Once more, FTSurgery was right in its recommendations. 

A recent report from the NHS (Innovation, Health and Wealth. Accelerating Adoption and Diffusion in the NHS, Publication Date:  5th December 2011), that has taken into consideration the March's NICE report, commits to implement fluid management during surgery using ODM as a priority.

It states:

“Oesophageal doppler monitoring (ODM)

ODM is a minimally invasive technology used by anaesthetists during surgery to assess the fluid status of the patient and guide the safe administration of fluids and drugs. In March 2011, NICE published guidance on the use of ODM, recommending it for patients undergoing major or high-risk surgery and certain other surgical patients. Despite a comprehensive evidence base, uptake of this technology has been poor across the NHS. Full adoption of this technology across the NHS is forecast by NICE to benefit over 800,000 patients and generate net financial savings of over £400m. Current information suggests that these technologies are used for less than 10% of applicable patients.
-We will launch a national drive to get full implementation of ODM, or similar fluid management monitoring technology, into practice across the NHS.”

Now more than ever, everyone that is, or plan to be, involved in a Fast Track (ERAS) project must include in the protocol the actual control of fluid management.

Verheijen PM, Vd Ven AW, Davids PH, Vd Wall BJ, Pronk A.