The Starling System

ADVANCING INDIVIDUALIZED PATIENT FLUID MANAGEMENT

The Starling system is a 100% non-invasive fluid management monitoring system that provides clinicians with the confidence to respond to ever-changing patient status and dose IV fluids according to patient response. The Starling system offers an accurate, reliable and non-invasive method to measure flow at the patient’s core and deliver meaningful insights to guide clinical decision-making.

MORE INFORMED CLINICAL DECISION-MAKING

No matter the site of care or the clinical challenge, effective fluid management is integral to achieving optimal clinical outcomes. Until now, the only choices for obtaining accurate, continuous hemodynamic measurements were invasive technologies that carry their own set of risks.

With the Starling system, clinicians have the important parameters continuously at their fingertips. Clinical status and the effect of interventions can be monitored at any time and treatment modified accordingly.

The Starling system is easy to use, robust, flexible – and 100% non-invasive

100% Non-invasive

Supports individualized fluid therapy without requiring an invasive arterial or central line, potentially reducing the risk of hospital-acquired infections and other complications¹

Easy-to-perform dynamic assessments

The Starling monitor guides clinicians through a step-by-step protocol for executing a passive leg raise or bolus test

Real-time, continuous information

Provides real-time, continuous information on Cardiac Index, Cardiac Output, Stroke Volume Index, Stroke Volume and Total Peripheral Resistance

INTEGRATES AT EVERY STEP OF THE PATIENT JOURNEY

With easy setup and no invasive lines, the Starling system delivers quick access to real-time data to help improve diagnostic precision and facilitate fluid management treatment, wherever the patient is in the hospital.

This includes supporting clinicians in the OR, the Emergency Department, the ICU and the Rapid Response Team. It works in both mechanically ventilated and spontaneously breathing patients,^2,3 with no requirement to upgrade or change the monitor depending on severity of illness. The Starling system is designed to travel with the patient and support the various healthcare teams on their care journey.

The Starling system is designed for use throughout your entire hospital, including critical care, operating room and ED settings.

Sepsis Care

Guided fluid resuscitation with the Starling system can help manage septic and shock patients and support SEP-1 bundle compliance.

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In the operating room

The Starling system’s flexibility allows for monitoring in preoperative, intraoperative and postoperative settings, allowing anesthesiologists, surgical staff and nurses to proactively manage spontaneously breathing or intubated patients.

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Emergency response to hypotension

Fluid management is vital to treating any hypotensive emergency. The Starling system provides the insight needed to stabilize a patient in EDs or RRT calls where treatment decisions can’t wait for a patient history or clinician.

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EASY-TO-USE, FLEXIBLE INTERFACE

A critical component of the Starling system, the monitor offers a simple and customizable home screen that provides users the flexibility to choose their preferred view and parameters to be displayed on the screen, including Cardiac Index, Cardiac Output, Stroke Volume Index, Stroke Volume, Total Peripheral Resistance among other important parameters.

All information is provided on one screen, including dynamic assessment results, so users can quickly and easily assess if the patient is fluid responsive. When additional guidance is needed, the Starling system offers educational tools built right into the monitor — providing easy access to training videos, clinical tools and quick guides.

Physician at bedside with patient on ventilator

DETAILS THAT MAKE A DIFFERENCE

Portable and lightweight touch screen monitor
First results in approximately 48 seconds
Easy-to-read graphics and numbers with responsive touch control
Monitor fits on cart, table or IV pole
Battery operation
Seamlessly integrates with most hospitals' EMR systems

EXPLORE DATA & CONNECTIVITY

The Starling system interface provides easy-to-read graphics and numbers with responsive touch control.

Sensor Placement — **SENSOR PLACEMENT** Indicates proper sensor placement

Simplified and Customizable Home Screen — **SIMPLIFIED AND CUSTOMIZABLE HOME SCREEN**

Trend Screen — **TREND SCREEN** Displays patient parameter trends and running averages of SV and SVI

Clinical Range Display — **CLINICAL RANGE DISPLAY** Shows whether the patient’s parameters are within the preset normal range

Numeric Display — **NUMERIC DISPLAY** for charting provides real-time continuous data, with option to select data displayed every 1 minute, 5 minutes, 15 minutes or hour

Rx Only. For safe and proper use of product mentioned herein, please refer to the Instructions for Use or Operator’s Manual.

Baxter, Starling and Bioreactance Technology are trademarks of Baxter International Inc. or its subsidiaries.

See References

Lucet JC, Bouadma L, Zahar JR, et al. Infectious risk associated with arterial catheters compared with central venous catheters. Crit Care Med. 2010;38(4):1030-1035.
Duus N, Shogilev D, Skibsted S, et al. The reliability and validity of passive leg raise and fluid bolus to assess fluid responsiveness in spontaneously breathing emergency department patients. J Crit Care. 2015;30(1):217.e1-217.e5.
Raval NY, Squara P, Clemen M, Yalamanchili K, Winklmaier M, Burkhoff D. Multicenter evaluation of noninvasive cardiac output measurement by bioreactance technique. J Clin Monit Comput. 2008;22(2):113-119.