Urine Output Monitoring in Critically Ill Patients - Live-Urine Output Monitoring in Critically Ill Patients

Video Transcription

Video Summary

The webcast, "Urine Output Monitoring in Critically Ill Patients," featured a panel discussion moderated by John Kellam from the University of Pittsburgh. The speakers included Dr. Jay Koiner, Dr. Michael J. Conner, and acute care nurse practitioner Dr. Daniel Arellano. The primary focus was on the use of automated urine output monitoring devices and their benefits in a critical care setting.<br /><br />Automated urine output monitors, which attach to Foley catheters, offer real-time, accurate measurements of urine output. These devices can sometimes detect conditions like acute kidney injury (AKI). The panel discussed various types of these devices, such as those using ultrasound and thermal technology.<br /><br />They highlighted that continuous accurate monitoring impacts clinical outcomes positively, offering several advantages, such as reducing the need for manual documentation and syncing with electronic medical records. This potentially reduces the workload on nursing staff, despite some skepticism regarding its cost and additional training required.<br /><br />The panel discussed how the KDIGO guidelines define AKI partly based on urine output, emphasizing a threshold of 0.5 mL/kg/hr over specific periods. The accuracy of these measurements is critical for timely detection and intervention.<br /><br />The panel also addressed barriers, such as cost and the technological reliability of bedside monitors. They expressed the need for studies that link automated monitoring to better clinical outcomes, although continuous telemetry monitoring for vitals is already standard practice without explicit proof of mortality benefit.<br /><br />Finally, they emphasized that replacing Foley catheters with alternative technologies should be evaluated carefully, considering the risks and benefits divergent among patient populations. Automated monitoring should be employed judiciously in those who genuinely need precise urine output measurement.

Keywords

urine output monitoring

critically ill patients

automated devices

acute kidney injury

Foley catheters

real-time measurements

clinical outcomes

KDIGO guidelines

nursing workload

technological reliability

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