Lithium dilution cardiac output (LiDCO) measurement using peripheral venous injection of lithium chloride

Jonas, M. M.; Kelly, F H; Linton, N; Linton, R. A. F.; O’Brien, T. K.; Band, D. M.

doi:10.1186/cc504

Cited by 4 publications

(4 citation statements)

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“…In most studies that investigated lithium indicator dilution for measurement of CO, application of lithium was done via a central venous access. However, 2 studies demonstrated that application of lithium via a peripheral venous access yields results comparable with the central venous application, 121,123 which was confirmed, and when compared with IB-PATD. 124 Thus, lithium indicator dilution allows accurate measurement in patients with only arterial and peripheral venous access.…”

Section: Sources Of Measurement Error and Variabilitymentioning

confidence: 94%

Cardiac Output Monitoring Using Indicator-Dilution Techniques: Basics, Limits, and Perspectives

Reuter

Huang²,

Edrich³

et al. 2010

Anesthesia &Amp; Analgesia

241

200

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The ability to monitor cardiac output is one of the important cornerstones of hemodynamic assessment for managing critically ill patients at increased risk for developing cardiac complications, and in particular in patients with preexisting cardiovascular comorbidities. For >30 years, single-bolus thermodilution measurement through a pulmonary artery catheter for assessment of cardiac output has been widely accepted as the "clinical standard" for advanced hemodynamic monitoring. In this article, we review this clinical standard, along with current alternatives also based on the indicator-dilution technique, such as the transcardiopulmonary thermodilution and lithium dilution techniques. In this review, not only the underlying technical principles and the unique features but also the limitations of each application of indicator dilution are outlined.

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Section: Sources Of Measurement Error and Variabilitymentioning

confidence: 94%

Cardiac Output Monitoring Using Indicator-Dilution Techniques: Basics, Limits, and Perspectives

Reuter

Huang²,

Edrich³

et al. 2010

Anesthesia &Amp; Analgesia

241

200

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“…The LiDCO Plus monitor was calibrated in all patients under stable hemodynamic conditions before the induction of anesthesia according to the manufacturer's instructions. Briefly, a single bolus of lithium chloride (0.3 mmol, 2 mL) was injected intravenously either with a large‐bore forearm cannula14, 15 or a central venous catheter, if it was available. With each bolus injection, a lithium concentration–time dilution curve was generated automatically by a lithium selective electrode connected to the tubing of the arterial line, and it was displayed on the LIDCO Plus monitor.…”

Section: Methodsmentioning

confidence: 99%

Comparison of calibrated and uncalibrated arterial pressure-based cardiac output monitors during orthotopic liver transplantation

et al. 2010

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Arterial pressure-based cardiac output monitors (APCOs) are increasingly used as alternatives to thermodilution. Validation of these evolving technologies in high-risk surgery is still ongoing. In liver transplantation, FloTrac-Vigileo (Edwards Lifesciences) has limited correlation with thermodilution, whereas LiDCO Plus (LiDCO Ltd.) has not been tested intraoperatively. Our goal was to directly compare the 2 proprietary APCO algorithms as alternatives to pulmonary artery catheter thermodilution in orthotopic liver transplantation (OLT). The cardiac index (CI) was measured simultaneously in 20 OLT patients at prospectively defined surgical landmarks with the LiDCO Plus monitor (CI L ) and the FloTrac-Vigileo monitor (CI V ). LiDCO Plus was calibrated according to the manufacturer's instructions. FloTrac-Vigileo did not require calibration. The reference CI was derived from pulmonary artery catheter intermittent thermodilution (CI TD ). CI V -CI TD bias ranged from À1.38 (95% confidence interval ¼ À2.02 to À0.75 L/minute/m 2 , P ¼ 0.02) to À2.51 L/minute/m 2 (95% confidence interval ¼ À3.36 to À1.65 L/minute/m 2 , P < 0.001), and CI L -CI TD bias ranged from À0.65 (95% confidence interval ¼ À1.29 to À0.01 L/minute/ m 2 , P ¼ 0.047) to À1.48 L/minute/m 2 (95% confidence interval ¼ À2.37 to À0.60 L/minute/m 2 , P < 0.01). For both APCOs, bias to CI TD was correlated with the systemic vascular resistance index, with a stronger dependence for FloTrac-Vigileo. The capability of the APCOs for tracking changes in CI TD was assessed with a 4-quadrant plot for directional changes and with receiver operating characteristic curves for specificity and sensitivity. The performance of both APCOs was poor in detecting increases and fair in detecting decreases in CI TD . In conclusion, the calibrated and uncalibrated APCOs perform differently during OLT. Although the calibrated APCO is less influenced by changes in the systemic vascular resistance, neither device can be used interchangeably with thermodilution to monitor cardiac output during liver transplantation. Liver Transpl 16:773-782,

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“…The advantage of this technique over other indicator dilution techniques is its reduced invasiveness. It requires catheterization of only a peripheral vein 11,12 and artery and avoids the need to catheterize the pulmonary artery. The suitability of the lithium dilution method to measure CO in human medicine has been reported, 13,14 and recently, comparison with other methods in clinical veterinary patients has also been reported.…”

mentioning

confidence: 99%

Cardiac output determination by use of lithium dilution during exercise in horses

Durando

Corley²,

Boston³

et al. 2008

ajvr

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Lithium dilution cardiac output (LiDCO) measurement using peripheral venous injection of lithium chloride

Cited by 4 publications

References 1 publication

Cardiac Output Monitoring Using Indicator-Dilution Techniques: Basics, Limits, and Perspectives

Cardiac Output Monitoring Using Indicator-Dilution Techniques: Basics, Limits, and Perspectives

Comparison of calibrated and uncalibrated arterial pressure-based cardiac output monitors during orthotopic liver transplantation

Cardiac output determination by use of lithium dilution during exercise in horses

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