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Cardiac Output Measurements in Septic Patients : Comparing the Accuracy of USCOM to PiCCO
Joint Authors
Stemmler, Hans-Joachim
Cnossen, Jitske
Geiger, Sandra
Brettner, Florian
Horster, Sophia
Nickel, Thomas
Parhofer, Klaus G.
Strecker, Nina
Hausmann, Andreas
Source
Critical Care Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-11-29
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
USCOM is an ultrasound-based method which has been accepted for noninvasive hemodynamic monitoring in various clinical conditions (USCOM, Ultrasonic cardiac output monitoring).
The present study aimed at comparing the accuracy of the USCOM device with that of the thermodilution technique in patients with septicemia.
We conducted a prospective observational study in a medical but noncardiological ICU of a university hospital.
Septic adult patients (median age 55 years, median SAPS-II-Score 43 points) on mechanical ventilation and catecholamine support were monitored with USCOM and PiCCO (n=70).
Seventy paired left-sided CO measurements (transaortic access = COUS-A) were obtained.
The mean COUS-A were 6.55 l/min (±2.19) versus COPiCCO 6.5 l/min (±2.18).
The correlation coefficient was r=0.89.
Comparison by Bland-Altman analysis revealed a bias of −0.36 l/min (±0.99 l/min) leading to a mean percentage error of 29%.
USCOM is a feasible and rapid method to evaluate CO in septic patients.
USCOM does reliably represent CO values as compared to the reference technique based on thermodilution (PiCCO).
It seems to be appropriate in situations where CO measurements are most pertinent to patient management.
American Psychological Association (APA)
Horster, Sophia& Stemmler, Hans-Joachim& Strecker, Nina& Brettner, Florian& Hausmann, Andreas& Cnossen, Jitske…[et al.]. 2011. Cardiac Output Measurements in Septic Patients : Comparing the Accuracy of USCOM to PiCCO. Critical Care Research and Practice،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-459125
Modern Language Association (MLA)
Horster, Sophia…[et al.]. Cardiac Output Measurements in Septic Patients : Comparing the Accuracy of USCOM to PiCCO. Critical Care Research and Practice No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-459125
American Medical Association (AMA)
Horster, Sophia& Stemmler, Hans-Joachim& Strecker, Nina& Brettner, Florian& Hausmann, Andreas& Cnossen, Jitske…[et al.]. Cardiac Output Measurements in Septic Patients : Comparing the Accuracy of USCOM to PiCCO. Critical Care Research and Practice. 2011. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-459125
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-459125