Document Detail


Continuous noninvasive monitoring of cardiac output with esophageal Doppler ultrasound during cardiac surgery.
MedLine Citation:
PMID:  3530048     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Esophageal Doppler ultrasonography offers a continuous and noninvasive alternative to standard thermodilution cardiac output monitoring. A total of 372 simultaneous measurements of Doppler and thermodilution cardiac output were compared in 16 patients undergoing cardiac surgery. In addition, echocardiographic aortic diameter measurement, necessary for Doppler calibration, was compared with direct surgical measurement in 23 patients. Echocardiographic aortic measurement was often time consuming and correlated poorly (r = 0.31) with surgical measurement. On the other hand, Doppler cardiac output was determined easily and accurately tracked thermodilution cardiac output (R2 = 0.95, common slope coefficient 1.050, by multiple linear regression). Furthermore, Doppler cardiac output was more reproducible, showing less short-term variability than thermodilution cardiac output. The esophageal Doppler technique allows cardiac output monitoring in patients for whom invasive monitoring is not warranted.
Authors:
J B Mark; R A Steinbrook; L D Gugino; R Maddi; B Hartwell; R Shemin; V DiSesa; W N Rida
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  65     ISSN:  0003-2999     ISO Abbreviation:  Anesth. Analg.     Publication Date:  1986 Oct 
Date Detail:
Created Date:  1986-10-21     Completed Date:  1986-10-21     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1013-20     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aorta / anatomy & histology
Cardiac Output*
Cardiac Surgical Procedures*
Esophagus
Female
Humans
Male
Middle Aged
Monitoring, Physiologic / methods*
Thermodilution
Ultrasonography*
Grant Support
ID/Acronym/Agency:
R44 HL3192002/HL/NHLBI NIH HHS

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


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