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Less Invasive Cardiac Output Monitoring: Characteristics and Limitations

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Part of the book series: Yearbook of Intensive Care and Emergency Medicine ((YEARBOOK,volume 2006))

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References

  1. Connors AF Jr, Speroff T, Dawson NV, et al (1996) The effectiveness of right heart catheterization in the initial care of critically ill patients. SUPPORT Investigators. JAMA 276:889–897

    Article  PubMed  Google Scholar 

  2. Guyatt G (1991) A randomized control trial of right-heart catheterization in critically ill patients. Ontario Intensive Care Study Group. J Intensive Care Med 6:91–95

    CAS  PubMed  Google Scholar 

  3. Gattinoni L, Brazzi L, Pelosi P, et al (1995) A trial of goal-oriented hemodynamic therapy in critically ill patients. SvO2 Collaborative Group. N Engl J Med 333:1025–1032

    Article  CAS  PubMed  Google Scholar 

  4. Sandham JD, Hull RD, Brant RF, et al. (2003) A randomized, controlled trial of the use of pulmonary-artery catheters in high-risk surgical patients. N Engl J Med 348:5–14

    Article  PubMed  Google Scholar 

  5. Berlauk JF, Abrams JH, Gilmour IJ, O’Connor SR, Knighton DR, Cerra FB (1991) Preoperative optimization of cardiovascular hemodynamics improves outcome in peripheral vascular surgery. A prospective, randomized clinical trial. Ann Surg 214:289–297

    Article  CAS  PubMed  Google Scholar 

  6. Bowdle TA (2002) Complications of invasive monitoring. Anesthesiol Clin N Am 20:571–588

    Article  Google Scholar 

  7. Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1:307–310

    CAS  PubMed  Google Scholar 

  8. Lennon MJ, Gibbs NM, Weightman WM, Leber J, Ee HC, Yusoff IF (2005) Transesophageal echocardiography-related gastrointestinal complications in cardiac surgical patients. J Cardiothorac Vasc Anesth 19:141–145

    Article  PubMed  Google Scholar 

  9. Bettex DA, Hinselmann V, Hellermann JP, Jenni R, Schmid ER (2004) Transoesophageal echocardiography is unreliable for cardiac output assessment after cardiac surgery compared with thermodilution. Anaesthesia 59:1184–1192

    Article  CAS  PubMed  Google Scholar 

  10. Zhao X, Mashikian JS, Panzica P, Lerner A, Park KW, Communale ME (2003) Comparison of thermodilution bolus cardiac output and Doppler cardiac output in the early post-cardiopulmonary bypass period. J Cardiothorac Vasc Anesth 17:193–198

    Article  CAS  PubMed  Google Scholar 

  11. Gray PE, Perrino AC Jr (2001) Hemodynamic-induced changes in aortic valve area: implications for Doppler cardiac output determinations. Anesth Analg 92:584–589

    Article  CAS  PubMed  Google Scholar 

  12. Akamatsu S, Oda A, Terazawa E, et al (2004) Automated cardiac output measurement by transesophageal color Doppler echocardiography. Anesth Analg 98:1232–1238

    Article  PubMed  Google Scholar 

  13. Hofer CK, Zollinger A, Rak M, et al (2004) Therapeutic impact of intra-operative transoesophageal echocardiography during noncardiac surgery. Anaesthesia 59:3–9

    Article  CAS  PubMed  Google Scholar 

  14. Royse CF, Royse AG, Soeding PF, Mathieson EM (2003) Descending aortic pulsed wave Doppler can predict changes in cardiac output during off-pump coronary artery bypass surgery. Ann Thorac Cardiovasc Surg 9:314–318

    PubMed  Google Scholar 

  15. Berton C, Cholley B (2002) Equipment review: new techniques for cardiac output measurement-oesophageal Doppler, Fick principle using carbon dioxide, and pulse contour analysis. Crit Care 6:216–221

    Article  PubMed  Google Scholar 

  16. Hullett B, Gibbs N, Weightman W, Thackray M, Newman M (2003) A comparison of CardioQ and thermodilution cardiac output during off-pump coronary artery surgery. J Cardiothorac Vasc Anesth 17:728–732

    Article  PubMed  Google Scholar 

  17. Jaeggi P, Hofer CK, Klaghofer R, Fodor P, Genoni M, Zollinger A (2003) Measurement of cardiac output after cardiac surgery by a new transesophageal Doppler device. J Cardiothorac Vasc Anesth 17:217–220

    Article  PubMed  Google Scholar 

  18. Kim K, Kwok I, Chang H, Han T (2004) Comparison of cardiac outputs of major burn patients undergoing extensive early escharectomy: esophageal Doppler monitor versus thermodilution pulmonary artery catheter. J Trauma 57:1013–1017

