PMID- 10945385
OWN - NLM
STAT- MEDLINE
DCOM- 20001222
LR  - 20190826
IS  - 0342-4642 (Print)
IS  - 0342-4642 (Linking)
VI  - 26
IP  - 6
DP  - 2000 Jun
TI  - CO assessment by suprasternal Doppler in critically ill patients: comparison with 
      thermodilution.
PG  - 693-7
AB  - OBJECTIVE: Comparison of suprasternal Doppler (SST) and thermodilution (TD) for 
      the measurement of cardiac output (CO) in critically ill patients. DESIGN: 
      Prospective study. SETTING: Intensive care unit of a university hospital. 
      PATIENTS AND PARTICIPANTS: 65 consecutive critically ill patients requiring a 
      pulmonary artery catheter. INTERVENTIONS: Paired CO measurements were made 
      simultaneously using SST and TD by two independent operators. The time to obtain 
      a CO value by SST was measured. Correlation coefficients and the linear 
      regression equation were determined. A Bland and Altman diagram was plotted. A 
      Bland and Altman diagram was also plotted for the level of cardiac index (CI) 
      values (low: CI < 2.5 l min(-1) m(-2); normal: 2.5 < or = CI < or = 4.5 l min(-1) 
      m(-2); high: CI > 4.5 l min(-1) m(-2)). MEASUREMENTS AND RESULTS: In seven 
      patients SST failed to measure CO. In the remaining 58 patients 314 paired CO 
      measurements were performed. The mean time to measure CO by SST was 73 +/- 45 s. 
      The equation of linear regression was: SST(CO) = 0.84 TD(CO) + 1.39. The 
      correlation coefficient was 0.84. The bias between SST and TD was -0.2 +/- 1.4 l 
      min(-1). Biases were -0.23 +/- 0.50, -0.20 +/- 0.68, and 0.25 +/- 0.92 l min(-1) 
      m(-2) for low, normal, and high levels of CI, respectively. CONCLUSION: SST does 
      not accurately measure CO but allows a rapid assessment of CI level in critically 
      ill patients.
FAU - Lefrant, J Y
AU  - Lefrant JY
AD  - Federation d'Anesthesie Douleur Urgences Reanimation, Centre Hospitalier 
      Universitaire de Nimes, France.
FAU - Benbabaali, M
AU  - Benbabaali M
FAU - Ripart, J
AU  - Ripart J
FAU - Aya, A G
AU  - Aya AG
FAU - Sassi, G
AU  - Sassi G
FAU - Dauzat, M
AU  - Dauzat M
FAU - de La Coussaye, J E
AU  - de La Coussaye JE
FAU - Eledjam, J J
AU  - Eledjam JJ
LA  - eng
PT  - Clinical Trial
PT  - Comparative Study
PT  - Controlled Clinical Trial
PT  - Journal Article
PL  - United States
TA  - Intensive Care Med
JT  - Intensive care medicine
JID - 7704851
SB  - IM
MH  - Adult
MH  - *Cardiac Output
MH  - Echocardiography, Doppler/*methods
MH  - Female
MH  - Hemodynamics
MH  - Humans
MH  - *Intensive Care Units
MH  - Linear Models
MH  - Male
MH  - Middle Aged
MH  - Pancreatitis/diagnosis
MH  - Postoperative Care
MH  - Prospective Studies
MH  - Shock, Septic/diagnosis
MH  - *Thermodilution
EDAT- 2000/08/17 11:00
MHDA- 2001/02/28 10:01
CRDT- 2000/08/17 11:00
PHST- 2000/08/17 11:00 [pubmed]
PHST- 2001/02/28 10:01 [medline]
PHST- 2000/08/17 11:00 [entrez]
AID - 10.1007/s001340051234 [doi]
PST - ppublish
SO  - Intensive Care Med. 2000 Jun;26(6):693-7. doi: 10.1007/s001340051234.