Clinical estimation of left and right ventricular volume with open chest compared with transesophageal echocardiography and fast-response thermodilution

Samuelsson, Sten; Ehrenberg, J.; Settergren, G.

doi:10.1016/s1053-0770(05)80228-9

Cited by 5 publications

(2 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The RVEF, as estimated by a pulmonary artery catheter using the thermodilution method, reflects right ventricle function with high reliability and reproducibility [29,30]. Thermodilution may be more reliable than transesophageal echocardiography (TEE) [31] for measuring right ventricle function during surgery. The RVEF using a pulmonary artery catheter is sensitive to preload changes, but we did not detect differences in the right ventricular diastole volume index, a measure of preload.…”

Section: Discussionmentioning

confidence: 99%

The effect of milrinone infusion on right ventricular function during coronary anastomosis and early outcomes in patients undergoing off-pump coronary artery bypass surgery

Lee

Kim

et al. 2010

Korean J Anesthesiol

View full text Add to dashboard Cite

BackgroundDuring coronary anastomosis in off-pump coronary artery bypass surgery (OPCAB), hemodynamic alternations can be induced by impaired diastolic function of the right ventricle. This study was designed to examine the effect of milrinone on right ventricular function and early outcomes in patients undergoing OPCAB.MethodsForty patients undergoing OPCAB were randomly assigned in a double-blind manner to receive either milrinone (milrinone group, n = 20) or normal saline (control group, n = 20). Hemodynamic variables were measured after pericardiotomy (T1), 5 min after stabilizer application for anastomosis of the left anterior descending coronary artery (LAD, T2), the obtuse marginalis branch (OM, T3), the right coronary artery (RCA, T4), 5 min after sternal closure (T5), and after ICU arrival. The right ventricular ejection fraction (RVEF) and right ventricular volumetric parameters were also measured using the thermodilution technique. For evaluation of early outcomes, the 30-day operative mortality and morbidity risk models were used.ResultsThere was no significant difference in hemodynamic variables, including mean arterial pressure, between the 2 groups, except for the cardiac index and RVEF. The cardiac index and RVEF were significantly greater at T3 in the milrinone group than in the control group.ConclusionsContinuous infusion of milrinone demonstrated a beneficial effect on cardiac output and right ventricular function in patients undergoing OPCAB, especially during anastomosis of the graft to the OM artery, and it had no adverse effect on early outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

The effect of milrinone infusion on right ventricular function during coronary anastomosis and early outcomes in patients undergoing off-pump coronary artery bypass surgery

Lee

Kim

et al. 2010

Korean J Anesthesiol

View full text Add to dashboard Cite

show abstract

“…This 'volumetric PAC' is presently available for continuous monitoring. However, this measurement is reliable only in the absence of tricuspid regurgitation [17], and its role and clinical importance are still debated [31-33]. …”

Section: Selecting Cardiac Surgical Patients For Pulmonary Artery Catmentioning

confidence: 99%

Untitled

Ranucci

2006

Crit Care

View full text Add to dashboard Cite

The use of pulmonary artery catheters (PACs) during cardiac surgery varies considerably depending on local policy, ranging from use in 5–10% of the patient population to routine application. However, as in other clinical fields, recent years have witnessed a progressive decline in PAC use. One of the reasons for this is probably the increasing use of transoesophageal echocardiograpy, even though careful analysis of the information provided by PAC and transoesophageal echocardiograpy indicates that the two tools should be considered subsidiary rather than alternatives. The principal categories of cardiac patients who can benefit from PAC monitoring are those with present and those with possible haemodynamic instability. On this basis we can identify five groups: patients with impaired left ventricular systolic function; those with impaired right ventricular systolic function; those with left ventricular diastolic dysfunction; those with an acute ventricular septal defect; and those with a left ventricular assist device. This review highlights the specific role of PAC-derived haemodynamic data for each category.

show abstract

Stellenwert der intraoperativen transösophagealen Echokardiographie und Durchleuchtung bei minimal-invasiver Herzchirurgie in Port-Access-Technik

Mierdl

Byhahn

Büchner

et al. 2000

Zeitschrift f�r Herz-, Thorax- und Gef��chirurgie

View full text Add to dashboard Cite

Clinical estimation of left and right ventricular volume with open chest compared with transesophageal echocardiography and fast-response thermodilution

Cited by 5 publications

References 24 publications

The effect of milrinone infusion on right ventricular function during coronary anastomosis and early outcomes in patients undergoing off-pump coronary artery bypass surgery

The effect of milrinone infusion on right ventricular function during coronary anastomosis and early outcomes in patients undergoing off-pump coronary artery bypass surgery

Untitled

Stellenwert der intraoperativen transösophagealen Echokardiographie und Durchleuchtung bei minimal-invasiver Herzchirurgie in Port-Access-Technik

Contact Info

Product

Resources

About