FloTrac® Monitoring System: What Are Its Uses in Critically III Medical Patients?

Argueta, Erwin; Berdine, Gilbert; Peña, Camilo; Nugent, Kenneth

doi:10.1097/maj.0000000000000393

Cited by 32 publications

(19 citation statements)

References 23 publications

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“…Not surprisingly the CO measurements suffer from a similar level of disagreement. These findings were in accordance with most of the published literature regarding the minimal-invasive pulse-contour analysis devices such as the Vigileo/FloTrac monitor [15][16][17], but none of these studies compared devices produced by the same company, with similar software, in septic shock patients on high doses of norepinephrine.…”

Section: Discussionsupporting

confidence: 80%

Assessment of method agreement between two minimally invasive hemodynamic measurements in septic shock patients on high doses of vasopressor drugs. A preliminary study

Antal

Mărginean

Hagău

2017

Rom J Anaesth Intensive Care

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Background: Minimally invasive hemodynamic monitoring is still controversial among the methods used to assess the hemodynamic profile of the septic shock patient. The aim of this study was to test the level of agreement between two different devices.Methods. We collected 385 data entries during 12-hour intervals from four critically ill patients with septic shock and high doses of vasoactive therapy using two minimally invasive methods at the same time: Vigileo™ device which uses the pulse contour principle, and EV1000™ monitoring platform which uses the transpulmonary thermodilution principle. The studied parameters were Stroke Volume (SV), Cardiac Output (CO) and Mean Arterial Pressure (MAP). We tested the agreement by performing the visual examination of data patterns using graphs and studying the bias, limits of agreement and creating BlandAltman plots. For assessing the systematic, proportional and random differences, we computed a PassingBablock regression with the CUSUM test for linearity.Results. The one sample t-Test for the differences between the two methods against the null value was statistically significant for the studied parameters (p < 0.0001). The Bland-Altman analysis found no agreement between the data obtained using the two techniques, with calculated error percent as high as 88.28% for SV, 82.02% for CO and 42.06% for MAP. The Passing-Bablock regression analysis tested positive for systematic differences, but this could not be accounted for.Conclusion. We found no agreement between data obtained from the studied devices; therefore, these cannot be used interchangeably for critically ill septic shock patients on high doses of vasoactive substances.

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Section: Discussionsupporting

confidence: 80%

Assessment of method agreement between two minimally invasive hemodynamic measurements in septic shock patients on high doses of vasopressor drugs. A preliminary study

Antal

Mărginean

Hagău

2017

Rom J Anaesth Intensive Care

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“…The FloTrac/Vigileo system device uses arterial pressure waveform analysis to calculate SV and CO, without a requirement for calibration against an independent CO measurement. Therefore, it provides a method to determine the hemodynamics status, changes in the clinical course and response to therapeutic intervention in patients with arterial catheters in place (8).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Surgical Procedures that Affect the Hemodynamics Using the FloTrac System in Esophageal Cancer Patients

Sohda

Kuriyama

Kumakura

et al. 2019

In Vivo

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Background/Aim: Esophagectomy is more invasive compared to other gastrointestinal surgery types. Perioperative circulatory management is important to avoid postoperative heart complications. The FloTrac sensor along with the Vigileo monitor is a minimally invasive haemodynamic monitoring device. Here, we examined different surgical procedures affecting hemodynamics using the FloTrac system in esophageal cancer patients following esophagectomy. Patients and Methods: Thirty-one patients undergoing postoperative monitoring with the FloTrac sensor/Vigileo monitor system following esophagectomy were included. Evaluation of cardiac index (CI) and stroke volume variation (SVV) measurements were performed by analyzing the number of aberrant values. We evaluated the correlation between the number of aberrant values of CI, SVV and surgical methods of esophagectomy and perioperative factors. Results: There was no significant correlation between the number of aberrant values of CI, SVV and operative approach or fields of lymphadenectomy. Regarding the reconstruction route following esophagectomy, there was a significant correlation between the number of aberrant values of CI, SVV and retrosternal route compared with other routes. There was a significant correlation between the number of aberrant values of SVV and preoperative heart complication. Conclusion: Hemodynamic stability management using FloTrac/Vigileo system following esophagectomy is useful for safe performance of postoperative management of esophageal cancer patients.

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“…Last, the haemodynamic monitor device (FloTrac ® ) used is not accurate enough to assess cardiac output in patients with decreased vascular tone. Stroke volume variation provides valuable information only when systemic vascular resistance is normal . In addition, passive leg raising is only validated for patients whose lungs are being mechanically ventilated and the same is true of stroke volume variation .…”

mentioning

confidence: 99%

The impact of fluid optimisation before induction of anaesthesia on hypotension after induction

et al. 2020

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FloTrac® Monitoring System: What Are Its Uses in Critically III Medical Patients?

Cited by 32 publications

References 23 publications

Assessment of method agreement between two minimally invasive hemodynamic measurements in septic shock patients on high doses of vasopressor drugs. A preliminary study

Assessment of method agreement between two minimally invasive hemodynamic measurements in septic shock patients on high doses of vasopressor drugs. A preliminary study

Evaluation of Surgical Procedures that Affect the Hemodynamics Using the FloTrac System in Esophageal Cancer Patients

The impact of fluid optimisation before induction of anaesthesia on hypotension after induction

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