PMID- 8857435
OWN - NLM
STAT- MEDLINE
DCOM- 19970107
LR  - 20190826
IS  - 0342-4642 (Print)
IS  - 0342-4642 (Linking)
VI  - 22
IP  - 1
DP  - 1996 Jan
TI  - Transgastric, pulsed Doppler echocardiographic determination of cardiac output.
PG  - 34-8
AB  - OBJECTIVE: The aim of this study was to evaluate the accuracy of cardiac output 
      measurement with transesophageal echocardiography (TEE) using a transgastric, 
      pulsed Doppler method in acutely ill patients. DESIGN: Cardiac output was 
      simultaneously measured by thermodilution (TD) and a transgastric, pulsed Doppler 
      method. SETTING: The study was carried out in a surgical intensive care unit as 
      part of the management protocol of the patients. PATIENTS: Thirty consecutive 
      acutely ill patients with a Swan-Ganz catheter, mechanically ventilated, sedated 
      and with a stable hemodynamic condition were included. MEASUREMENTS: Pulsed 
      Doppler TEE was performed using a transgastric approach in order to obtain a long 
      axis view of the left ventricle. Cardiac output was calculated from the left 
      ventricular outflow tract diameter, the velocity time integral of the blood flow 
      profile and heart rate. RESULTS: One patient was excluded because of the presence 
      of aortic regurgitation and another, because of the impossibility of obtaining a 
      transgastric view. Twenty-eight simultaneous measurements were performed in 28 
      patients. A clinically acceptable correlation and agreement were found between 
      the two methods (Doppler cardiac output = 0.889 thermodilution cardiac output 
      +0.74 l/min, r = 0.975, p <0.0001). CONCLUSION: Transgastric pulsed Doppler 
      measurement across the left ventricular outflow tract with TEE is a very feasible 
      and clinically acceptable method for cardiac output measurement in acutely ill 
      patients.
FAU - Descorps-Declere, A
AU  - Descorps-Declere A
AD  - Service d'Anesthesie Reanimation, Hopital de Bicetre, France.
FAU - Smail, N
AU  - Smail N
FAU - Vigue, B
AU  - Vigue B
FAU - Duranteau, J
AU  - Duranteau J
FAU - Mimoz, O
AU  - Mimoz O
FAU - Edouard, A
AU  - Edouard A
FAU - Samii, K
AU  - Samii K
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - United States
TA  - Intensive Care Med
JT  - Intensive care medicine
JID - 7704851
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Cardiac Output
MH  - Catheterization, Swan-Ganz
MH  - *Echocardiography, Doppler, Pulsed
MH  - *Echocardiography, Transesophageal
MH  - Female
MH  - Hemodynamics
MH  - Humans
MH  - Linear Models
MH  - Male
MH  - Middle Aged
MH  - Monitoring, Physiologic/*methods
MH  - Observer Variation
MH  - Respiration, Artificial
MH  - Thermodilution
EDAT- 1996/01/01 00:00
MHDA- 1996/01/01 00:01
CRDT- 1996/01/01 00:00
PHST- 1996/01/01 00:00 [pubmed]
PHST- 1996/01/01 00:01 [medline]
PHST- 1996/01/01 00:00 [entrez]
AID - 10.1007/BF01728328 [doi]
PST - ppublish
SO  - Intensive Care Med. 1996 Jan;22(1):34-8. doi: 10.1007/BF01728328.