Comparison of Continuous, Stat, and Intermittent Bolus Cardiac Output Measurements during Cardiac Surgery / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 603-608, 2008.
Artigo
em Coreano
| WPRIM
| ID: wpr-165084
ABSTRACT
BACKGROUND:
Off-pump coronary artery bypass (OPCAB) patients often require fluid, vasopressor, or inotropic support.It is therefore important that vigilant monitoring be undertaken to guide intervention and monitor the effects of therapy.Continuous monitoring of cardiac output (CO) is advisable.The aim of this study was to compare continuous cardiac index (CCI) and stat cardiac index (SCI) with intermittent bolus cardiac index (ICI) in patients undergoing OPCAB surgery.METHODS:
Matched sets of CI measurements among CCI, SCI, and ICI were collected in 35 patients undergoing elective OPCAB at specific time periods.Bland-Altman analysis was used to compare the agreement among the different methods.RESULTS:
Bland-Altman analysis of CI measurements yielded a bias, precision, and percent error of 0.09 +/- 0.63 L/min/m(2) (46.2%) for CCI and 0.09 +/- 0.60 L/min/m(2) (44.0%) for SCI, compared with ICI measurements.CONCLUSIONS:
We found that the agreement of CCI, SCI, and ICI was poor.This disagreement increased during periods of open thorax and open pericardium when compared to the period of closed thorax.Continuous CO measurements through pulmonary artery catheter should be interpreted with caution during OPCAB.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Compostos Organotiofosforados
/
Pericárdio
/
Artéria Pulmonar
/
Cirurgia Torácica
/
Tórax
/
Débito Cardíaco
/
Viés
/
Ponte de Artéria Coronária sem Circulação Extracorpórea
/
Catéteres
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2008
Tipo de documento:
Artigo
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