PMID- 16913318
OWN - NLM
STAT- MEDLINE
DCOM- 20060829
LR  - 20060817
IS  - 0003-1348 (Print)
IS  - 0003-1348 (Linking)
VI  - 72
IP  - 8
DP  - 2006 Aug
TI  - Impedance cardiography: can it replace thermodilution and the pulmonary artery 
      catheter?
PG  - 728-32; discussion 733-4
AB  - Clinical assessment of cardiac output (CO) is inaccurate, yet the use of the 
      pulmonary artery catheter (PAC) for thermodilution (TD) measurement of CO 
      (CO(TD)) has declined significantly. Can noninvasive impedance cardiography (ICG) 
      now be used to measure CO (CO(ICG)) in place of CO(TD)? A literature review of 
      recent CO(ICG) correlations with CO(TD) (r = 0.73-0.92) were similar to ours, r = 
      0.81. A search for conditions interfering with CO(ICG) revealed no serious 
      problems with patient position, cardiac or pulmonary assist devices, "wet lungs," 
      body mass index > or = 30, or age > or = 70 years. A prospective randomized study 
      was initiated beginning with a record of physician assessment of CO as high, 
      normal, or low; concordance was 57%. Data from ICG was revealed only in the study 
      group, resulting in a 49 per cent change in treatment compared with 29 per cent 
      in the control group. Length of stay was shorter in the study than the control 
      group in the intensive care unit (2.4 +/- 8.8 vs 3.3 +/- 7.3 days) and on the 
      floor (9.8 +/- 10.6 vs 15.7 +/- 19.0 days). In conclusion, ICG is comparable with 
      TD, is easily, accurately, and safely performed, enhances clinical assessment of 
      CO, and improves care in hemodynamically compromised patients.
FAU - Stout, Christopher L
AU  - Stout CL
AD  - Mercer University School of Medicine, Medical Center of Central Georgia, Macon, 
      Georgia 31201, USA.
FAU - Van de Water, Joseph M
AU  - Van de Water JM
FAU - Thompson, William M
AU  - Thompson WM
FAU - Bowers, Elliott W
AU  - Bowers EW
FAU - Sheppard, Sam W
AU  - Sheppard SW
FAU - Tewari, Amy M
AU  - Tewari AM
FAU - Dalton, Martin L
AU  - Dalton ML
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - United States
TA  - Am Surg
JT  - The American surgeon
JID - 0370522
SB  - IM
MH  - Aged
MH  - Cardiac Output/*physiology
MH  - Cardiography, Impedance/*methods
MH  - *Catheterization, Swan-Ganz
MH  - Critical Illness
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Diseases/diagnosis/*physiopathology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Reproducibility of Results
MH  - *Thermodilution
EDAT- 2006/08/18 09:00
MHDA- 2006/08/30 09:00
CRDT- 2006/08/18 09:00
PHST- 2006/08/18 09:00 [pubmed]
PHST- 2006/08/30 09:00 [medline]
PHST- 2006/08/18 09:00 [entrez]
PST - ppublish
SO  - Am Surg. 2006 Aug;72(8):728-32; discussion 733-4.