PMID- 10969371
OWN - NLM
STAT- MEDLINE
DCOM- 20001221
LR  - 20220309
IS  - 0310-057X (Print)
IS  - 0310-057X (Linking)
VI  - 28
IP  - 4
DP  - 2000 Aug
TI  - Clinical evaluation of the non-invasive cardiac output (NICO) monitor in the 
      intensive care unit.
PG  - 427-30
AB  - The Non-invasive Cardiac Output (NICO) monitor (Novametrix Medical Systems Inc., 
      Wallingford, CT, U.S.A.) utilizes a minimally-invasive partial rebreathing method 
      to determine cardiac output by means of a differential form of the Fick equation. 
      We evaluated the NICO monitor by comparing its output to paired measurements 
      obtained by the standard thermodilution (TD) technique in patients who had 
      recently undergone cardiac surgery. Forty-two paired measurements were carried 
      out in 12 patients. The correlation between the two methods was moderate with a 
      correlation coefficient of 0.691. Repeated measures ANOVA showed that TD measures 
      of cardiac output were significantly higher than those obtained by the NICO 
      monitor (P = 0.0003). Comparison of the two techniques using the method described 
      by Bland and Altman showed decreased correlation at higher values of cardiac 
      output. We conclude that the NICO monitor may well have a place in intensive care 
      monitoring, provided patients are not breathing spontaneously and are able to 
      tolerate a 4 mmHg rise in PaCO2. It is less suitable for use in patients with a 
      high cardiac output state.
FAU - van Heerden, P V
AU  - van Heerden PV
AD  - Department of Intensive Care, Sir Charles Gairdner Hospital, Perth, Western 
      Australia.
FAU - Baker, S
AU  - Baker S
FAU - Lim, S I
AU  - Lim SI
FAU - Weidman, C
AU  - Weidman C
FAU - Bulsara, M
AU  - Bulsara M
LA  - eng
PT  - Comparative Study
PT  - Evaluation Study
PT  - Journal Article
PL  - United States
TA  - Anaesth Intensive Care
JT  - Anaesthesia and intensive care
JID - 0342017
SB  - IM
CIN - Anaesth Intensive Care. 2001 Feb;29(1):81. PMID: 11261923
MH  - Analysis of Variance
MH  - *Cardiac Output
MH  - Humans
MH  - Intensive Care Units
MH  - Monitoring, Physiologic/instrumentation/*methods
MH  - Postoperative Care
MH  - Thermodilution
EDAT- 2000/09/02 11:00
MHDA- 2001/02/28 10:01
CRDT- 2000/09/02 11:00
PHST- 2000/09/02 11:00 [pubmed]
PHST- 2001/02/28 10:01 [medline]
PHST- 2000/09/02 11:00 [entrez]
AID - 1999459 [pii]
AID - 10.1177/0310057X0002800412 [doi]
PST - ppublish
SO  - Anaesth Intensive Care. 2000 Aug;28(4):427-30. doi: 10.1177/0310057X0002800412.