Innovative Technologies

What is esCCO?

The next generation of non-invasive hemodynamics monitoring

esCCO logo

Nihon Kohden is redefining Quality of Care with new, innovative technology –esCCO, by introducing volumetric information to all care levels. The trending performance of esCCO to track changes in cardiac output has been evaluated in clinical studies and its accuracy has been shown to be acceptable for clinical use1) 2)
With esCCO, the quality of hemodynamic monitoring will be improved for all care levels.

Features of esCCO

  • Reliable measurement with non-invasive calibration
  • No special skills required
  • No additional sensors
  • Real time and continuous

esCCO for fluid optimization
It has been reported that optimal fluid management based on fluid parameters such as stroke volume and cardiac index could improve patient outcomes including shortening the length of stay and reduced complication rates3)4). So now, there is a growing demand for a less invasive and more efficient method of measuring cardiac output for better patient care. Non-invasive and easy-to-use esCCO can provide a useful solution for this purpose by making up for the shortcomings of other methods currently available in the market.

esCCO for fluid optimization


Volumetric information for all care levels

esCCO provides cardiac output information using only the common vital sign parameters of ECG, SpO2 and blood pressure, requiring no additional sensors or special training. With esCCO cardiac output monitoring can be made available for all care levels, not only during major surgeries but also in procedures that are not as critical as major surgery but where risks of serious bleeding or added hemodynamics stress exist. Also, esCCO can be a reliable index during fluid administration in various clinical settings. Adding esCCO to the conventional patient monitoring parameters has the potential to lead to optimization of fluid management, decreased risk of complications and eventually to better outcomes including reduced length of stay.

Parameter for esCCOesCCO with bedside monitor

Potential applications of esCCO

  • General monitoring of patients in ER, OR, ICU and general wards
  • Hemodynamic monitoring after pulmonary artery catheter removal
  • Hemodynamic optimization of patients who are ineligible for a pulmonary artery catheter
  • Support in the decision making process for goal-directed fluid management and more

esCCO can provide volumetric information for more comprehensive and dynamic hemodynamics monitoring, improving the quality of hemodynamic monitoring and patient care.

1) Ishihara H, Okawa H, Tanabe K, Tsubo T, Sugo Y, Akiyama T, Takeda S. A New Non-Invasive Continuous Cardiac Output Trend Solely Utilizing Routine Cardiovascular Monitors. J Clin Monit Comput 2004; 18: 313–320.
2) Yamada T, Tsutsui M, Sugo Y, Sato T, Akazawa T, Sato N, Yamashita K, Ishihara H, Takeda J.
Multicenter Study Verifying a Method of Noninvasive Continuous Cardiac Output Measurement Using Pulse Wave Transit Time: A Comparison with Intermittent Bolus Thermodilution Cardiac Output. Anesth Analg. 2012 Mar 30
3) Wakeling HG et al. Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery. Br J Anaesth 2005; 95 : 634-42.
4) Mayer J et al. Goal-directed intraoperative therapy based on autocalibrated arterial pressure waveform analysis reduces hospital stay in high-risk surgical patients: a randomized, controlled trial. Crit Care 2010; 14: R18.

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