PMID- 23992653
OWN - NLM
STAT- MEDLINE
DCOM- 20140715
LR  - 20131125
IS  - 1532-8422 (Electronic)
IS  - 1053-0770 (Linking)
VI  - 27
IP  - 6
DP  - 2013 Dec
TI  - Accuracy of noninvasive estimated continuous cardiac output (esCCO) compared to 
      thermodilution cardiac output: a pilot study in cardiac patients.
PG  - 1128-32
LID - S1053-0770(13)00120-1 [pii]
LID - 10.1053/j.jvca.2013.02.019 [doi]
AB  - OBJECTIVE: To compare the noninvasive estimated continuous cardiac output 
      (esCCO), device-derived cardiac output (CO) to simultaneous pulmonary artery 
      catheter (PAC) thermodilution (TD) CO. DESIGN: A prospective study comparing 
      pulse wave transit time (estimated continuous cardiac output, esCCO; Nihon 
      Kohden, Tokyo, Japan) to intermittent TD CO. SETTING: One academic hospital. 
      PARTICIPANTS: Patients presenting for cardiac surgery. INTERVENTIONS: 
      Intraoperative CO measurements at 4 distinct time points (after induction, after 
      sternotomy, after cardiopulmonary bypass, and after chest closure). MEASUREMENTS 
      AND MAIN RESULTS: The study population consisted of American Society of 
      Anesthesiologists (ASA) IV subjects, 27 (77%) males and 8 (23%) females, with a 
      mean age of 64.6 +/- 12.2 years. Data points from esCCO and TD were collected 
      simultaneously and means per time point compared using Bland-Altman, Pearson R 
      coefficient, and percent error. Mean TD CO for the study was 5.4 L/min. The 
      Pearson R coefficient, percent error, and bias in L/min were: 0.57, 44%, 0.66 
      (after induction); 0.54, 51%, 0.88 (after sternotomy); 0.60, 60%, 0.95 (after 
      cardiopulmonary bypass); and 0.57, 60%, 0.75 (after chest closure) respectively. 
      CONCLUSIONS: esCCO is easy to use and provides continuous CO measurements, but 
      has wide limits of agreement and large percentage errors with a consistently 
      positive bias in comparison to TD.
CI  - Copyright (c) 2013 Elsevier Inc. All rights reserved.
FAU - Ball, Timothy R
AU  - Ball TR
AD  - Department of Anesthesiology, Division of Cardiothoracic Anesthesiology, The 
      Texas A&M University College of Medicine, Scott & White Memorial Hospital, 
      Temple, TX. Electronic address: tball@sw.org.
FAU - Tricinella, Anthony P
AU  - Tricinella AP
FAU - Kimbrough, B Alex
AU  - Kimbrough BA
FAU - Luna, Sarah
AU  - Luna S
FAU - Gloyna, David F
AU  - Gloyna DF
FAU - Villamaria, Frank J
AU  - Villamaria FJ
FAU - Culp, William C Jr
AU  - Culp WC Jr
LA  - eng
PT  - Journal Article
DEP - 20130829
PL  - United States
TA  - J Cardiothorac Vasc Anesth
JT  - Journal of cardiothoracic and vascular anesthesia
JID - 9110208
SB  - IM
MH  - Adult
MH  - Aged
MH  - Anesthesia, General
MH  - Cardiac Output/*physiology
MH  - Cardiac Surgical Procedures
MH  - Cardiopulmonary Bypass
MH  - Catheterization, Swan-Ganz
MH  - Female
MH  - Heart Diseases/*physiopathology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Monitoring, Intraoperative
MH  - Pilot Projects
MH  - Prospective Studies
MH  - Thermodilution/*methods
OTO - NOTNLM
OT  - cardiac output
OT  - cardiac surgery
OT  - noninvasive monitoring
OT  - pulmonary artery catheter
EDAT- 2013/09/03 06:00
MHDA- 2014/07/16 06:00
CRDT- 2013/09/03 06:00
PHST- 2013/01/15 00:00 [received]
PHST- 2013/09/03 06:00 [entrez]
PHST- 2013/09/03 06:00 [pubmed]
PHST- 2014/07/16 06:00 [medline]
AID - S1053-0770(13)00120-1 [pii]
AID - 10.1053/j.jvca.2013.02.019 [doi]
PST - ppublish
SO  - J Cardiothorac Vasc Anesth. 2013 Dec;27(6):1128-32. doi: 
      10.1053/j.jvca.2013.02.019. Epub 2013 Aug 29.