Continuous Cardiac Output Module, E-PiCCO

The Continuous Cardiac Output Module E-PiCCO is a clinically proven, less invasive hemodynamic monitoring solution designed to deliver continuous cardiac output (CCO) measurements with exceptional accuracy and reliability. Engineered for use in high-acuity environments such as intensive care units, operating rooms, and critical care departments, the E-PiCCO module enables clinicians to obtain comprehensive cardiovascular insights without the risks associated with highly invasive monitoring techniques.

By combining pulse contour analysis, transpulmonary thermodilution, and real-time invasive blood pressure monitoring, the E-PiCCO Continuous Cardiac Output Module supports informed clinical decision-making and rapid hemodynamic assessment. When integrated with a CARESCAPE modular monitor, the module provides advanced graphical visualization, trending, and calculated hemodynamic parameters essential for patient management in complex clinical scenarios.

Designed for Less Invasive Continuous Cardiac Output Measurement

The E-PiCCO cardiac output module offers a less invasive alternative to pulmonary artery catheterization while maintaining high measurement accuracy. Utilizing Pulsion PiCCO catheter technology, the system delivers continuous and calibrated cardiac output values through a combination of thermodilution reference measurements and pulse contour algorithms.

This approach reduces procedural risk, minimizes patient discomfort, and enhances workflow efficiency—making the E-PiCCO continuous hemodynamic monitoring module an ideal choice for modern critical care settings focused on patient safety and precision monitoring.

Seamless Integration with CARESCAPE Modular Monitors

The Continuous Cardiac Output Module E-PiCCO is fully compatible with CARESCAPE Monitor B850, B650, and B450 systems running software version 2.0 or higher. Its modular design allows easy insertion and removal without interrupting other vital monitoring functions, ensuring uninterrupted patient surveillance.

When connected to a CARESCAPE monitor, the E-PiCCO module unlocks an advanced user interface that displays:

• Real-time numeric values 
• Multi-parameter graphical views 
• Trend analysis 
• Hemodynamic calculation screens 

This integration transforms complex cardiovascular data into actionable clinical insights.

Comprehensive Hemodynamic Parameters in One Module

Continuous and Intermittent Cardiac Output Measurement

The E-PiCCO Continuous Cardiac Output Module measures cardiac output using two complementary methods:

• Pulse Contour Cardiac Output (CCO): Continuous real-time analysis of the arterial pressure waveform 
• Transpulmonary Thermodilution Cardiac Output (CO): Intermittent calibration for enhanced accuracy 

Measurement Range:
0.25 to 25 L/min

Accuracy:
Mean error ≤ ±3% or 0.25 L/min

These measurement techniques provide clinicians with both continuous trending and validated reference values.

Advanced Flow and Volume Monitoring

The module supports a full range of flow- and volume-based hemodynamic parameters, including:

• Stroke Volume (SV) 
• Stroke Volume Index (SVI) 
• Cardiac Index (CI) 
• Continuous Cardiac Output Index (CCI) 

These parameters allow clinicians to evaluate cardiac performance relative to patient size and physiological condition, supporting individualized treatment strategies.

Preload Assessment for Optimal Fluid Management

Effective fluid management is critical in critically ill patients. The E-PiCCO module delivers advanced preload indicators that surpass traditional pressure-based methods.

Key Preload Parameters Include:

• Global End-Diastolic Volume (GEDV) 
• Global End-Diastolic Volume Index (GEDI) 
• Intrathoracic Blood Volume (ITBV) 
• Intrathoracic Blood Volume Index (ITBI) 

These volumetric indicators provide a more accurate reflection of cardiac preload, helping clinicians avoid both hypovolemia and fluid overload.

Dynamic Fluid Responsiveness Indicators

The Continuous Cardiac Output Module E-PiCCO includes dynamic parameters that predict fluid responsiveness, particularly useful in mechanically ventilated patients:

• Stroke Volume Variation (SVV) 
• Pulse Pressure Variation (PPV) 

With precise measurement accuracy and real-time updates, these indicators support evidence-based fluid therapy and goal-directed treatment protocols.

