Document Detail


Monitoring cardiac output using the femoral and radial arterial pressure waveform.
MedLine Citation:
PMID:  16867085     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study was performed to determine the interchangeability of femoral artery pressure and radial artery pressure measurements as the input for the PiCCO system (Pulsion Medical Systems, Munich, Germany). We studied 15 intensive care patients following cardiac surgery. Five-second averages of the cardiac output derived from the femoral artery pressure (COfem) were compared to 5-s averages derived from the radial artery pressure (COrad). One patient was excluded due to problems in the pattern recognition of the arterial pressure signal. In the remaining 14 patients, 14 734 comparative cardiac output values were analysed. The mean sample time was 88 min, range [30-119 min]. Mean (SD) COfem was 6.24 (1.1) l.min(-1) and mean COrad 6.23 (1.1) l.min(-1). Bland-Altman analysis showed an excellent agreement with a bias of - 0.01 l.min(-1), and limits of agreement from 0.60 to - 0.62 l.min(-1). If changes in CO were > 0.5 l.min(-1), the direction of changes in COfem and COrad were equal in 97% of instances. We conclude that femoral artery pressure and radial artery pressure are interchangeable as inputs for the PiCCO device.
Authors:
R B P de Wilde; R B G E Breukers; P C M van den Berg; J R C Jansen
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  61     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-07-26     Completed Date:  2006-08-21     Revised Date:  2007-02-26    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  743-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Intensive Care, C6-k102, Leiden University Medical Center, Albinusdreef 2, PO Box 9600, 2300 RC Leiden, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Aged
Cardiac Output / physiology*
Cardiac Surgical Procedures
Female
Femoral Artery / physiology*
Humans
Intensive Care / methods
Male
Monitoring, Physiologic / methods*
Postoperative Care / methods
Radial Artery / physiology*
Reproducibility of Results
Comments/Corrections
Comment In:
Anaesthesia. 2007 Jan;62(1):90-1; author reply 91   [PMID:  17156236 ]

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


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