Gambro Prismaflex: A Comprehensive Solution for Critical Care Hemodialysis
The Gambro Prismaflex hemodialysis system offers a comprehensive solution for patients weighing 20 kilograms or more who are facing acute renal failure and/or fluid overload. It provides Continuous Renal Replacement Therapy (CRRT) tailored to mimic the natural function of the kidneys, ensuring optimal care for critically ill individuals. Additionally, the system facilitates Therapeutic Plasma Exchange (TPE) therapy for conditions necessitating the removal of plasma components, catering to 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 equilibrium. Each patient receives personalized care, acknowledging the unique requirements of their condition.
Equipped with state-of-the-art technology, the Prismaflex System instills confidence in healthcare professionals by offering a versatile platform capable of delivering all modes of CRRT and TPE without the need for additional equipment. Whether it's Continuous Veno-Venous Hemodiafiltration (CVVHDF), Continuous Veno-Venous Hemodialysis (CVVHD), Continuous Veno-Venous Hemofiltration (CVVH), Slow Continuous Ultrafiltration (SCUF), or Therapeutic Plasma Exchange (TPE), the Prismaflex System stands ready to meet the complex demands of critical care patients.
Continuous Renal Replacement Therapy (CRRT) administered through the PRISMAFLEX System is a pivotal dialysis modality utilized to address acute kidney injury (AKI) in critically ill patients within the intensive care unit. Unlike chronic kidney diseases that progress gradually, AKI manifests rapidly in hospitalized individuals, often evolving over mere hours to days. The PRISMAFLEX System is ingeniously engineered to cater specifically to the needs of these critically ill AKI patients, offering physiologic therapy that facilitates slow and continuous fluid removal, thereby supporting the patient's recovery process.
Therapeutic Plasma Exchange (TPE) performed using the PRISMAFLEX System is a sophisticated procedure aimed at separating plasma potentially harboring disease mediators from the patient's bloodstream. This process is accomplished through plasma filtration, coupled with the simultaneous infusion of a replacement solution. During TPE sessions, plasma is meticulously extracted and directed through the large-pore membrane of the plasma filter, while a colloid solution, such as albumin or plasma, or a combination of crystalloid and colloid solution, is infused post-filter to replenish the removed plasma components.
In the realm of integrated anticoagulation, the PRISMAFLEX System shines by offering meticulously balanced anticoagulation management essential for therapies like CRRT. This integrated system automates and streamlines anticoagulation options through the fifth fluid pump (pre-blood pump) and syringe pump, thus eliminating the need for manual dose programming of ancillary pumps external to the system. This integrated approach ensures precise and consistent anticoagulation delivery in alignment with physician directives, enhancing patient safety and treatment efficacy.
Accurate fluid management is paramount in critical care settings, and the PRISMAFLEX System excels in this aspect. With its highly precise, scale-based fluid management system boasting an accuracy of +/- 300 mL/24 hrs, it sets a standard for reliability. Utilizing sophisticated algorithms and self-calibrating fluid scales, the system ensures accurate fluid removal while continuously monitoring fluid balance to mitigate the risk of patient injury. Additionally, its intuitive interface facilitates easier dose tracking, enhancing efficiency and safety in patient care.
Streamlined alarm management is another hallmark of the PRISMAFLEX System, designed to minimize alarm fatigue and optimize user experience. The system's updated 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 all treatments.
Optimized touch screens on the PRISMAFLEX System contribute to its user-friendly design, enhancing usability and efficiency from start to finish. 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 efficient interface that supports clinicians in delivering optimal care.
Integrated Electronic Medical Record (EMR) connectivity further enhances workflow efficiency by eliminating manual documentation tasks. Seamlessly integrating with most hospital EMR systems, either directly or through third-party interfaces, the PRISMAFLEX System automates treatment data recording and transfer processes. This integration not only saves time but also ensures accuracy and consistency in patient records, promoting enhanced coordination of care across healthcare teams.
Automated pressure monitoring and calibration are integral features of the PRISMAFLEX System, enhancing efficiency and accuracy in critical care settings. This system offers automatic, real-time tracking of essential pressures, including filter pressure and transmembrane pressure (TMP), with self-checks conducted every two hours. By eliminating the need for manual monitoring and calibration of pressure sensors, nurses can focus more on patient care tasks. Additionally, the system automatically detects system leaks, further reducing the need for nurse intervention and enhancing patient safety.
