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Intensive Care Medicine

, Volume 22, Issue 10, pp 1125–1129 | Cite as

Analysis of the accuracy of continuous thermodilution cardiac output measurement

Comparison with intermittent thermodilution and Fick cardiac output measurement
  • L. Jacquet
  • G. Hanique
  • D. Glorieux
  • P. Matte
  • M. Goenen
Technique

Abstract

Objective

To evaluate the accuracy of cardiac output measurement obtained by a new continuous thermodilution cardiac output (CCO) pulmonary artery catheter compared to intermittent thermodilution (TCO) and the direct Fick method.

Design

Prospective open trial.

Setting

University hospital, intensive care unit.

Patients

23 patients (15 surgical, 8 non-surgical) were monitored with the Intellicath pulmonary catheter. Cardiac output was evaluated by the three methods every 4 to 6 h as long as the pulmonary artery catheter was necessary (8–96h).

Results

The correlation coefficient between CCO and TCO was 0.92, no systematic bias was observed, and the relative error increased from 13.9% for a cardiac output of 1 l/min to 23.7% for an output of 10 l/min. When comparing CCO and Fick, the correlation coefficient was 0.89, no bias was detected, and the relative error increased from 20.4% for outputs of 2 l/min to 27.2% for outputs of 10 l/min.

Conclusions

CCO provides clinically acceptable measurements. At high cardiac outputs, the difference with other methods increases and the results must be cautiously interpreted.

Key words

Continuous cardiac output Thermodilution Fick principle Pulmonary artery catheter 

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Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • L. Jacquet
    • 1
  • G. Hanique
    • 1
  • D. Glorieux
    • 1
  • P. Matte
    • 1
  • M. Goenen
    • 1
  1. 1.Cardio-thoracic Intensive Care UnitSaint-Luc University HospitalBrusselsBelgium

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