Performance of cardiac output measurement derived from arterial pressure waveform analysis in patients requiring high-dose vasopressor therapy  S. Metzelder,

Slides:



Advertisements
Similar presentations
Cardiac output can be measured with the transpulmonary thermodilution method in a paediatric animal model with a left-to-right shunt  A. Nusmeier, W.P.
Advertisements

Reply from the authors British Journal of Anaesthesia
Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World.
Sevoflurane therapy for life-threatening asthma in children
E. Langesæter, L.A. Rosseland, A. Stubhaug 
Precision and accuracy of a new device (CNAP™) for continuous non-invasive arterial pressure monitoring: assessment during general anaesthesia  C Jeleazcov,
Bispectral index-guided induction of general anaesthesia in patients undergoing major abdominal surgery using propofol or etomidate: a double-blind, randomized,
Is comparison of changes in cardiac output, assessed by different methods, better than only comparing cardiac output to the reference method?  N.W.F.
Fluid responsiveness: an evolution of our understanding
Influence of haemorrhage on the pseudo-steady-state remifentanil concentration in a swine model: a comparison with propofol and the effect of haemorrhagic.
Uncalibrated arterial pressure waveform analysis for cardiac output monitoring is biased by low peripheral resistance in patients with intracranial haemorrhage† 
Estimation of changes in cardiac output from the arterial blood pressure waveform in the upper limb†,††  N.W.F. Linton, R.A.F. Linton  British Journal.
Comparison of bioreactance and echocardiographic non-invasive cardiac output monitoring and myocardial function assessment in primagravida women  A. Doherty,
Comparison between an uncalibrated pulse contour method and thermodilution technique for cardiac output estimation in septic patients  F. Franchi, R.
High concordance between expert anaesthetists’ actions and advice of decision support system in achieving oxygen delivery targets in high-risk surgery.
AepEX monitor for the measurement of hypnotic depth in patients undergoing balanced xenon anaesthesia  C. Stoppe, D. Peters, A.V. Fahlenkamp, J. Cremer,
C. Stoppe, J. Cremer, S. Rex, G. Schälte, A. V. Fahlenkamp, R
Influence of lung injury on cardiac output measurement using transpulmonary ultrasound dilution: a validation study in neonatal lambs  S.L. Vrancken,
A different use of visual analytic techniques in anaesthetics
Prediction of arterial oxygen partial pressure after changes in FiO2: validation and clinical application of a novel formula†  H.M. Al-Otaibi, J.G. Hardman 
B. Saugel, M. Cecconi, J.Y. Wagner, D.A. Reuter 
J. Thai, E. J. Reynolds, N. Natalia, C. Cornelissen, H. J. M
Less invasive determination of cardiac output from the arterial pressure by aortic diameter-calibrated pulse contour  J.B. de Vaal, R.B.P. de Wilde, P.C.M.
Effects of increased intra-abdominal pressure on central circulation
O. Thom, D. M. Taylor, R. E. Wolfe, J. Cade, P. Myles, H. Krum, R
The trend interchangeability method
Enhanced elimination of phenobarbital using charcoal haemoperfusion in a patient with severe poisoning  D.M. Roberts, A.M.T. Chau, P. Nair, R.O. Day 
M Ranucci, E Baryshnikova  British Journal of Anaesthesia 
Cardiac output measurement with transpulmonary ultrasound dilution is feasible in the presence of a left-to-right shunt: a validation study in lambs 
Continuous and minimally invasive cardiac output monitoring by long time interval analysis of a radial arterial pressure waveform: assessment using a.
Comparison of esCCO and transthoracic echocardiography for non-invasive measurement of cardiac output intensive care  B. Bataille, M. Bertuit, M. Mora,
Effect of patient sex on general anaesthesia and recovery
Preoperative anxiety and pain sensitivity are independent predictors of propofol and sevoflurane requirements in general anaesthesia  H.K. Kil, W.O. Kim,
S. So¨derstro¨m, G. Nyberg, M.F. O’Rourke, J. Sellgren, J. Pontén 
Reversal of refractory hypotension with single-dose methylene blue after coronary artery bypass surgery  P. Yiu, FRCSa, J. Robin, MRCPb, C.W. Pattison,
The novel Kv1.5 channel blocker vernakalant for successful treatment of new-onset atrial fibrillation in a critically ill abdominal surgical patient 
Patient state index vs bispectral index as measures of the electroencephalographic effects of propofol  M Soehle, M Kuech, M Grube, S Wirz, S Kreuer,
Tracheal intubation in the critically ill: a multi-centre national study of practice and complications  G.D. Simpson, M.J. Ross, D.W. McKeown, D.C. Ray 
Anaesthesia for awake craniotomy—evolution of a technique that facilitates awake neurological testing  A. Sarang, J. Dinsmore  British Journal of Anaesthesia 
S.G. Sakka, K. Reinhart, A. Meier-Hellmann 
E. Saraceni, S. Rossi, P. Persona, M. Dan, S. Rizzi, M. Meroni, C. Ori 
Similarity between the suprasystolic wideband external pulse wave and the first derivative of the intra-arterial pulse wave  R.A. Payne, D. Isnardi, P.J.D.
T. S. Walsh, T. P. Lapinlampi, P. Ramsay, M. O. K. Särkelä, K
Cerebral oxygen saturation and cardiac output during anaesthesia in sitting position for neurosurgical procedures: a prospective observational study 
Pressure recording analytical method for measuring cardiac output in critically ill children: a validation study  R. Saxena, A. Durward, N.K. Puppala,
Systemic vascular resistance has an impact on the reliability of the Vigileo-FloTrac system in measuring cardiac output and tracking cardiac output changes 
Pain assessment in conscious healthy volunteers: a crossover study evaluating the analgesia/nociception index  Q. Yan, H.Y. An, Y. Feng  British Journal.
Optimizing cerebral oxygenation in anaesthetized patients with carotid artery stenosis: the influence of inspired oxygen fraction  P. Picton, S.K. Ramachandran,
Bibliometrics of anaesthesia researchers in the UK
Influence of increased left ventricular myocardial mass on early and late mortality after cardiac surgery  M.M. Weiner, D.L. Reich, H.M. Lin, M. Krol,
Non-invasive continuous arterial pressure monitoring with Nexfin® does not sufficiently replace invasive measurements in critically ill patients  A Hohn,
Neurological biomarkers in the perioperative period
M.A. Fortier, R.L. Blount, S.-M. Wang, L.C. Mayes, Z.N. Kain 
Increase in endogenous erythropoietin synthesis through the normobaric oxygen paradox in cardiac surgery patients  Y. Ciccarella, C. Balestra, J. Valsamis,
Validity of the 6 min walk test in prediction of the anaerobic threshold before major non- cardiac surgery  R.C.F. Sinclair, A.M. Batterham, S. Davies,
Assessment of pulse transit time to indicate cardiovascular changes during obstetric spinal anaesthesia†  G Sharwood-Smith, J Bruce, G Drummond  British.
ICU fire evacuation preparedness in London: a cross-sectional study
Suspected opioid-induced hyperalgesia in an infant
Influence of preoperative cognitive status on propofol requirement to maintain hypnosis in the elderly  F.-Z. Laalou, M Egard, M Guillot, E Noll, G Taglang,
G. Haller, D.S. Courvoisier, H. Anderson, P.S. Myles 
Reduction of vasopressor requirement by hydrocortisone administration in a patient with cerebral vasospasm  J.A. Alhashemi  British Journal of Anaesthesia 
Ability of esCCO to track changes in cardiac output†
Comparison of the role of endothelin, vasopressin and angiotensin in arterial pressure regulation during sevoflurane anaesthesia in dogs  O Picker, L.A.
Non-invasive measurement of pulse pressure variation and systolic pressure variation using a finger cuff corresponds with intra-arterial measurement 
D.A. Rowney, R. Fairgrieve, B. Bissonnette 
Voltage changes in the lithium dilution cardiac output sensor after exposure to blood from horses given xylazine  T.D. Ambrisko, Y. Moens  British Journal.
C.M. Chalmers, A.M. Bal  British Journal of Anaesthesia 
Myocardial tissue CO2 tension detects coronary blood flow reduction after coronary artery bypass in real-time†  S.E. Pischke, S. Hyler, C. Tronstad, J.
Estimation of lean body mass in children
R. Parke, S. McGuinness, R. Dixon, A. Jull 
Presentation transcript:

