PMID- 1742833 OWN - NLM STAT- MEDLINE DCOM- 19920116 LR - 20181113 IS - 0832-610X (Print) IS - 0832-610X (Linking) VI - 38 IP - 7 DP - 1991 Oct TI - Measurement of cardiac output--transtracheal Doppler versus thermodilution. PG - 931-4 AB - The ABCOM 1 transtracheal Doppler (TTD) has been developed as a non-invasive cardiac output monitor. With this device, cardiac output is continuously calculated from ascending aortic blood flow velocity and aortic diameter obtained via an ultrasound transducer incorporated into the tip of an endotracheal tube. We evaluated the clinical use of the ABCOM 1 monitor and compared cardiac outputs obtained using the TTD system with simultaneous thermodilution (TD) measurements. We found the operation of the ABCOM 1 monitor to be difficult and time-consuming. In our operating rooms, acceptable Doppler signal quality was difficult to obtain. There was no correlation between 36 simultaneously obtained TTD and TD cardiac output measurements. The average difference between measurement techniques and the limits of agreement were unacceptably large (mean difference = 3.04 L.min-1, mean +/- 2 SD = -6.04 to 12.48 L.min-1). Separately analyzing only those measurements during which Doppler signal quality was adequate did not improve agreement between TTD and TD measurements. On the basis of these findings, TTD cannot be recommended as a clinical cardiac output measurement technique. FAU - Froese, N AU - Froese N AD - Department of Anesthesia, University of Manitoba, Faculty of Medicine, Winnipeg. FAU - Friesen, R AU - Friesen R LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Can J Anaesth JT - Canadian journal of anaesthesia = Journal canadien d'anesthesie JID - 8701709 SB - IM MH - *Cardiac Output MH - Echocardiography, Doppler/*instrumentation MH - Humans MH - Monitoring, Physiologic/*instrumentation/methods MH - Thermodilution/*instrumentation/methods EDAT- 1991/10/01 00:00 MHDA- 1991/10/01 00:01 CRDT- 1991/10/01 00:00 PHST- 1991/10/01 00:00 [pubmed] PHST- 1991/10/01 00:01 [medline] PHST- 1991/10/01 00:00 [entrez] AID - 10.1007/BF03036977 [doi] PST - ppublish SO - Can J Anaesth. 1991 Oct;38(7):931-4. doi: 10.1007/BF03036977.