Comparison of cardiac output derived from FloTrac™/Vigileo™ and impedance cardiography during major abdominal surgery

Kim, Jiyeon; Kim, Boram; Lee, Kang-Hun; Kim, Kyung-Woo; Kim, Jun‐Hyun; S, Lee; Choe, Won Joo; Park, Jang-Su

doi:10.1177/0300060513487649

Cited by 14 publications

(11 citation statements)

References 25 publications

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“…FV™ has been extensively studied in a number of settings. Many of these studies involve earlier software iterations,[ 20 21 ] or were used in discrete clinical contexts such as sepsis[ 12 ] or volume expansion. [ 22 ] There are few studies that are based in the intensive care setting, with a percentage error between compared devices of 33% and 40% suggesting that the use of FV™ in this setting may be less reliable.…”

Section: Discussionmentioning

confidence: 99%

“…Recent research using FV™ has focused on absolute values rather than the overall HDS[ 15 ] and seldom using TTE/TEE for comparison. [ 13 ] The evidence for the accuracy of FV™ data in a variety of clinical settings is mixed, although the correlation with invasive monitors appears to be improving through software iterations[ 12 21 ] Questions still remain over the accuracy of FV™ in the setting of tachyarrythmias and valvular heart disease;[ 15 ] although, FV™ has been compared more favorably with TTE derived CO measurements when these patients groups have been excluded from the study. [ 13 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 5 6 7 8 ] Several recent trials have evaluated the efficacy of arterial waveform analysis monitoring using the FloTrac/Vigileo™ (FV™) (Edwards Lifesciences, Irvine, CA, USA) monitoring system. [ 9 10 11 12 13 ] FV™ data are extrapolated from the arterial pressure waveform after correction for body height and weight, age, and gender. Several iterations of FV™ software have made the device increasingly reliable.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of pulmonary artery catheter, echocardiography, and arterial waveform analysis monitoring in predicting the hemodynamic state during and after cardiac surgery

Power

Bone

Simpson

et al. 2017

Int J Crit Illn Inj Sci

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Objective:The aim of this trial was to determine whether Flotrac Vigileo™ (FV™) provides a reliable representation of the hemodynamic state of a cardiac surgical patient population when compared to pulmonary artery catheter (PAC) and echocardiography in the peril-operative period.Design:This was a prospective observational trial comparing perioperative hemodynamic states using transesophageal echocardiography (TEE), transthoracic echocardiography (TTE), FV™ and PAC during and post cardiothoracic surgery.Setting:Tertiary regional hospital Intensive Care Unit (ICU).Participants:50 consecutive adult cardiothoracic patients with written consent provided.Intervention:Comparison of the perioperative hemodynamic states using echocardiography, FV™ and PAC was performed. Evaluation of the hemodynamic state (HDS) was performed using TEE, TTE, PAC and FV™ during and after cardiac surgery. Data were compared between the three hemodynamic assessment modalities.Main Outcome Measure:Predicted hemodynamic state.Results:FV™ and PAC were shown to correlate poorly with TEE/TTE assessment of the hemodynamic state. Both PAC and FV™ showed significant discordance with echocardiographic assessment of the hemodynamic state.Conclusions:In this trial, FV™ and PAC were shown to agree poorly with TTE/TEE assessment of the HDS in an adult cardiothoracic population. Agreement between the FV™ and PAC was also poor. Caution is recommended in interpreting isolated hemodynamic monitoring data. All hemodynamic monitoring devices have inherent sources of error. Caution is advised in interpreting any single device or measurement as a gold standard. We suggest that hemodynamic measuring devices such as FV™/PAC may act as triggers for a global hemodynamic assessment including consideration of TTE/TEE.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of pulmonary artery catheter, echocardiography, and arterial waveform analysis monitoring in predicting the hemodynamic state during and after cardiac surgery

Power

Bone

Simpson

et al. 2017

Int J Crit Illn Inj Sci

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“…EB is significantly less susceptible to interference from chest wall movement, lung edema, and pleural effusion. [ 25 ] EB measures CO centrally. When an alternative current is applied to the thorax, the pulsatile blood flow in the large thoracic arteries induces phase shifts or time delays between the measured thoracic voltage and the applied alternative current.…”

Section: Goal-directed Fluid Therapymentioning

confidence: 99%

“…By continuously measuring these phase shifts, EB can determine SV and other derivative parameters such as CO, CI, SVI, and SVRI. [ 25 ]…”

Section: Goal-directed Fluid Therapymentioning

confidence: 99%

Goal-directed fluid therapy in the perioperative setting

Kendrick

Kaye

Tong

et al. 2019

J Anaesthesiol Clin Pharmacol

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Metaanalysen zur Messgenauigkeit nichtinvasiver hämodynamischer Überwachungstechnologien bei Erwachsenen

et al. 2018

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An ideal non-invasive monitoring system should provide accurate and reproducible measurements of clinically relevant variables that enables clinicians to guide therapy accordingly. The monitor should be rapid, easy to use, readily available at the bedside, operator-independent, cost-effective and should have a minimal risk and side effect profile for patients. An example is the introduction of pulse oximetry, which has become established for non-invasive monitoring of oxygenation worldwide. A corresponding non-invasive monitoring of hemodynamics and perfusion could optimize the anesthesiological treatment to the needs in individual cases. In recent years several non-invasive technologies to monitor hemodynamics in the perioperative setting have been introduced: suprasternal Doppler ultrasound, modified windkessel function, pulse wave transit time, radial artery tonometry, thoracic bioimpedance, endotracheal bioimpedance, bioreactance, and partial CO rebreathing have been tested for monitoring cardiac output or stroke volume. The photoelectric finger blood volume clamp technique and respiratory variation of the plethysmography curve have been assessed for monitoring fluid responsiveness. In this manuscript meta-analyses of non-invasive monitoring technologies were performed when non-invasive monitoring technology and reference technology were comparable. The primary evaluation criterion for all studies screened was a Bland-Altman analysis. Experimental and pediatric studies were excluded, as were all studies without a non-invasive monitoring technique or studies without evaluation of cardiac output/stroke volume or fluid responsiveness. Most studies found an acceptable bias with wide limits of agreement. Thus, most non-invasive hemodynamic monitoring technologies cannot be considered to be equivalent to the respective reference method. Studies testing the impact of non-invasive hemodynamic monitoring technologies as a trend evaluation on outcome, as well as studies evaluating alternatives to the finger for capturing the raw signals for hemodynamic assessment, and, finally, studies evaluating technologies based on a flow time measurement are current topics of clinical research.

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Comparison of cardiac output derived from FloTrac™/Vigileo™ and impedance cardiography during major abdominal surgery

Abstract: ICG provided useful information in evaluating the cardiac output of patients during abdominal surgery.

Cited by 14 publications

References 25 publications

Comparison of pulmonary artery catheter, echocardiography, and arterial waveform analysis monitoring in predicting the hemodynamic state during and after cardiac surgery

Comparison of pulmonary artery catheter, echocardiography, and arterial waveform analysis monitoring in predicting the hemodynamic state during and after cardiac surgery

Goal-directed fluid therapy in the perioperative setting

Metaanalysen zur Messgenauigkeit nichtinvasiver hämodynamischer Überwachungstechnologien bei Erwachsenen

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