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Continuous Estimation of Cardiac Output in Critical Care: A Noninvasive Method Based on Pulse Wave Transit Time Compared with Transpulmonary Thermodilution
Joint Authors
Schuepbach, Reto A.
Ehlers, Ulrike
Erlebach, Rolf
Brandi, Giovanna
Stretti, Federica
Valek, Richard
Klinzing, Stephanie
Source
Critical Care Research and Practice
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-07-20
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Purpose.
Estimation of cardiac output (CO) and evaluation of change in CO as a result of therapeutic interventions are essential in critical care medicine.
Whether noninvasive tools estimating CO, such as continuous cardiac output (esCCOTM) methods, are sufficiently accurate and precise to guide therapy needs further evaluation.
We compared esCCOTM with an established method, namely, transpulmonary thermodilution (TPTD).
Patients and Methods.
In a single center mixed ICU, esCCOTM was compared with the TPTD method in 38 patients.
The primary endpoint was accuracy and precision.
The cardiac output was assessed by two investigators at baseline and after eight hours.
Results.
In 38 critically ill patients, the two methods correlated significantly (r = 0.742).
The Bland–Altman analysis showed a bias of 1.6 l/min with limits of agreement of −1.76 l/min and +4.98 l/min.
The percentage error for COesCCO was 47%.
The correlation of trends in cardiac output after eight hours was significant (r = 0.442), with a concordance of 74%.
The performance of COesCCO could not be linked to the patient’s condition.
Conclusion.
The accuracy and precision of the esCCOTM method were not clinically acceptable for our critical patients.
EsCCOTM also failed to reliably detect changes in cardiac output.
American Psychological Association (APA)
Ehlers, Ulrike& Erlebach, Rolf& Brandi, Giovanna& Stretti, Federica& Valek, Richard& Klinzing, Stephanie…[et al.]. 2020. Continuous Estimation of Cardiac Output in Critical Care: A Noninvasive Method Based on Pulse Wave Transit Time Compared with Transpulmonary Thermodilution. Critical Care Research and Practice،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1138548
Modern Language Association (MLA)
Ehlers, Ulrike…[et al.]. Continuous Estimation of Cardiac Output in Critical Care: A Noninvasive Method Based on Pulse Wave Transit Time Compared with Transpulmonary Thermodilution. Critical Care Research and Practice No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1138548
American Medical Association (AMA)
Ehlers, Ulrike& Erlebach, Rolf& Brandi, Giovanna& Stretti, Federica& Valek, Richard& Klinzing, Stephanie…[et al.]. Continuous Estimation of Cardiac Output in Critical Care: A Noninvasive Method Based on Pulse Wave Transit Time Compared with Transpulmonary Thermodilution. Critical Care Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1138548
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1138548