Crit-Line is a valuable tool to use when you are on hemodialysis. It measures HCT non-invasively. The two reasons why I don't think clinics use it is the Cost
or the clinicians do not understand how to interpret the technology. The machine is about 3,000 and the little disposable blood chamber is about $2.00. You need a new blood chamber every treatment. Adding a couple dollars to a dialysis treatment when the reimbursemnt is fixed is not always attractive to a dialysis provider.
Last december I spoke to the CMS Medical Director reimbursing for it. I am still advocating for it on a National Level. Please e-mail me any letters or thoughts on this machine.
A few years back I wrote an educatioanl booklet about the Crit-Line. http://www.crit-line.com/Patient_Booklet.pdf
Blood Volume Monitoring should be a standard of care. It is a window into your intravascular structure to see how fast the fluid is being removed. It can help let you know if you are at a correct dry weight. The number one reason people on dialysis die is because of heart disease. Fluif overload causes high blood pressure and is very hard on your heart.
A doctor in Thousand Oaks (Dr. Kant Tucker) bought Crit-Lines for all of his eleven facilites. One on every chair.
The Crit-Line is used throughout the Country, although it is very sporadic.
Most pediaric facilites use it. The machine needs reimbursemnt to have wide acceptance. Patients and family memers need to keep demanding it.