A comparison of pulse contour wave analysis and ultrasonic cardiac output monitoring in the critically ill

Cardiac output (CO) is a key determinant of major organ blood flow and solute delivery to drug eliminating organs. As such, CO assessment is a key covariate in understanding altered drug handling in the critically ill. Newer minimally-invasive devices are providing unique platforms for such an appli...

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Bibliographic Details
Published in:Anaesthesia and intensive care 2012-07, Vol.40 (4), p.631-637
Main Authors: UDY, A. A, ALTUKRONI, M, JARRETT, P, ROBERTS, J. A, LIPMAN, J
Format: Article
Language:English
Subjects:
Adult
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Cardiac Output
Critical Illness
Critically ill
Female
Health aspects
Humans
Male
Medical sciences
Middle Aged
Monitoring, Physiologic - methods
Physiological aspects
Pulse
Thermodilution
Ultrasonics
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Summary:Cardiac output (CO) is a key determinant of major organ blood flow and solute delivery to drug eliminating organs. As such, CO assessment is a key covariate in understanding altered drug handling in the critically ill. Newer minimally-invasive devices are providing unique platforms for such an application, although comparison data are currently lacking. In this study we evaluated the Vigileo (Edwards Lifesciences, Irvine, CA, USA) and USCOM (USCOM Ltd, Sydney, NSW) devices in 62 critically ill patients requiring antibacterial therapy. The mean COVigileo and COUSCOM for the first paired measurements were 8.20±2.65 l/minute and 6.84±2.57 l/minute respectively (P
ISSN:0310-057X
1448-0271
DOI:10.1177/0310057x1204000408