Systematic review of the clinical effectiveness and cost-effectiveness of oesophageal Doppler monitoring in critically ill and high risk surgical patients

Summary

This health technology assessment concluded that ODM probes were relatively low risk devices. For high-risk surgical patients, the available evidence suggested that the addition of ODM-guided fluid administration to central venous pressure (CVP) monitoring plus conventional assessment during surgery resulted in fewer complications, a shorter length of hospital stay, and possibly fewer deaths, and may be a cost-effective use of resources in the NHS. For critically ill patients there was insufficient evidence to recommend the widespread use of ODM in critically ill patients in the NHS.

This project was commissioned by the NIHR HTA programme.

Contact

Cynthia Fraser; c.fraser@abdn.ac.uk

Status

Completed

Publications

Mowatt G, Houston G, Hernandez R, de Verteuil R, Fraser C, Cuthbertson BH, Vale L. Systematic review of the clinical effectiveness and cost-effectiveness of oesophageal Doppler monitoring in critically ill and high-risk surgical patients. Health Technol Assess 2009;13(7).