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Latest Developments
New guidelines recommending ODM published
A new report, 'British Consensus Guidelines on Intravenous Therapy for Adult Surgical Patients' (or GIFTASUP), was published at the end on 2008. The guidelines represent the latest clinical thinking on fluid management and contain a number of recommendations concerning ODM. Each recommendation has been given an evidence level grade from 1-5 in accordance with the Oxford Centre for Evidence-based Medicine Levels of Evidence, with a score of 1a representing the highest possible level of supporting clinical evidence.
The guidelines were developed on behalf of BAPEN Medical, the Association for Clinical Biochemistry, the Association of Surgeons of Great Britain and Ireland, the Society of Academic and Research Surgery, the Renal Association and the Intensive Care Society. The full GIFTASUP report can be downloaded from the Association of Surgeons of Great Britain and Northern Ireland's website: http://www.asgbi.org.uk/en/surgical_resources_and_documents/
Wide Geographical Variation in Hospital Recovery Times
Research released today reveals that the average patient length of stay (LoS) in hospital following standard surgery can vary by up to 3 weeks depending on the NHS Trust.
Data supplied by NHS trusts on patients length of stay for bowel surgery shows that the length of a patient's hospital stay varied significantly depending on the hospital in which they were treated. The data was analysed by health data specialists Dr Foster Intelligence.
All trusts that performed fewer than 100 procedures and all pediatric and specialist orthopeadic hospitals were excluded from this research.
CardioQ in the US
The Centers for Medicare and Medicaid Services (CMS) in the United States (part of the Department of Health and Human Services) recently (26 February 2007) published a favourable draft decision on Oesophageal Doppler Monitoring following an application originally submitted by Deltex Medical Group on 22 August 2006.
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