    Article  PubMed  Google Scholar 

  19. Leather HA, Wouters PF (2001) Oesophageal Doppler monitoring overestimates cardiac output during lumbar epidural anaesthesia. Br J Anaesth 86:794–797

    Article  CAS  PubMed  Google Scholar 

  20. Linton NW, Linton RA (2001) Estimation of changes in cardiac output from the arterial blood pressure waveform in the upper limb. Br J Anaesth 86:486–496

    Article  CAS  PubMed  Google Scholar 

  21. Moxon D, Pinder M, van Heerden PV, Parsons RW (2003) Clinical evaluation of the Hemo-Sonic monitor in cardiac surgical patients in the ICU. Anaesth Intensive Care 31:408–411

    CAS  PubMed  Google Scholar 

  22. Wakeling HG, McFall MR, Jenkins CS, et al (2005) Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery. Br J Anaesth 95:634–642

    Article  CAS  PubMed  Google Scholar 

  23. Tan HL, Pinder M, Parsons R, Roberts B, van Heerden PV (2005) Clinical evaluation of USCOM ultrasonic cardiac output monitor in cardiac surgical patients in intensive care unit. Br J Anaesth 94:287–291

    Article  CAS  PubMed  Google Scholar 

  24. Godje O, Hoke K, Goetz AE, et al (2002) Reliability of a new algorithm for continuous cardiac output determination by pulse-contour analysis during hemodynamic instability. Crit Care Med 30:52–58

    Article  PubMed  Google Scholar 

  25. Pittman J, Bar-Yosef S, Sumping J, Sherwood M, Mark J (2005) Continuous cardiac output monitoring with pulse contour analysis: A comparison with lithium indicator dilution cardiac output measurement. Crit Care Med 33:2015–2021

    Article  PubMed  Google Scholar 

  26. Della Rocca G, Costa MG, Pompei L, Coccia C, Pietropaoli P (2002) Continuous and intermittent cardiac output measurement: pulmonary artery catheter versus aortic transpulmonary technique. Br J Anaesth 88:350–356

    Article  CAS  PubMed  Google Scholar 

  27. Rodig G, Prasser C, Keyl C, Liebold A, Hobbhahn J (1999) Continuous cardiac output measurement: pulse contour analysis vs. thermodilution technique in cardiac surgical patients. Br J Anaesth 82:525–530

    CAS  PubMed  Google Scholar 

  28. Felbinger TW, Reuter DA, Eltzschig HK, Bayerlein J, Goetz AE (2005) Cardiac index measurements during rapid preload changes: a comparison of pulmonary artery thermodilution with arterial pulse contour analysis. J Clin Anesth 17:241–248

    Article  PubMed  Google Scholar 

  29. Hamilton TT, Huber LM, Jessen ME (2002) PulseCO: a less-invasive method to monitor cardiac output from arterial pressure after cardiac surgery. Ann Thorac Surg 74:1408–1412

    Article  Google Scholar 

  30. Yamashita K, Nishiyama T, Yokoyama T, Abe H, Manabe M (2005) Cardiac output by PulseCO is not interchangeable with thermodilution in patients undergoing OPCAB. Can J Anaesth 52:530–534

    Article  PubMed  Google Scholar 

  31. McGee W, Horswell J, Janvier G (2005) Validation of a continuous cardiac output measurement using arterial pressure waveforms. Crit Care 9(suppl 1):P62 (abst)

    Article  Google Scholar 

  32. Hofer CK, Muller SM, Furrer L, Klaghofer R, Genoni M, Zollinger A (2005) Stroke volume and pulse pressure variation for prediction of fluid responsiveness in patients undergoing off-pump coronary artery bypass grafting. Chest 128:848–854

    Article  PubMed  Google Scholar 

  33. Hofer CK, Furrer L, Matter-Ensner S, et al (2005) Volumetric preload measurement by thermodilution: a comparison with transoesophageal echocardiography. Br J Anaesth 94:748–755

    Article  CAS  PubMed  Google Scholar 

  34. Martin GS, Eaton S, Mealer M, Moss M (2005) Extravascular lung water in patients with severe sepsis: a prospective cohort study. Crit Care 9:74–82

    Article  Google Scholar 

  35. Bremer F, Schiele A, Tschaikowsky K (2002) Cardiac output measurement by pulse dye densitometry: a comparison with the Fick’s principle and thermodilution method. Intensive Care Med 28:399–405

    Article  PubMed  Google Scholar 

  36. Hofer CK, Buhlmann S, Klaghofer R, Genoni M, Zollinger A (2004) Pulsed dye densitometry with two different sensor types for cardiac output measurement after cardiac surgery: a comparison with the thermodilution technique. Acta Anaesthesiol Scand 48:653–657

