Explore the innovative approach of LVEDP-guided fluid management in preventing contrast-induced nephropathy (CIN) and fluid volume overload among CKD patients in cath labs. This session delves into the genesis, implementation, and outcomes of a pioneering protocol that personalizes hydration strategies based on left ventricular end-diastolic pressure (LVEDP) readings. Learn how this evidence-based practice enhances patient safety, reduces CIN incidents, and sets new standards in patient care. Through real-world examples, discover the transformative potential of integrating precise hemodynamic measurements into clinical decision-making, ensuring optimal hydration and safeguarding the renal health of vulnerable patients.
Problem: CKD patients with heart failure face increased risks of contrast-induced nephropathy (CIN) and fluid overload post-catheterization. The lack of universal, hemodynamics-tailored fluid management protocols highlights a pressing need for evidence-based strategies to mitigate these complications and enhance patient care.
Measurement: Pre- and post-protocol implementation data were analyzed to measure incidences of CIN and fluid overload, utilizing electronic health records for accuracy and efficiency in evaluation.
Analysis:Our analysis utilized statistical comparison of pre- and post-implementation data on CIN and fluid overload incidences, employing standard deviation and variance measures to assess the protocol’s impact on patient outcomes within the cath lab setting.
Implementation: We initiated the LVEDP-guided protocol by educating our team, adjusting procedural guidelines, and employing real-time hemodynamic data for patient-specific fluid management, fostering interdisciplinary collaboration for improved patient outcomes.
Results/Discussion: The implementation of the LVEDP-guided fluid management protocol led to a significant reduction in CIN and fluid overload cases, demonstrating its effectiveness in enhancing CKD patient care after catheterization procedures. This approach has proven vital for improving patient outcomes and safety in the cath lab setting.
