Document Detail

Monitoring in resuscitation: comparison of cardiac output measurement between pulmonary artery catheter and NICO.
MedLine Citation:
PMID:  20083335     Owner:  NLM     Status:  MEDLINE    
AIM: The cardiac output and coronary perfusion pressure generated from chest compressions during resuscitation manoeuvres can predict effectiveness and successful outcome. Until now, there is no good method for haemodynamic monitoring during resuscitation. Noninvasive partial carbon dioxide rebreathing system (NICO, Novametrix Medical Systems, Inc., Wallingford, CT, USA) is a relatively new non-invasive alternative to thermodilution for measuring cardiac output. The accuracy of the NICO system has not been evaluated during resuscitation. The aim of this study is to compare thermodilution cardiac output method with NICO system and to assess the utility of NICO during resuscitation. METHODS AND DESIGN: Experimental study in 24 Yorkshire pigs. Paired measurements of cardiac output were determined during resuscitation (before ventricular fibrillation and after 5, 15, 30 and 45 min of resuscitation) in the supine position. The average of 3 consecutive thermodilution cardiac output measurements (10 ml 20 degrees C saline) was compared with the corresponding NICO measurement. RESULTS: Bland and Altman plot and Lin's concordance coefficient showed a high correlation between NICO and thermodilution cardiac output measurements although NICO has a tendency to underestimate cardiac output when compared to thermodilution at normal values of cardiac output. CONCLUSIONS: There is a high degree of agreement between cardiac output measurements obtained with NICO and thermodilution cardiac output during resuscitation. The present study suggests that the NICO system may be useful to measure cardiac output generated during cardiopulmonary resuscitation.
M José Carretero; Jaume Fontanals; Mercé Agustí; M José Arguis; Julia Martínez-Ocón; Ana Ruiz; José Rios
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-01-18
Journal Detail:
Title:  Resuscitation     Volume:  81     ISSN:  1873-1570     ISO Abbreviation:  Resuscitation     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-15     Completed Date:  2010-06-10     Revised Date:  2010-08-31    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  404-9     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.
Department of Anaesthesiology, Critical Care and Pain Management, Hospital Clínic, Universitat de Barcelona, Villarroel 170, C/Mina 47, ático 1, 08906 L'Hospitalet del Llobregat, Barcelona, Spain.
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MeSH Terms
Carbon Dioxide / metabolism*
Cardiac Output / physiology*
Monitoring, Physiologic / methods*
Reg. No./Substance:
124-38-9/Carbon Dioxide
Comment In:
Resuscitation. 2010 Sep;81(9):1216   [PMID:  20598421 ]

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