Performance of cardiac output measurement derived from arterial pressure waveform analysis in patients requiring high-dose vasopressor therapy  S. Metzelder, M. Coburn, M. Fries, M. Reinges, S. Reich, R. Rossaint, G. Marx, S. Rex  British Journal of Anaesthesia  Volume 106, Issue 6, Pages 776-784 (June 2011) DOI: 10.1093/bja/aer066 Copyright © 2011 The Author(s) Terms and Conditions

Fig 1 Linear correlation analysis between TPCO and APCO. (a) Analysis for original CO data. (b) Analysis for percentage change. Separate regression analyses were performed to assess the correlation between the two methods for different ranges of CO changes: (i) decreases in TPCO >10% (blue circles, solid line; R=0.0367, R²=0.00134, P=0.85); minor changes in TPCO (−10%<▵TPCO<10%) (open triangles, dashed line; R=0.315, R²=0.0992, P<0.01); (ii) increases in TPCO >10% (pink squares, dotted line; R=0.346, R²=0.120, P=0.10). British Journal of Anaesthesia 2011 106, 776-784DOI: (10.1093/bja/aer066) Copyright © 2011 The Author(s) Terms and Conditions

Fig 2 Bland–Altman analysis for CO measurements by TPCO and by APCO (arterial pressure waveform-derived cardiac output) for all data (a) and for changes in CO measurements (b). British Journal of Anaesthesia 2011 106, 776-784DOI: (10.1093/bja/aer066) Copyright © 2011 The Author(s) Terms and Conditions

Fig 3 Logarithmic correlation analysis of the relationship between SVR (systemic vascular resistance) and TPCO–APCO for second-generation FloTrac software (a) and for third-generation FloTrac software (b). British Journal of Anaesthesia 2011 106, 776-784DOI: (10.1093/bja/aer066) Copyright © 2011 The Author(s) Terms and Conditions