Journal of Cardiothoracic and Vascular Anesthesia
Volume 21, Issue 1 , Pages 3-7 , February 2007

Cardiac Output Determination From the Arterial Pressure Wave: Clinical Testing of a Novel Algorithm That Does Not Require Calibration

Presented in part at the 34th Annual Society of Critical Care Medicine Conference, Phoenix, AZ, January 15-19, 2005.

  • Gerard R. Manecke Jr, MD

      Affiliations

    • Department of Anesthesiology, UCSD Medical Center, San Diego, CA
    • Corresponding Author InformationAddress reprint requests to Gerard R. Manecke Jr, MD, Department of Anesthesiology, UCSD Medical Center, 200 West Arbor Drive, San Diego, CA 92103.
    • ,
  • William R. Auger, MD

      Affiliations

    • Department of Internal Medicine, UCSD Medical Center, San Diego, CA.

References 

  1. Manecke GR, Parimucha M, Stratmann G, et al. Deep hypothermic circulatory arrest and the femoral-to-radial arterial pressure gradient. J Cardiothorac Vasc Anesth. 2004;18:175–179
  2. Huang L, Elsharydah A, Nawabi A, et al. Entrapment of pulmonary artery catheter in a suture at the inferior vena cava cannulation site. J Clin Anesth. 2004;16:557–559
  3. Abreu AR, Campos MA, Krieger BP. Pulmonary artery rupture induced by a pulmonary artery catheter: A case report and review of the literature. J Intensive Care Med. 2004;19:291–296
  4. Bossert T, Schmitt DV, Mohr FW. [Pulmonary artery rupture—Fatal complication of catheter examination (thermodilution catheter)]. Z Kardiol. 2000;89:54
  5. Huggins RA, Smith EL, Sinclair MA. Comparison of cardiac output by the direct Fick and pressure pulse contour methods in the open-chest dog. Am J Physiol. 1949;159:385–388
  6. Williams RR, Wray RB, Tsagaris TJ, et al. Computer estimation of stroke volume from aortic pulse contour in dogs and humans. Cardiology. 1974;59:350–366
  7. English JB, Hodges MR, Sentker C, et al. Comparison of aortic pulse-wave contour analysis and thermodilution methods of measuring cardiac output during anesthesia in the dog. Anesthesiology. 1980;52:56–61
  8. Brock-Utne JG, Blake GT, Bosenberg AT, et al. An evaluation of the pulse-contour method of measuring cardiac output. S Afr Med J. 1984;66:451–453
  9. Della Rocca G, Costa MG, Coccia C, et al. Cardiac output monitoring: aortic transpulmonary thermodilution and pulse contour analysis agree with standard thermodilution methods in patients undergoing lung transplantation. Can J Anaesth. 2003;50:707–711
  10. Jansen JR, Schreuder JJ, Mulier JP, et al. A comparison of cardiac output derived from the arterial pressure wave against thermodilution in cardiac surgery patients. Br J Anaesth. 2001;87:212–222
  11. Mukkamala R, Reisner AT, Hojman HM, et al. Continuous cardiac output monitoring by peripheral blood pressure waveform analysis. IEEE Trans Biomed Eng. 2006;53:459–467
  12. Hamilton TT, Huber LM, Jessen ME. PulseCO: A less-invasive method to monitor cardiac output from arterial pressure after cardiac surgery. Ann Thorac Surg. 2002;74:S1408–S1412
  13. Della Rocca G, Costa MG, Pompei L, et al. Continuous and intermittent cardiac output measurement: Pulmonary artery catheter versus aortic transpulmonary technique. Br J Anaesth. 2002;88:350–356
  14. Remmen JJ, Aengevaeren WR, Verheugt FW, et al. Finapres arterial pulse wave analysis with Modelflow is not a reliable non-invasive method for assessment of cardiac output. Clin Sci (Lond). 2002;103:143–149
  15. Langewouters GJ, Wesseling KH, Goedhard WJ. The pressure-dependent dynamic elasticity of 35 thoracic and 16 abdominal human aortas in vitro described by a five-component model. J Biomech. 1985;18:613–620
  16. Mielck F, Buhre W, Hanekop G, et al. Comparison of continuous cardiac output measurements in patients after cardiac surgery. J Cardiothorac Vasc Anesth. 2003;17:211–216
  17. Zollner C, Haller M, Weis M, et al. Beat-to-beat measurement of cardiac output by intravascular pulse contour analysis: A prospective criterion standard study in patients after cardiac surgery. J Cardiothorac Vasc Anesth. 2000;14:125–129
  18. Ishihara H, Okawa H, Tanabe K, et al. A new noninvasive continuous cardiac output trend solely utilizing routine cardiovascular monitors. J Clin Monit Comput. 2004;18:313–320
  19. Goedje O, Hoeke K, Lichtwarck-Aschoff M, et al. Continuous cardiac output by femoral arterial thermodilution calibrated pulse contour analysis: Comparison with pulmonary arterial thermodilution. Crit Care Med. 1999;27:2407–2412
  20. Manecke GR. Edwards FloTrac sensor and Vigileo monitor: Easy, accurate, reliable cardiac output assessment using the arterial pulse wave. Expert Rev Med Devices. 2005;2:523–527

 Supported in part by a clinical trial agreement with Edwards Lifesciences, LLC, Irvine, CA. Institutional support was provided by UCSD Departments of Medicine and Anesthesiology.

PII: S1053-0770(06)00311-9

doi: 10.1053/j.jvca.2006.08.004

Journal of Cardiothoracic and Vascular Anesthesia
Volume 21, Issue 1 , Pages 3-7 , February 2007

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