Document Detail

Noninvasive monitoring of cardiac output in critically ill patients with thoracocardiography.
MedLine Citation:
PMID:  9001284     Owner:  NLM     Status:  MEDLINE    
Thoracocardiography noninvasively estimates changes in cardiac output by recording ventricular volume curves from an inductive plethysmographic transducer placed around the chest near the xiphoid process. We evaluated performance of thoracocardiography for estimation of cardiac output in 21 critically ill patients in comparison to thermodilution. A total of 201 paired cardiac output measurements were obtained over periods of 35 to 254 min. Since thoracocardiography tracks relative changes in cardiac output but does not provide absolute values, the first cardiac output by thermodilution in each patient was used to calibrate thoracocardiography for comparisons of subsequent cardiac output estimates to thermodilution. The mean difference (bias) of cardiac output (thoracocardiography - thermodilution) was 0.0 L/min, the limits of agreement (bias +/- 2 SD) included a range from -1.5 to +1.6 L/min. For estimations of relative changes in cardiac output by thoracocardiography and thermodilution the bias was 0%, and the limits of agreement -21 and +22%. We conclude that thoracocardiography is a promising noninvasive technique for monitoring cardiac output in critically ill patients.
K E Bloch; P C Baumann; R Stocker; E W Russi
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of respiratory and critical care medicine     Volume:  155     ISSN:  1073-449X     ISO Abbreviation:  Am. J. Respir. Crit. Care Med.     Publication Date:  1997 Jan 
Date Detail:
Created Date:  1997-02-11     Completed Date:  1997-02-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9421642     Medline TA:  Am J Respir Crit Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  26-31     Citation Subset:  AIM; IM    
Department of Internal Medicine, University Hospital of Zurich, Switzerland.
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MeSH Terms
Aged, 80 and over
Cardiac Output*
Critical Illness*
Middle Aged
Monitoring, Physiologic*
Plethysmography, Impedance*

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