PMID- 3956218 OWN - NLM STAT- MEDLINE DCOM- 19860507 LR - 20190706 IS - 0090-3493 (Print) IS - 0090-3493 (Linking) VI - 14 IP - 4 DP - 1986 Apr TI - Comparison between ultrasonic and thermodilution cardiac output measurements in intensive care patients. PG - 294-7 AB - The reliability of ultrasonic cardiac output measurement was assessed using a commercial device that combines A-mode aortic root diameter determination and continuous wave (CW) Doppler flow velocity measurement in the ascending aorta. We compared this method with thermodilution (TD) cardiac output in 41 intensive care patients. Aortic root diameter measurement with A-mode was not possible in four (10%) patients. Using strictly defined criteria based upon our initial experience, we could not obtain acceptable CW Doppler flow signals in nine (22%) patients. Thus, ultrasonic cardiac output measurement was possible in 28 (68%) patients in whom there was an excellent correlation with cardiac output (r = 0.97; p less than .001). This study demonstrates that the transcutaneous CW Doppler method for measuring cardiac output is accurate and reliable in a limited percentage of ICU patients. Combining the CW Doppler with B-mode echocardiogram increases the applicability when an A-mode measurement is not possible. FAU - Vandenbogaerde, J F AU - Vandenbogaerde JF FAU - Scheldewaert, R G AU - Scheldewaert RG FAU - Rijckaert, D L AU - Rijckaert DL FAU - Clement, D L AU - Clement DL FAU - Colardyn, F A AU - Colardyn FA LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Crit Care Med JT - Critical care medicine JID - 0355501 SB - IM MH - Adult MH - Aged MH - *Cardiac Output MH - Echocardiography MH - Female MH - Humans MH - Intensive Care Units MH - Male MH - Middle Aged MH - Thermodilution MH - Ultrasonics/*methods EDAT- 1986/04/01 00:00 MHDA- 1986/04/01 00:01 CRDT- 1986/04/01 00:00 PHST- 1986/04/01 00:00 [pubmed] PHST- 1986/04/01 00:01 [medline] PHST- 1986/04/01 00:00 [entrez] AID - 10.1097/00003246-198604000-00010 [doi] PST - ppublish SO - Crit Care Med. 1986 Apr;14(4):294-7. doi: 10.1097/00003246-198604000-00010.