Comparison of an advanced minimally invasive cardiac output monitoring with a continuous invasive cardiac output monitoring during lung transplantation.
The aim of this study was to compare a continuous non-calibrated left heart cardiac index (CI) measurement by arterial waveform analysis (FloTrac(®)/Vigileo(®)) with a continuous calibrated right heart CI measurement by pulmonary artery thermodilution (CCOmbo-PAC(®)/Vigilance II(®)) for hemodynamic...
| Publicado en: | Journal of Clinical Monitoring & Computing Vol. 30; no. 4; pp. 475 - 481 |
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| Autores principales: | , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Aug2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117018116&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 117018116 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13871307 OHC jtl: Journal of Clinical Monitoring & Computing issn: 13871307 maglogo: N pubinfo: dt: Aug2016 vid: 30 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 117018116 117018116 NLM26223864 117018116 10.1007/s10877-015-9741-4 NLM26223864 117018116 ppf: 475 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Comparison of an advanced minimally invasive cardiac output monitoring with a continuous invasive cardiac output monitoring during lung transplantation. aug: au: Tomasi, Roland Prueckner, Stephan Czerner, Stephan Schramm, Renè Preissler, Gerhard Zwißler, Bernhard Dossow-Hanfstingl, Vera Schramm, Renè Zwißler, Bernhard von Dossow-Hanfstingl, Vera affil: Department of Anaesthesiology, University of Munich, Marchionistrasse 15 81377 Munich Germany sug: subj: Cardiac Output Intraoperative Monitoring Methods Lung Transplantation Pulmonary Artery Physiology Middle Age Adult Diagnosis, Cardiovascular Methods Human Aged Pilot Studies Intraoperative Monitoring Statistics and Numerical Data Thermodilution Statistics and Numerical Data Hemodynamics Male Linear Regression Thermodilution Methods Female Diagnosis, Cardiovascular Statistics and Numerical Data Prospective Studies Validation Studies Comparative Studies Evaluation Research Multicenter Studies Middle Aged: 45-64 years Adult: 19-44 years Aged: 65+ years Male Female ab: The aim of this study was to compare a continuous non-calibrated left heart cardiac index (CI) measurement by arterial waveform analysis (FloTrac(®)/Vigileo(®)) with a continuous calibrated right heart CI measurement by pulmonary artery thermodilution (CCOmbo-PAC(®)/Vigilance II(®)) for hemodynamic monitoring during lung transplantation. CI was measured simultaneously by both techniques in 13 consecutive lung transplants (n = 4 single-lung transplants, n = 9 sequential double-lung transplants) at distinct time points perioperatively. Linear regression analysis and Bland-Altman analysis with percentage error calculation were used for statistical comparison of CI measurements by both techniques. In this study the FloTrac(®) system underestimated the CI in comparison with the continuous pulmonary arterial thermodilution (p < 0.000). For all measurement pairs we calculated a bias of -0.55 l/min/m(2) with limits of agreement between -2.31 and 1.21 l/min/m(2) and a percentage error of 55 %. The overall correlations before clamping a branch oft the pulmonary artery (percentage error 41 %) and during the clamping periods of a branch oft the pulmonary artery (percentage error 66 %) failed to reached the required percentage error of less than 30 %. We found good agreement of both CI measurements techniques only during the measurement point "15 min after starting the second one-lung ventilation period" (percentage error 30 %). No agreement was found during all other measurement points. This pilot study shows for the first time that the CI of the FloTrac(®) system is not comparable with the continuous pulmonary-artery thermodilution during lung transplantation including the time periods without clamping a branch of the pulmonary artery. Arterial waveform and continuous pulmonary artery thermodilution are, therefore, not interchangeable during these complex operations. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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