Anest. intenziv. Med. 2006;17(6):299-303
Measurement of cardiac output by the pulse contour analysis (LiDCOTM plus) and the partial rebreathing of carbon dioxide (NICO) methods - a prospective comparative studyIntensive Care Medicine - Original Paper
- ARO, Krajská nemocnice Pardubice
Objective:
To determine the cross-correlation of two methods of cardiac output measurement: pulse contour analysis (LiDCOTM plus) and partial rebreathing of carbon dioxide (NICO).
Design:
Prospective comparative study.
Setting:
Department of Anaesthesiology and Intensive Care, Pardubice Hospital.
Materials and Methods:
The patient population consisted of adult patients admitted to our ICU for mechanical ventilation and pharmacological vasopressor support with a clinical indication for cardiac output (CO) monitoring by LiDCO. Additionally their CO was measured simultaneously by NICO for the duration of the study.
Results:
We studied 20 patients and performed 812 coupled measurements. The average and median cardiac index (CI = 1. min⁻1 . m⁻2) by NICO was 3.7 and 3.5, the average and median CI by LiDCO 3.6 and 3.5 respectively.
Conclusion:
Measurement of CO by pulse contour analysis (LiDCOTM plus) was comparable to the partial rebreathing of carbon dioxide method (NICO) in our study.
Keywords: cardiac output; pulse contour analysis; lithium dilution; carbon dioxide rebreathing
Published: December 1, 2006 Show citation
ACS | AIP | APA | ASA | Harvard | Chicago | Chicago Notes | IEEE | ISO690 | MLA | NLM | Turabian | Vancouver |
References
- Černý, V. et al. Invazivní hemodynamické monitorování v praxi. Praha : Grada Publishing, spol. s r. o., 2000.
- Pearse, R. M., Ikram, K., Barry, J. Equipment review: A appraisal of the LiDCOTM plus method of measuring cardiac output. Critical. Care, 2004, 8, 3, p. 190-195.
Go to original source...
Go to PubMed...
- Beaulieu, K. E., Kerr, C. L., McDonell, W. N. Evaluation of a lithium dilution cardiac output technique as a method for measurement of cardiac output in anesthetized cats. A. J. Vet. Res., 2005, 66, 9, p. 1639-1645.
Go to original source...
Go to PubMed...
- Hamilton, T. T., Huber, L. M., Jessen, M. E. PulseCO: a less-invasive method to monitor cardiac output from arterial pressure after cardiac surgery. Ann. Thorac. Surg., 2002, 74, 4, p. 1408-1412.
Go to original source...
Go to PubMed...
- Jonas, M. M., Tanser, S. J. Lithium dilution measurement of cardiac output and arterial pulse waveform analysis: an indicator dilution calibrated beat-by-beat system for continuous estimation of cardiac output. Curr. Opin. Crit. Care, 2002, 8, 3, p. 257-261.
Go to original source...
Go to PubMed...
- Lawler, P. G., Nunn, J. F. A reassessment of the validity of the isoshunt graph. Br. J. Anaesth., 1984, 56, 12, p. 1325-1335.
Go to original source...
Go to PubMed...
- Berton, Ch., Cholley, B. Equipment review: New techniques for cardiac output measurement - oesophageal Doppler, Fick principle using carbon dioxide and pulse contour analysis. Crit. Care, 2002, 6, 3, p. 216-221.
Go to original source...
Go to PubMed...
- Rocco, M., Spadetta, G., Morelli, A., Dell'Utri, D., Porzi, P., Pietropaoli, P. A comparative evaluation of thermodilution and partial CO2 rebreathing techniques for cardiac output assessment in critically ill patients during assisted ventilation. Intensive Care Med., 2004, 30, 1, p. 82-87.
Go to original source...
Go to PubMed...
- Valiatti, J. L., Amaral, J. L. Comparison between CO values measured by thermodilution and partial carbon dioxide rebreathing in patients with acute lung injury. Sao Paulo Med. J., 2004, 4, p. 233-238.
Go to original source...
Go to PubMed...
- Pittman, J., Bar-Yosef, S., SumPing, J., Sherwood, M., Mark, J. Continuous cardiac output monitoring with pulse contour analysis: a comparison with lithium indicator dilution cardiac output measurement. Crit. Care Med., 2005, 33, 9, p. 2015-2021.
Go to original source...
Go to PubMed...
- Tsutsui, M., Mori, T., Aramaki, Y., Fukuda, I., Kazama, T. A comparison of two methods for continuous cardiac output measurement: PulseCO VS CCO. Masui, 2004, 53, 8, p. 929-933.
