Cardiac output by femoral arterial thermodilution-calibrated pulse contour analysis during liver transplantation: comparison with pulmonary artery thermodilution

Tzenkov, I. G.; Velasco, Daniel Arnal; Peña, J M; Arnal, L Olmedilla; Garutti, Ignacio; Fernández, Joaquín

doi:10.1016/s0041-1345(03)00602-x

Cited by 10 publications

(4 citation statements)

References 8 publications

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“…Numerous validation studies have assessed the utility of minimally invasive systems in accurately determining cardiac output in OLT 9–12,45–49 . These often lack assessment of impact on clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Numerous validation studies have assessed the utility of minimally invasive systems in accurately determining cardiac output in OLT. 9 , 10 , 11 , 12 , 45 , 46 , 47 , 48 , 49 These often lack assessment of impact on clinical outcomes. While calibrated devices (e.g., LiDCO) have demonstrated accuracy in some validation studies, 9 uncalibrated devices (e.g., LiDCOrapid, Vigileo, FloTrac) have demonstrated conflicting results.…”

Section: Discussionmentioning

confidence: 99%

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What is the optimal anesthetic monitoring regarding immediate and short‐term outcomes after liver transplantation?—A systematic review of the literature and expert panel recommendations

Fernández

Schofield

Krenn

et al. 2022

Clinical Transplantation

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Background: Liver transplant centers vary in approach to intraoperative vascular accesses, monitoring of cardiac function and temperature management. Evidence is limited regarding impact of selected modalities on postoperative outcomes. Objectives:To review the literature and provide expert panel recommendations on optimal intraoperative arterial blood pressure (BP), central venous pressure (CVP), and vascular accesses, monitoring of cardiac function and intraoperative temperature management regarding immediate and short-term outcomes after orthotopic liver transplant (OLT).Methods: Systematic review following PRISMA guidelines and recommendations using the GRADE approach derived from an international expert panel. Recommendations made for: (1) Vascular accesses, arterial BP and CVP monitoring,(2) cardiac function monitoring, and (3) Intraoperative temperature management (CRD42021239908).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

What is the optimal anesthetic monitoring regarding immediate and short‐term outcomes after liver transplantation?—A systematic review of the literature and expert panel recommendations

Fernández

Schofield

Krenn

et al. 2022

Clinical Transplantation

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“…Among calibrated central arterial pressure based monitor, the PiCCO system (Pulsion Medical System, Munich, Germany) was studied in cirrhotic patients. It has been tested in operative and intensive care unit settings, but conflicting results have been reported [ 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of New Calibrated Pulse-Wave Analysis (VolumeViewTM/EV1000TM) for Cardiac Output Monitoring Undergoing Living Donor Liver Transplantation

et al. 2016

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BackgroundIntrapulmonary thermodilution technique using a pulmonary artery catheter is widely used for measuring cardiac output (CO) in patients undergoing liver transplantation. However, its invasiveness and associated complications have led to an interest in less invasive modalities. Thus, we aimed to evaluate whether the new calibrated pulse-wave analysis method monitoring (VolumeViewTM/EV1000TM) is interchangeable with intrapulmonary thermodilution technique.MethodsTwenty-eight patients undergoing living donor liver transplantation were enrolled in this prospective observational study. COs were recorded automatically by the two devices and compared simultaneously at 10-minute intervals. The agreement of absolute CO values and the tracking ability of CO changes trends were compared. A Bland-Altman analysis with percentage errors and concordance rate for trend analysis using both a 4-quadrant plot and a polar plot were performed on the data.ResultsA total of 375 paired datasets from 25 patients were included in analysis. COs measured by intrapulmonary thermodilution ranged from 3.8–13.7 L/min. The mean CO difference between the two techniques was 0.57 L/min, and the 95% limits of agreement were -0.98 L/min to 2.12 L/min with a percentage error of 42.3%. The percentage errors in the dissection, anhepatic, and reperfusion phase were 30.5%, 31.7%, and 27.4%, respectively. The concordance rate between the two techniques was 78.4%.ConclusionThe calibrated pulse-wave analysis and intrapulmonary thermodilution failed to show acceptable interchangeability in terms of both estimating CO and tracking CO changes during living donor liver transplantation.

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“…On the other hand, a need for recalibration of COpc was demonstrated in cardiac surgical patients when marked changes in systemic vascular resistance (SVR) (6) or profound fluctuations in arterial blood pressure occurred (5). During liver transplantation with haemodynamic instability, the reliability of pulse‐contour analysis was found to be unsatisfactory (13). In contrast, another investigation found satisfactory data obtained with pulse‐contour analysis in liver transplantation, exceeding accepted limits only during the anhepatic phase (14).…”

Section: Discussionmentioning

confidence: 99%

Reliability of continuous cardiac output determination by pulse‐contour analysis in porcine septic shock

Schürholz

Meyer

Friedrich

et al. 2006

Acta Anaesthesiol Scand

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Background: Pulse-contour analysis represents a technique for cardiac output (CO)-measurement and allows continuously monitoring trends in CO. We evaluated reliability of pulse-contour CO (COpc) in septic shock. Methods: Seventeen anaesthetized and mechanically ventilated pigs were investigated. After baseline measurements, 14 animals received 0.75 g/kg body weight faeces into the abdominal cavity to induce sepsis and were observed over 9 h, three animals served as controls. A central venous catheter was inserted into the jugular vein and an arterial catheter for thermodilution was inserted into the femoral artery. Two bedside computers were used for COpc. After induction of sepsis, COpc-computer No. 1 (COpcCAL) was recalibrated hourly. No further calibrations were performed in computer No. 2 (COpcNoCAL). We directly compared COpcCAL hourly before recalibration with COpcNoCAL. One hundred and seventy parallel triplicate determinations of CO were analysed using the method of Bland-Altman. Results: Three hours after sepsis induction, correlation between recalibrated and non-recalibrated CO was r ¼ 0.74, P < 0.01, at

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Cardiac output by femoral arterial thermodilution-calibrated pulse contour analysis during liver transplantation: comparison with pulmonary artery thermodilution

Cited by 10 publications

References 8 publications

What is the optimal anesthetic monitoring regarding immediate and short‐term outcomes after liver transplantation?—A systematic review of the literature and expert panel recommendations

What is the optimal anesthetic monitoring regarding immediate and short‐term outcomes after liver transplantation?—A systematic review of the literature and expert panel recommendations

Evaluation of New Calibrated Pulse-Wave Analysis (VolumeViewTM/EV1000TM) for Cardiac Output Monitoring Undergoing Living Donor Liver Transplantation

Reliability of continuous cardiac output determination by pulse‐contour analysis in porcine septic shock

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