Gambro Prismaflex: Enhancing Critical Care in Hemodialysis
The Gambro Prismaflex hemodialysis system provides a complete solution for patients weighing 20 kilograms or more suffering from acute renal failure and/or fluid overload. It offers continuous renal replacement therapy (CRRT) tailored to replicate natural kidney function, ensuring optimal care for critically ill patients. Additionally, the system facilitates therapeutic plasma exchange (TPE) for conditions requiring plasma component removal, meeting diverse patient needs.
Unlike intermittent hemodialysis (IHD) or slow low-efficiency dialysis (SLED), the Prismaflex system delivers continuous 24-hour treatment, addressing crucial aspects such as metabolic control, fluid removal, acid-base balance, and electrolyte balance. Each patient receives personalized care, considering the unique requirements of their condition.
Equipped with advanced technology, the Prismaflex system instills confidence in healthcare professionals by offering a versatile platform capable of providing all modes of CRRT and TPE without requiring additional equipment. Whether for continuous venovenous hemodiafiltration (CVVHDF), continuous venovenous hemodialysis (CVVHD), continuous venovenous hemofiltration (CVVH), slow continuous ultrafiltration (SCUF), or therapeutic plasma exchange (TPE), the Prismaflex system is ready to meet the complex demands of critically ill patients.
Continuous renal replacement therapy (CRRT) administered via the PRISMAFLEX system is an essential dialysis modality used to treat acute renal failure (ARF) in critically ill patients in the intensive care unit. Unlike chronic kidney diseases that progress slowly, ARF manifests rapidly in hospitalized patients, often evolving within hours to days. The PRISMAFLEX system is ingeniously designed to specifically address the needs of these critically ill ARF patients, offering physiological therapy promoting slow and continuous fluid elimination, thus supporting the patient's recovery process.
Therapeutic plasma exchange (TPE) performed with the PRISMAFLEX system is a sophisticated procedure aimed at separating potentially disease-carrying plasma from the patient's blood. This process is achieved through plasma filtration, coupled with simultaneous infusion of a replacement solution. During TPE sessions, plasma is carefully extracted and directed through the large-pore membrane of the plasma filter, while a colloidal solution, such as albumin or plasma, or a combination of crystalloid and colloidal solution, is infused after the filter to replace removed plasma components.
In the realm of integrated anticoagulation, the PRISMAFLEX system shines by offering meticulously balanced anticoagulation management essential for therapies such as CRRT. This integrated system automates and streamlines anticoagulation options through the fifth fluid pump (pre-blood pump) and syringe pump, eliminating the need for manually programming doses of auxiliary pumps external to the system. This integrated approach ensures precise and consistent administration of anticoagulation as per physician guidelines, enhancing treatment safety and efficacy.
Precise fluid management is paramount in critical care environments, and the PRISMAFLEX system excels in this area. With its precise fluid management system based on a balance displaying an accuracy of +/- 300 mL/24 h, it sets a reliability standard. Utilizing sophisticated algorithms and self-calibrating fluid balances, the system ensures precise fluid removal while continuously monitoring fluid balance to mitigate patient injury risk. Moreover, its intuitive interface facilitates dose tracking, improving patient care efficiency and safety.
Simplified alarm management is another strength of the PRISMAFLEX system, designed to minimize alarm fatigue and optimize user experience. Updated system alerts and alarms adhere to the latest international standards, offering consolidated access and return pressure alarms to reduce unnecessary interventions. Color-coded alarm icons and notifications, along with a preventive maintenance reminder screen, further simplify system management, ensuring clinicians stay informed throughout treatments.
Optimized touchscreens on the PRISMAFLEX system contribute to its user-friendly design, enhancing end-to-end usability and efficiency. Logic-based screens, intuitive symbols, and large, easy-to-use buttons streamline navigation, while color-coded pressure bar displays provide clear visual feedback. These features combine to create an intuitive and effective interface that assists clinicians in delivering optimal care.
Integrated connectivity with electronic medical records (EMRs) further enhances workflow efficiency by eliminating manual documentation tasks. Easily integrating with most hospital EMR systems, either directly or through third-party interfaces, the PRISMAFLEX system automates treatment data recording and transfer. This integration not only saves time but also ensures patient record accuracy and consistency, fostering improved care coordination across healthcare teams.
Automated pressure monitoring and calibration are essential features of the PRISMAFLEX system, enhancing efficiency and accuracy in critical care environments. This system offers real-time automatic monitoring of crucial pressures, including filter pressure and transmembrane pressure (TMP), with self-checks performed every two hours. By eliminating the need for manual pressure sensor monitoring and calibration, nurses can focus more on patient care tasks. Additionally, the system automatically detects system leaks, further reducing the need for nursing intervention and enhancing patient safety.