Go to PubMed...
- Linton, R., Band, D., O'Brien, T., Jonas, M., Leach, R. Lithium dilution cardiac output measurement: a comparison with thermodilution. Crit. Care Med., 1997, 25, p. 1767-1768.
Go to original source...
Go to PubMed...
- Kotake, Y., Moriyama, K., Innami, Y., Shimizu, H., Ueda, T., Morisaki, H., Takeda, J. Performance of noninvasive partial CO2 rebreathing cardiac output and continuous thermodilution cardiac output in patients undergoing aortic reconstruction surgery. Anesthesiology, 2003, 99, 2, p. 283-288.
Go to original source...
Go to PubMed...
- Haryadi, D. G., Orr, J. A., Kuck, K., McJames, S., Westenskow, D. R. Partial CO2 rebreathing indirect Fick technique for non-invasive measurement of cardiac output. J. Clin. Monit. Comput., 2000, 16, 5-6, p. 361-374.
Go to original source...
Go to PubMed...
- Nilsson, L. B., Eldrup, N., Berthelsen, P. G. Lack agreement between thermodilution and carbon dioxide-rebreathing cardiac output. Acta Anaesth. Scand., 2001, 45, 6, p. 680-685.
Go to original source...
Go to PubMed...
- Jover, J. L., Soro, M., Belda, F. J., Aguilar, G., Caro, P., Ferrandis, R. Measurement of cardiac output after cardiac surgery: validation of a partial carbon dioxide rebreathing (NICO) system in comparison with continuous thermodilution with a pulmonary artery catheter. Rev. Esp. Anestesiol. Reanim., 2005, May, 52, 5, p. 256-262.
- Botero, M., Kirby, D., Lobato, E. B., Staples, E. D., Gravenstein, N. Measurement of cardiac output before and after cardiopulmonary bypass: Comparison among aortic transit-time ultrasound, thermodilution, and noninvasive partial CO2 rebreathing. J. Cardiothorac. Vasc. Anesth., 2004, 18, 5, p. 563-572.
Go to original source...
Go to PubMed...
- Bajorat, J., Hofmockel, R., Vagts, D. A., Janda, M., Pohl, B., Beck, C., Noeldge-Schomburg, G. Comparison of invasive and less-invasive techniques of cardiac output measurement under different haemodynamic conditions in a pig model. Eur. J. Anaesthesiol., 2006, 23, 1, p. 23-30.
Go to original source...
Go to PubMed...
- Levy, R. J., Chiavacci, R. M., Nicolson, S. C., Rome, J. J., Lin, R. J., Helfaer, M. A., Nadkarni, V. M. An evaluation of a noninvasive cardiac output measurement using partial carbon dioxide rebreathing in children. Anaesth. Analg., 2004, 99, 6, p. 1642-647.
Go to original source...
Go to PubMed...
- Mielck, F., Buhre, W., Hanekop, G., Tirilomis, T., Hilgers, R., Sonntag, H. Comparison of continuous cardiac output measurements in patients after cardiac surgery. J. Cardiothorac. Vasc. Anesth., 2003, 17, 2, p. 211-216.
Go to original source...
Go to PubMed...
- Tachibana, K., Imanaka, H., Takeuchi, M., Takauchi, Y., Miyano, H., Nishimura, M. Noninvasive cardiac output measurement using partial carbon dioxide rebreathing is less accurate at settings of reduced minute ventilation and when spontaneous breathing is present. Anesthesiology, 2003.
Go to original source...
- Tachibana, K., Imanaka, H., Takeuchi, M., Nishida, T., Takauchi, Y., Nishimura, M. Effects of reduced rebreathing time, in spontaneously breathing patients, on respiratory effort and accuracy in cardiac output measurement when using a partial carbon dioxide rebreathing technique: a prospective observational study. Crit. Care, 2005, 9, 5, R569-574.
Go to original source...
Go to PubMed...
- Kothari, N., Amaria, T., Hedge, A., Mandke, A., Mandke, M. Ch. Measurement of cardiac output: Comparison of four different methods. Lilavati Hospital & research Center, Mumbai. J. Thorac. Cardiovasc. Surg., 2003, 19, p. 163-168.
Go to original source...
- Giugere, S., Bucki, E., Adin, D. B., Valverde, A., Estrada, A. H.,Young, L. Cardiac output measurement by partial carbon dioxide rebreathing, 2-dimensional echocardiography, and lithium-dilution method in anesthetized neonatal foals. J. Vet. Intern. Med., 2005, 19, 5, p. 737-743.
Go to original source...