Contractility and Cardiac Performance Metrics

To assess myocardial performance, the E-PiCCO module calculates advanced contractility parameters, including:

• Global Ejection Fraction (GEF) 
• Cardiac Function Index (CFI) 
• Index of Left Ventricular Contractility (dPmx) 

These values help clinicians distinguish between preload-dependent conditions and true myocardial dysfunction, improving diagnostic clarity and treatment precision.

Afterload Monitoring and Vascular Resistance Analysis

Understanding vascular tone is essential in managing shock and vasopressor therapy. The E-PiCCO continuous cardiac output monitoring module provides:

• Systemic Vascular Resistance (SVR) 
• Systemic Vascular Resistance Index (SVRI) 

When central venous pressure data is available, these parameters offer accurate insight into afterload conditions and circulatory status.

Organ Function and Pulmonary Status Evaluation

The E-PiCCO module extends beyond cardiac monitoring to assess organ function and pulmonary fluid status.

Key Organ Function Parameters:

• Extravascular Lung Water (EVLW) 
• Extravascular Lung Water Index (ELWI) 
• Pulmonary Vascular Permeability Index (PVPI) 
• Cardiac Power Output (CPO) 
• Cardiac Power Index (CPI) 

These parameters are especially valuable in managing patients with acute respiratory distress syndrome (ARDS), sepsis, and complex shock states.

High-Precision Invasive Blood Pressure Monitoring

The E-PiCCO module includes invasive blood pressure (IBP) measurement with:

• Continuous waveform display 
• Numeric pressure values 
• Automatic and manual zeroing via direct function keys 

Measurement Range: –25 to +320 mmHg
Accuracy: ±4% or ±4 mmHg

This ensures reliable arterial pressure monitoring alongside cardiac output measurements.

User-Focused Design and Workflow Efficiency

The Continuous Cardiac Output Module E-PiCCO is designed for ease of use in fast-paced clinical environments.

Key Design Features:

• Direct function keys for invasive pressure zeroing 
• Simple module insertion and removal 
• Lightweight design (<0.5 kg) 
• Compact dimensions for space-efficient setups 

These features reduce setup time, minimize user error, and enhance overall workflow efficiency.

Wide Patient Range and Clinical Versatility

The module supports a broad patient weight range from 2 to 250 kg, making it suitable for pediatric, adult, and bariatric patients. Indexed values are automatically calculated for patients weighing over 15 kg, ensuring accurate data normalization.

Environmental and Physical Specifications

The E-PiCCO continuous cardiac output module is built to operate reliably in demanding hospital environments.

• Operating Temperature: 10°C to 40°C 
• Storage Temperature: –20°C to 60°C 
• Relative Humidity: 10% to 90% non-condensing 
• Dimensions: 112 × 37 × 188 mm 
• Weight: Less than 0.5 kg

Why Choose the E-PiCCO Continuous Cardiac Output Module

• Less invasive cardiac output monitoring 
• Clinically validated PiCCO technology 
• Comprehensive hemodynamic assessment in one module 
• Seamless CARESCAPE monitor integration 
• Accurate fluid responsiveness and organ function metrics 
• Designed for critical care and advanced hemodynamic management

Frequently Asked Questions

What is the E-PiCCO Continuous Cardiac Output Module used for?

The E-PiCCO module is used for continuous and calibrated cardiac output monitoring, advanced hemodynamic assessment, and fluid management in critically ill patients.

Is the E-PiCCO module invasive?

It is considered less invasive compared to pulmonary artery catheterization and uses PiCCO arterial catheters with thermodilution calibration.

Which monitors are compatible with the E-PiCCO module?

It is compatible with CARESCAPE B850, B650, and B450 monitors running software version 2.0 or higher.

Does the module support fluid responsiveness monitoring?

Yes, it provides dynamic parameters such as SVV and PPV to assess fluid responsiveness.

Can the E-PiCCO module measure lung water?

Yes, it measures extravascular lung water (EVLW) and related indices for pulmonary assessment.

Is the module suitable for pediatric patients?

Yes, it supports patients from 2 kg to 250 kg, with indexed calculations for appropriate weight ranges.

Does the module require frequent recalibration?

Thermodilution calibration is used periodically to ensure accuracy of continuous pulse contour measurements.

Is invasive blood pressure monitoring included?

Yes, the module includes high-accuracy invasive blood pressure measurement with waveform display.