British Journal of Anaesthesia, Vol 82, Issue 4 525-530, Copyright © 1999 by The Board of Management and Trustees of the British Journal of Anaesthesia
G. Rodig, C. Prasser, C. Keyl, A. Liebold and J. Hobbhahn
We have analysed the clinical agreement between two methods of continuous
cardiac output measurement pulse contour analysis (PCCO) and a continuous
thermodilution technique (CCO), were both compared with the intermittent
bolus thermodilution technique (BCO). Measurements were performed in 26
cardiac surgical patients (groups 1 and 2, 13 patients each, with an
ejection fraction > 45% and < 45%, respectively) at 12 selected
times. During operation, mean differences (bias) between PCCO-BCO and
CCO-BCO did not differ in either group. However, phenylephrine-induced
increases in systemic vascular resistance (SVR) by approximately 60%
resulted in significant differences. Significantly higher absolute bias
values of PCCO-BCO compared with CCO-BCO were also found early after
operation in the ICU. Thus PCCO and CCO provided comparable measurements
during coronary bypass surgery. After marked changes in SVR, further
calibration of the PCCO device is necessary.
CLINICAL INVESTIGATIONS
Continuous cardiac output measurement: pulse contour analysis vs thermodilution technique in cardiac surgical patients
Department of Anaesthesia, University Hospital, Franz-Josef-Strauss Allee 11, D-93042 Regensburg, Germany
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