    Article  CAS  PubMed  Google Scholar 

  37. Sakka SG, Reinhart K, Wegscheider K, Meier-Hellmann A (2002) Comparison of cardiac output and circulatory blood volumes by transpulmonary thermo-dye dilution and transcutaneous indocyanine green measurement in critically ill patients. Chest 121:559–565

    Article  PubMed  Google Scholar 

  38. Maarek JM, Holschneider DP, Yang J, Pniak SN, Rubinstein EH (2005) Transcutaneous fluorescence dilution cardiac output and circulating blood volume during hemorrhagic hypovolemia. Anesthesiology 102:774–782

    Article  PubMed  Google Scholar 

  39. Kimura S, Yoshioka T, Shibuya M, Sakano T, Tanaka R, Matsuyama S (2001) Indocyanine green elimination rate detects hepatocellular dysfunction early in septic shock and correlates with survival. Crit Care Med 29:1159–1163

    Article  CAS  PubMed  Google Scholar 

  40. Odenstedt H, Stenqvist O, Lundin S (2002) Clinical evaluation of a partial CO2 rebreathing technique for cardiac output monitoring in critically ill patients. Acta Anaesthesiol Scand 46:152–159

    Article  CAS  PubMed  Google Scholar 

  41. Kotake Y, Moriyama K, Innami Y, et al (2003) Performance of noninvasive partial CO2 rebreathing cardiac output and continuous thermodilution cardiac output in patients undergoing aortic reconstruction surgery. Anesthesiology 99:283–288

    Article  PubMed  Google Scholar 

  42. Mielck F, Buhre W, Hanekop G, Tirilomis T, Hilgers R, Sonntag H (2003) Comparison of continuous cardiac output measurements in patients after cardiac surgery. J Cardiothorac Vasc Anesth 17:211–216

    Article  PubMed  Google Scholar 

  43. Rocco M, Spadetta G, Morelli A, et al (2004) A comparative evaluation of thermodilution and partial CO2 rebreathing techniques for cardiac output assessment in critically ill patients during assisted ventilation. Intensive Care Med 30:82–87

    Article  PubMed  Google Scholar 

  44. Tachibana K, Imanaka H, Takeuchi M, Takauchi Y, Miyano H, Nishimura M (2003) Noninvasive cardiac output measurement using partial carbon dioxide rebreathing is less accurate at settings of reduced minute ventilation and when spontaneous breathing is present. Anesthesiology 98:830–837

    Article  PubMed  Google Scholar 

  45. Moshkovitz Y, Kaluski E, Milo O, Vered Z, Cotter G (2004) Recent developments in cardiac output determination by bioimpedance: comparison with invasive cardiac output and potential cardiovascular applications. Curr Opin Cardiol 19:229–237

    Article  PubMed  Google Scholar 

  46. Sageman WS, Riffenburgh RH, Spiess BD (2002) Equivalence of bioimpedance and thermodilution in measuring cardiac index after cardiac surgery. J Cardiothorac Vasc Anesth 16:8–14

    Article  PubMed  Google Scholar 

  47. Spiess BD, Patel MA, Soltow LO, Wright IH (2001) Comparison of bioimpedance versus thermodilution cardiac output during cardiac surgery: evaluation of a second-generation bioimpedance device. J Cardiothorac Vasc Anesth 15:567–573

    Article  CAS  PubMed  Google Scholar 

  48. Hirschl MM, Kittler H, Woisetschlager C, et al (2000) Simultaneous comparison of thoracic bioimpedance and arterial pulse waveform-derived cardiac output with thermodilution measurement. Crit Care Med 28:1798–1802

    Article  CAS  PubMed  Google Scholar 

  49. Cotter G, Moshkovitz Y, Kaluski E, et al (2004) Accurate, noninvasive continuous monitoring of cardiac output by whole-body electrical bioimpedance. Chest 125:1431–1440

    Article  PubMed  Google Scholar 

  50. Imhoff M, Lehner JH, Lohlein D (2000) Noninvasive whole-body electrical bioimpedance cardiac output and invasive thermodilution cardiac output in high-risk surgical patients. Crit Care Med 28:2812–2818

    Article  CAS  PubMed  Google Scholar 

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© 2006 Springer-Verlag Berlin Heidelberg

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Hofer, C.K., Zollinger, A. (2006). Less Invasive Cardiac Output Monitoring: Characteristics and Limitations. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine. Yearbook of Intensive Care and Emergency Medicine, vol 2006. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-33396-7_16

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  • DOI: https://doi.org/10.1007/3-540-33396-7_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-30155-4

  • Online ISBN: 978-3-540-33396-8

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