Journal of Cardiothoracic and Vascular Anesthesia
Volume 21, Issue 5 , Pages 655-658 , October 2007

Evaluation of Partial Carbon Dioxide Rebreathing Cardiac Output Measurement During Thoracic Surgery

  • Ju-Mei Ng, FANZCA

      Affiliations

    • Department of Anaesthesia and Surgical Intensive Care, Singapore General Hospital, Singapore
    • Corresponding Author InformationAddress reprint requests to Ju-Mei Ng, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham & Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115.
    • ,
  • Mark Y. Chow, MMed

      Affiliations

    • Department of Anaesthesia and Surgical Intensive Care, Singapore General Hospital, Singapore
    • ,
  • Pierre C. Ip-Yam, FRCA

      Affiliations

    • Department of Anaesthesia and Surgical Intensive Care, Singapore General Hospital, Singapore
    • ,
  • Meng-Huat Goh, FANZCA

      Affiliations

    • Department of Anaesthesia and Surgical Intensive Care, Singapore General Hospital, Singapore
    • ,
  • Thirugnanam Agasthian, FRCA

      Affiliations

    • Department of Surgical Oncology, National Cancer Centre, Singapore.

References 

  1. Jaffe MB. Partial CO2 rebreathing cardiac output—Operating principles of the NICO system. J Clin Monit. 1999;15:387–401
  2. Van Heerden PV, Baker S, Lim SI, et al. Clinical evaluation of the noninvasive cardiac output (NICO) monitor in the intensive care unit. Anaesth Intensive Care. 2000;28:427–430
  3. Osterlund B, Gedeon A, Krill P, et al. A new method of using gas exchange measurements for the noninvasive determination of cardiac output: Clinical experiences in adults following cardiac surgery. Acta Anaesthesiol Scand. 1995;39:727–732
  4. Binder JC, Parking WG. Noninvasive cardiac output determination: Comparison of a new partial-rebreathing technique with thermodilution. Anaesth Intensive Care. 2001;29:19–23
  5. Tachibana K, Imanaka H, Miyano H, et al. Effect of ventilatory settings on accuracy of cardiac output measurement using partial CO2 rebreathing. Anesthesiology. 2002;96:96–102
  6. Odenstedt H, Stenqvist O, Lundin S. Clinical evaluation of a partial CO2 rebreathing technique for cardiac output monitoring in critically ill patients. Acta Anaesthesiol Scand. 2002;46:152–159
  7. Fuji S, Kikura M, Takada T, et al. A noninvasive partial carbon dioxide rebreathing technique for measurement of pulmonary capillary blood flow is also a useful oxygenation monitor during one-lung ventilation. J Clin Anesth. 2004;16:347–352
  8. Stetz CW, Miller RG, Kelly GE, et al. Reliability of the thermodilution method in the determination of cardiac output in clinical practice. Am Rev Respir Dis. 1982;26:1001–1004
  9. Critchley LAH, Critchley JAJH. A meta-analysis of studies using bias and precision statistics to compare cardiac output measurement techniques. J Clin Monit. 1999;15:85–91
  10. Kotake Y, Moriyama K, Innami Y, et al. Performance of noninvasive partial CO2 rebreathing cardiac output and continuous thermodilution cardiac output in patients undergoing aortic reconstruction surgery. Anesthesiology. 2003;99:283–288
  11. Tachibana K, Imanaka H, Takeuchi M, et al. 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. 2003;98:830–837
  12. Lumb AB. Carbon dioxide. In:  Nunn JF editors. Nunn’s Applied Respiratory Physiology. (ed 5). Oxford: Butterworth-Heinemann; 2000;p. 222–242

 Support was provided solely from an individual research grant from the National Medical Research Council, Singapore.

PII: S1053-0770(07)00015-8

doi: 10.1053/j.jvca.2007.01.012

Journal of Cardiothoracic and Vascular Anesthesia
Volume 21, Issue 5 , Pages 655-658 , October 2007

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