Journal of Cardiothoracic and Vascular Anesthesia
Volume 21, Issue 5 , Pages 636-643 , October 2007

Uncalibrated Arterial Pulse Contour Analysis Versus Continuous Thermodilution Technique: Effects of Alterations in Arterial Waveform

  • Suraphong Lorsomradee, MD

      Affiliations

    • Department of Anesthesiology, University Hospital Chiangmai, Chiangmai, Thailand
  • ,
  • Sratwadee Lorsomradee, MD

      Affiliations

    • Department of Anesthesiology, University Hospital Chiangmai, Chiangmai, Thailand
  • ,
  • Stefanie Cromheecke, MD

      Affiliations

    • Department of Anesthesiology, University Hospital Antwerp, Edegem, Belgium.
  • ,
  • Stefan G. De Hert, MD, PhD

      Affiliations

    • Department of Anesthesiology, University Hospital Antwerp, Edegem, Belgium.
    • Corresponding Author InformationAddress reprint requests to Stefan G. De Hert, MD, PhD, Department of Anesthesiology, University Hospital Antwerp, Wilrijkstraat 10, B-2650 Edegem, Belgium.

References 

  1. Lefrant JY, Bruelle P, Ripart J, et al. Cardiac output measurement in critically ill patients: Comparison of continuous and conventional thermodilution technique. Can J Anaesth. 1995;42:972–976
  2. Jacquet L, Hanique G, Glorieux D, et al. Analysis of the accuracy of continuous thermodilution cardiac output measurement. Intensive Care Med. 1996;22:1125–1129
  3. Rodig G, Keyl C, Liebold A, et al. Intraoperative evaluation of a continuous versus intermittent bolus thermodilution technique of cardiac output measurement in cardiac surgical patients. Eur J Anaesthesiol. 1998;15:196–201
  4. 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
  5. Manecke GR, Peterson M, Auger WR. Cardiac output determination using arterial pulse: A comparison of a novel algorithm against continuous and intermittent thermodilution. Crit Care Med. 2004;32:43A
  6. McGee WT, Horswell J, Janvier G. Validation of a continuous cardiac output measurement using arterial pressure waveforms. Crit Care. 2005;9:62A
  7. Horswell J, Worley T. Continuous cardiac output measured by arterial pressure analysis in surgical patients. Anesthesiology. 2005;103:834A
  8. Opdam HI, Wan L, Bellomo R. A pilot assessment of the FloTrac cardiac output monitoring system. Intensive Care Med. 2006;(Epub ahead of print)
  9. Yelderman M, Quinn MD, McKown RC. Thermal safety of a filamented pulmonary artery catheter. J Clin Monit. 1992;8:147–149
  10. Lazor MA, Pierce ET, Stanley GD, et al. Evaluation of the accuracy and response time of STAT-mode continuous cardiac output. J Cardiothorac Vasc Anesth. 1997;11:432–436
  11. Singh A, Juneja R, Mehta Y, et al. Comparison of continuous, stat, and intermittent cardiac output measurement in patients undergoing minimally invasive direct coronary arterial bypass surgery. J Cardiothorac Vasc Anesth. 2002;16:186–190
  12. Headley JM. Arterial pressure-based technologies: A new trend in cardiac output monitoring. Crit Care Nurs Clin North Am. 2006;18:179–187
  13. De Hert SG, Rodrigus IE, Haenen LR, et al. Recovery of systolic and diastolic left ventricular function early after cardiopulmonary bypass. Anesthesiology. 1996;85:1063–1075
  14. De Hert SG, Gillebert TC, ten Broecke PW, et al. Length-dependent regulation of left ventricular function in coronary surgery patients. Anesthesiology. 1999;91:379–387
  15. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1:307–310
  16. Orme RM, Pigott DW, Mihm FG. Measurement of cardiac output by transpulmonary arterial thermodilution using a long radial artery catheter (A comparison with intermittent pulmonary artery thermodilution). Anaesthesia. 2004;59:590–594
  17. de Wilde RB, Breukers RB, van den Berg PC, et al. Monitoring cardiac output using the femoral and radial arterial pressure waveform. Anaesthesia. 2006;61:743–746
  18. Sander M, von Heymann C, Foer A, et al. Pulse contour analysis after normothermic cardiopulmonary bypass in cardiac surgery patients. Crit Care. 2005;9:729–734
  19. Sander M, Spies CD, Grubitzsch H, et al. Comparison of uncalibrated arterial waveform analysis in cardiac surgery patients with thermodilution cardiac output measurements. Crit Care. 2006;10:(Epub ahead of print)
  20. Gödje O, Friedl R, Hannekum A. Accuracy of beat-to-beat cardiac output monitoring by pulse contour analysis in hemodynamical unstable patients. Med Sci Monit. 2001;7:1344–1350
  21. Gödje O, Hoke K, Goetz AE, et al. Reliability of a new algorithm for continuous cardiac output determination by pulse-contour analysis during hemodynamic instability. Crit Care Med. 2002;30:52–58
  22. Pittman J, Bar-Yosef S, SumPing J, et al. Continuous cardiac output monitoring with pulse contour analysis: A comparison with lithium indicator dilution cardiac output measurement. Crit Care Med. 2005;33:2015–2021
  23. Pentilla J, Snapir A, Kentala E, et al. Estimation of cardiac output in a pharmacological trial using a simple method based on arterial blood pressure signal waveform: A comparison with pulmonary thermodilution and echocardiographic methods. Eur J Clin Pharmacol. 2006;62:401–407
  24. van Lieshout JJ, Wesseling KH. Continuous cardiac output by pulse contour analysis?. Br J Anaesth. 2001;86:467–469
  25. Rohren EM, Kliewer MA, Carroll BA, et al. A spectrum of Doppler waveforms in the carotid and vertebral arteries. Am J Roentgenol. 2003;181:1695–1704
  26. Mihaljevic T, Paul S, Cohn LH. Pathophysiology of aortic valve disease. In:  Cohn LH,  Edmunds LH editor. Cardiac Surgery in the Adult. (ed 2). New York, NY: McGraw-Hill; 2003;p. 791–810
  27. Felbinger TW, Goepfert MS, Goresch T, et al. Accuracy of pulse contour cardiac index measurements during changes of preload and aortic impedance. Anaesthesist. 2005;54:755–762

PII: S1053-0770(07)00039-0

doi: 10.1053/j.jvca.2007.02.003

Journal of Cardiothoracic and Vascular Anesthesia
Volume 21, Issue 5 , Pages 636-643 , October 2007