The human side of Accuryn.
Garden Park Medical | Center Gulfport, MS
It has been said that critical care clinicians are on a constant quest for better data. This is because more precise data enables more precise interventions, especially for patients who often present with multiple diagnoses and complications. This was the scenario for a female patient at Garden Park Medical Center in Gulfport, MS recently; fortuitously the hospital was using the Accuryn® critical care monitoring system.
The ICU nursing team suspected a patient was experiencing extensive internal bleeding, causing the abdomen to become more and more distended over time. It was clear there was a need for surgery, and the nursing team wanted more pre-op insights. They catheterized the patient with an Accuryn Foley catheter and began monitoring the patient’s intra-abdominal pressure (IAP) and urinary output.
“We were ecstatic we were able to measure IAP so easily,” says Theresa Porter, RN, and Nursing Director for the ICU, “And the urine output measurement was unbelievably accurate. The patient was only putting out 3cc’s of urine per hour; a regular Foley catheter would never be able to capture such data.” Intra-abdominal pressure and urinary output measurements are critical, life-saving data that have been virtually impossible to obtain accurately in the past due to a variety of constraints. The introduction of Accuryn changes this.
“Accuryn is a major advance in critical care monitoring; it takes measurements at an accuracy we’ve never been able to obtain before, and does so easily,” says Dr. Greg Schears of Rochester, MN. “In one package it solved two major problems that have never been solved before, which is really quite remarkable.”
When Porter’s nursing team noted the minimal amount of urine being created by the patient, they knew with confidence she was oliguric and started her on dialysis. “She was put on it so much quicker because we had the data right in front of us,” said Porter, “It really took the guesswork out of it.” Additionally, using Accuryn they were able to monitor the patient’s temperature and historical IAP data to ensure her intra-abdominal hypertension was receding post-surgery.
“The nurses love this new device,” Porter effuses, “It’s become a tool we can’t do without on our unit.”