Continuous cardiac output by femoral arterial thermodilution calibrated pulse contour analysis: Comparison with pulmonary arterial thermodilution

Goedje, Oliver; Hoeke, Kerstin; Lichtwarck-Aschoff, Michael; Faltchauser, A.; Lamm, Peter; Reichart, Bruno

doi:10.1097/00003246-199911000-00014

Cited by 295 publications

(137 citation statements)

References 20 publications

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“…This device must first be calibrated with the pulmonary thermodilution technique. It has been shown to correlate well with thermodilution in various patient populations, using different arteries and after changes in preload (42,44,45). The PulsCO (LiDCO Limited, Cambridge, UK) is the second of the three pulse contour devices.…”

Section: Less Invasive Hemodynamic Devicesmentioning

confidence: 99%

Advances in Critical Care for the Nephrologist

Davison

Junker

2008

Clinical Journal of the American Society of Nephrology

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The monitoring of physiologic variables is an integral part of the diagnosis and management of the critically ill patient. Restoration of tissue perfusion and oxygen delivery is the ultimate goal for any state of circulatory collapse. Insight into a patient's intravascular volume status and cardiac performance, particularly in the early stages of shock, can help guide management and potentially change outcome. In the past 30 years, various bedside monitoring techniques and indices have been developed in an effort to determine and optimize a patient's cardiac performance. This article reviews the physiologic parameters that best predict intravascular volume status and volume responsiveness. We examine the controversies surrounding the pulmonary arterial catheter and describe the less invasive methods of measuring cardiac performance.

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Section: Less Invasive Hemodynamic Devicesmentioning

confidence: 99%

Advances in Critical Care for the Nephrologist

Davison

Junker

2008

Clinical Journal of the American Society of Nephrology

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“…When patients are haemodynamically unstable, a continuous measurement of cardiac output is highly desirable. There are a number of different methods available for use in the operating room (OR) and ICU [2][3][4][5][6][7][8]. Among the pulse contour methods available, the PiCCO system, using femoral artery pressure as an input signal and calibrated using transpulmonary thermodilution, appears to have clinically acceptable accuracy and tracking capability [9].…”

mentioning

confidence: 99%

Monitoring cardiac output using the femoral and radial arterial pressure waveform

et al. 2006

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SummaryThis study was performed to determine the interchangeability of femoral artery pressure and radial artery pressure measurements as the input for the PiCCO system (Pulsion Medical Systems, Munich, Germany). We studied 15 intensive care patients following cardiac surgery. Five‐second averages of the cardiac output derived from the femoral artery pressure (COfem) were compared to 5‐s averages derived from the radial artery pressure (COrad). One patient was excluded due to problems in the pattern recognition of the arterial pressure signal. In the remaining 14 patients, 14 734 comparative cardiac output values were analysed. The mean sample time was 88 min, range [30–119 min]. Mean (SD) COfem was 6.24 (1.1) l.min−1 and mean COrad 6.23 (1.1) l.min−1. Bland‐Altman analysis showed an excellent agreement with a bias of − 0.01 l.min−1, and limits of agreement from 0.60 to − 0.62 l.min−1. If changes in CO were > 0.5 l.min−1, the direction of changes in COfem and COrad were equal in 97% of instances. We conclude that femoral artery pressure and radial artery pressure are interchangeable as inputs for the PiCCO device.

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“…Among these systems, PiCCO (Pulsion Medical Systems, Munich, Germany), and LiDCO (LiDCO Ltd, London, UK) are the most widely used devices, which apply the same basic principles of dilution to monitor blood flow as with PAC thermodilution [53].…”

Section: Transpulmonary Thermodilution Methodsmentioning

confidence: 99%

Echocardiography and Hemodynamic Monitoring Tools for Clinical Assessment of Patients on Mechanical Circulatory Support

Scolletta¹,

Biagioli²,

Franchi³

et al. 2013

Recent Advances in the Field of Ventricular Assist Devices

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Continuous cardiac output by femoral arterial thermodilution calibrated pulse contour analysis: Comparison with pulmonary arterial thermodilution

Abstract: Femoral artery pulse contour CO correlates well with both COpa and COa even during substantial variations in vascular tone and hemodynamics. Additionally, CO determined by arterial thermodilution correlates well with COpa. Thus, COa can be used to calibrate COpc.

Cited by 295 publications

References 20 publications

Advances in Critical Care for the Nephrologist

Advances in Critical Care for the Nephrologist

Monitoring cardiac output using the femoral and radial arterial pressure waveform

Echocardiography and Hemodynamic Monitoring Tools for Clinical Assessment of Patients on Mechanical Circulatory Support

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