ice vs no ice with cardiac outputs

  1. the facility I work in does not ice the cardiac output injectate. I went to a coferance a few weeks ago and the speeker said her hospital still did. what is the norm at your facility?
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  2. 29 Comments

  3. by   SICU Queen
    No ice here...
  4. by   nilepoc
    We use baxter continous cardiac output machines. So no ice, and no injection of fluid either.

    Also, every swan we place is a SVO2 swan.
  5. by   kewlnurse
    we did ice until about a month ago when we switched tubing and the inservice was no ice.
  6. by   Stormy
    We don't use ice either..
  7. by   JWRN
    NO ice here in south TX. The thing to remember is the temperture of the injectate has to be cooler than the blood temperature for the thermistor to detect the temperture change over time in order to calculate cardiac output curve.
  8. by   mattcastens
    Originally posted by nilepoc
    We use baxter continous cardiac output machines. So no ice, and no injection of fluid either.

    Also, every swan we place is a SVO2 swan.
    *Sigh!*

    Dare I dream...?
  9. by   CC NRSE
    originally posted by nilepoc
    we use baxter continous cardiac output machines. so no ice, and no injection of fluid either.

    also, every swan we place is a svo2 swan.
    have used both abbott and baxter. like baxter better. makes things really easy!!!! although,...svo2 doesn't always seem accurate (with either).
  10. by   SICU Queen
    Matt,

    I'm sighing and dreaming with you.

    I feel like I nurse in the Ice Age at my hospital. It actually took me THIRTY minutes to set up a bay for an OR patient coming because I had to rig the BP tubing so that it would connect! It still wasn't done when the patient arrived (he was one of those -we need a bed now, we're rolling- patients) and he watched me try to figure it out for about 10 minutes. He said he was really impressed with my ingenuity and laughed because it totally kept his mind off his pain.

    Thank goodness this patient was stable and only there because of a paranoid surgeon. If it had been someone critical I'd have been up the creek. What a way to nurse.

    (Sorry for changing the topic. Just venting...)
  11. by   patsyh11
    Haven't used ice in about 15 years-
  12. by   wendyssmile
    I work in a CVICU and we predominantly use Baxter CCO but when we have a patient with severe heart failure we use ice in order to gain an accurate value. Many times there is a significant difference between the cco and the iced output.
  13. by   pghfoxfan
    We used to have continious CO swans but to save money stopped using them. We have never used Ice in the CVICU. Studies prove there is no significant difference.(unless you are selling the product)
  14. by   anotherRNinCali
    No ice in our unit either.

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