Starling System Difference



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. Only 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.

Nurse at a patients bedside


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 each carry their own set of risks.

With the Starling system, clinicians have all 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 of course – 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

• All information, including dynamic assessment results, is included on a single screen

• Enhanced algorithms enable a shorter dynamic assessment timeframe

Real-time, continuous information

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

Patient looking up at nurse


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

This includes supporting anesthesiology and surgical teams in the OR, emergency department and surgical ICU teams, and at-risk populations such as obstetric and renal dialysis patients. 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 throughout the hospital 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 Starling can help manage septic and shock patients and support SEP-1 bundle compliance.4,5

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.

Emergency response to hypotension

Fluid management is vital to treating any hypotensive emergency. The Starling system provides the insight needed to potentially stabilize a patient within ~1 minute in EDs where treatment decisions cannot wait for a patient history or clinician.

Physician at bedside with patient


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. These include Cardiac Index, Cardiac Output, Stroke Volume Index, Stroke Volume, and 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, Starling 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


  • Portable and lightweight touch screen monitor
  • First results in approximately 48 seconds
  • Guides clinician through step-by-step protocol for executing a PLR or bolus test
  • User interface provides easy-to-read graphics and numbers with responsive touch control
  • Numeric display for charting provides real-time continuous data with option to select data displayed every minute, 5 minutes, 15 minutes or hour
  • Monitor fits on cart, table or IV pole
  • Battery operation
  • Seamlessly integrates with hospital EMR systems
Sensor Placement
SENSOR PLACEMENT indicate proper sensor placement

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

Starling sensors are 100% non-invasive and easy to apply, and they can be placed on the front or back of the patient as needed.

Rx only. For safe & proper use of the product mentioned herein, please refer to the appropriate Operators Manual or Instructions for Use.