Anyone seen the lithium based non invasive monitoring? We did a trial with it a year ago, and I forget the company name. basically inject a dose of lithium something, it lingers for 24 hrs, and through a monitoring device you can get all your numbers BUT SVO2.
Our surgeons are older than the grim reaper, don't dare call for anything, unless you know the svo2.
But to specifically answer, Our swans have decreased in the CCU due to overflow from the MICU and drug to door treatment with thrombolytics, plus, any ST elevation goes straight to the cath lab, no matter what time, you need the cardiothoracic there to PTCA, so they often go straight for open heart if needed, rather than waiting a day or two on the IABP, swanned.
Disapointing to me because I LOVE knowing all the numbers and where my patient sits, titrating drips and so forth, but as everyone is seeing, they don't always improve your morbidity mortality rates and tend to increase LOS.