Document Detail


Comparison of esophageal Doppler, pulse contour analysis, and real-time pulmonary artery thermodilution for the continuous measurement of cardiac output.
MedLine Citation:
PMID:  15073709     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Continuous measurement of cardiac output (CCO) is of great importance in the critically ill. However, pulmonary artery thermodilution has been questioned for possible complications associated with right heart catheterization. Furthermore, measurements are delayed in the continuous mode during rapid hemodynamic changes. A new pulmonary artery catheter CCO device (Aortech, Bellshill, Scotland) enabling real-time update of cardiac output was compared with 2 different, less-invasive methods of CCO determination, esophageal Doppler and pulse contour analysis. DESIGN: Prospective, observational study. SETTING: University hospital, single institution. PARTICIPANTS: Patients scheduled for elective coronary artery bypass grafting (CABG). INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: CCO measurements were analyzed using a Bland-Altman plot. Bias between CCO and pulse contour cardiac output (PCCO), and Doppler-derived cardiac output (UCCO) was (mean +/- 1 SD) -0.71 +/- 1 L/min versus -0.15 +/- 1.09 L/min, and between UCCO and PCCO -0.58 +/- 1.06 L/min. Bias was not significantly different among methods, nor were comparative values before and after cardiopulmonary bypass (p > 0.05). CONCLUSIONS: Agreement between the CCO method and both less-invasive measurements was clinically acceptable. There were no adverse events associated with the use of either device.
Authors:
Berthold Bein; Frank Worthmann; Peter H Tonner; Andrea Paris; Markus Steinfath; Jürgen Hedderich; Jens Scholz
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of cardiothoracic and vascular anesthesia     Volume:  18     ISSN:  1053-0770     ISO Abbreviation:  J. Cardiothorac. Vasc. Anesth.     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-04-09     Completed Date:  2004-11-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9110208     Medline TA:  J Cardiothorac Vasc Anesth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  185-9     Citation Subset:  IM    
Affiliation:
Department of Anaesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein Campus, Kiel, Germany. bein@anaesthesie.uni-kiel.de
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MeSH Terms
Descriptor/Qualifier:
Aged
Bias (Epidemiology)
Cardiac Output / physiology*
Catheterization, Swan-Ganz / methods*
Coronary Artery Bypass / methods
Echocardiography, Doppler / methods*
Echocardiography, Transesophageal / methods*
Female
Humans
Male
Middle Aged
Monitoring, Intraoperative / methods*
Monitoring, Physiologic / methods
Prospective Studies
Pulmonary Artery / physiology*
Pulse / methods*
Reproducibility of Results
Sensitivity and Specificity
Thermodilution / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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