accurate and cost-effective solution in most clinical applications where hemodynamics is important for patient care.
Clinicians have been searching for a non invasive, accurate and reliable method of measuring hemodynamics to replace established invasive practices. While there has been increasing recognition of the need for monitoring cardiac function in many clinical settings, there is growing evidence that invasive methods are inaccurate, unsafe and costly.
By using the USCOM earlier and more often, it is possible to avoid using or to reduce the number of invasive procedures.
Additionally, as USCOM is non invasive, more frequent measures can be made to better understand the circulation and more rapidly implement therapy. Importantly USCOM is easy to use, and requires minimal training so it can be reliably used by nursing staff or paramedics outside the ICU, without patient sedation or sterile procedures and no risk of introduced infection.

USCOM has many clinical applications including

• Pediatrics
• Emergency medicine - ED and remote (transport, military and field)
• ICU - general, surgical and post cardiac
• Anesthesia
• Electrophysiology
• Hypertension
• Heart failure
• Dialysis
• Sports medicine
• Veterinary medicine
• Pharmacology research
• Animal research

USCOM offers both clinical and cost advantages to all other methods.
USCOM is more accurate, safer and more cost effective.

Clinical Advantage

USCOM's offers a completely non invasive approach to hemodynamics; it enables early and accurate detection and management of circulatory dysfunction, and objective guidance of therapeutic optimisation. It creates a new model for circulatory management by allowing titration of therapy to Stroke Volume and individualised circulatory optimisation.

• Fluid - when to start and when to stop!
• Inotropes/Vaso-actives - right drug and right dose!

USCOM can be used in many clinical applications from retrieval to the outpatient clinic and home care. It can be used in neonates, infants children and adults and operated by paramedics, nurses and physicians. USCOM takes advanced hemodynamics beyond the ICU!
USCOM software allows simple review and analysis of patient status and prior records. The USCOM's innovative patient management software can be used to store detailed hemodynamic histories of thousands of patients.

Cost Advantage

Noninvasive reduces costs and changing your facility to USCOM will save money and improve care!
Because it is non invasive, USCOM is without many of the associated costs of other methods. Invasive methods have many costs, associated with the surgical procedure, staffing costs associated with increased patient supervision, additional in hospital days and the escalating costs of managing associated complications and infections.
Additionally, unlike alternative methods (both invasive and non invasive), USCOM does not require the continuing cost of expensive consumables such as catheters and electrodes. There is no incremental cost per measure, meaning you can measure more often and manage with more confidence.

Whether it's saving you time or money, or preventing delays in clinical decision making, the value of USCOM can be measured in many ways.

• When you are the only physician in a small country town that is
  trained in the insertion of an invasive Cardiac Output method
• When knowing that your patient, with a past history of myocardial
  infarction, has developed breathlessness due to medication
• When you would like to fluid optimise your patient without leaving
  them under or over volume loaded
• When your pediatric patient in the ED has clinical signs consistent
  with sepsis, having a safe, quick method to monitor changes
• When being able to determine if the cause of a patient's hypertension
  is high SVR or high CO
• When you would prefer to optimise tissue oxygenation in your
  high risk, post surgical patients non invasively and without the
  complications of a central line
• When early hemodynamic optimisation is important