Noninvasive cardiac output monitoring

Current Opinion in Anaesthesiology

Volumn 15, Issue 6, 2002, Pages 675-680

  Parmley, C Lee ^a   Pousman, Robert M ^b  

^a UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER   (United States)

^b UNIVERSITY OF TEXAS MEDICAL SCHOOL   (United States)

Author keywords

Cardiac output; Hemodynamics; Noninvasive monitoring

Indexed keywords

CARBON DIOXIDE; LITHIUM; OXYGEN;

ALGORITHM; ARTERY CATHETER; ARTERY CATHETERIZATION; BURN; CLINICAL PRACTICE; COMMERCIAL PHENOMENA; CORRELATION ANALYSIS; HEART ARRHYTHMIA; HEART OUTPUT; HEART PRELOAD; HEMODYNAMICS; INJURY; INTENSIVE CARE; MEDICAL LITERATURE; MORBIDITY; MORTALITY; PRIORITY JOURNAL; PULMONARY ARTERY; PULSE RATE; QUALITY CONTROL; REBREATHING; RELIABILITY; REVIEW; SEPSIS;

EID: 0036923410     PISSN: 09527907     EISSN: None     Source Type: Journal    
DOI: 10.1097/00001503-200212000-00012     Document Type: Review

References (21)

1. Botero M, Lobato EB. Advances in noninvasive cardiac output monitoring: An update. J Cardiothorac Vasc Anesth 2001; 15:631-640. This recent review of noninvasive cardiac output monitoring excludes the pulse contour analysis method, but includes echocardiographic principles. The description of carbon dioxide production and elimination and esophageal Doppler concepts in cardiac output monitoring are useful.
2. Rocca GD, Costa MG, Pompei L, et al. Continuous and intermittent cardiac output measurement: Pulmonary artery catheter versus aortic transpulmonary technique. Br J Anaesth 2002; 88:350-356. This publication contains a solid comparison of two methods for monitoring cardiac output intermittently and continuously in patients undergoing liver transplantation.
3. Rauch H, Muller MJ, Fleischer F, et al. Pulse contour analysis versus thermodilution in cardiac surgery patients. Acta Anaesthesiol Scand 2002; 46:424-429. In this study comparing intermittent and continuous cardiac output monitoring using PAC and pulse contour analysis, the discussion of underlying principles is somewhat enlightening.
4. Kuntscher MV, Blome-Eberwein S, Pelzer M, et al. Transcardiopulmonary vs pulmonary arterial thermodilution methods for hemodynamic monitoring of burned patients. J Burn Care Rehabil 2002; 23:21-26.
5. Godje O, Friedl R, Hannekum A. Accuracy beat-to-beat cardiac output monitoring by pulse contour analysis in hemodynamical unstable patients. Med Sci Monit 2001; 7:1344-1350.
6. Godje O, Hoke K, Goetz AE, et al. Reliability of a new algorithm for continuous cardiac output determination by pulse-contour analysis during hemodynamic instability. Crit Care 2002; 30:52-58. While this study appears to report data from an earlier publication, it contains a good description of the development and application of algorithms to get continuous cardiac output monitoring from intermittent trans-pulmonary indicator dilution. Stroke volume monitoring for cardiac output is discussed in regard to accuracy during arrhythmias.
7. Jonas M, Hett D, Morgan J. Real-time, continuous monitoring of cardiac output and oxygen delivery. Int J Intensive Care 2002; 9:33-42. This is a thorough discussion of the trans-pulmonary indicator dilution and pulse contour analysis method for cardiac output monitoring using lithium ion.
8. Heller JB, Fisher M, Pfanzelter D, et al. Continuous interoperative cardiac output determination with arterial pulse wave analysis (PULSECO) is valid and precise. Anesth Analg 2002; 93:SCA7.
9. Hamilton T, Jessen M. Pulse CO accurate monitoring of cardiac output from the arterial waveform [abstract[. In: 8th Annual CTT Meeting 2002: Current Trends in Thoracic Surgery VIII; January 2002; Miami, USA; 2002.
10. Reuter DA, Felbinger TW, Kilger E, et al. Optimizing fluid therapy in mechanically ventilated patients after cardiac surgery by on-line monitoring of left ventricular stroke volume variation: Comparison with aortic systolic pressure variations. Br J Anaesth 2002; 88:124-126. Using the principles of stroke volume variation described in this study, practitioners will be able to move away from heavy reliance on pulmonary capillary wedge pressure for preload assessment.
11. Price J, Sear J, Venn R. Perioperative fluid volume optimisation following proximal femoral fracture (Cochrane Review). In: The Cochrane Library, Issue 3: 2002. Oxford: Update Software.
12. Laousse E, Asehoune K, Dartayet B, et al. The hemodynamic effects of pediatric caudal anesthesia assessed by esophageal Doppler. Anesth Analg 2002; 94:1165-1168. This study demonstrates a useful application of esophageal Doppler cardiac output monitoring, and discusses the distinction between descending aortic blood flow as measured, and cardiac output readings displayed.
13. Sloth E, Pedersen J, Olsen KH, et al. Transoesophageal echocardiographic monitoring during paediatric cardiac surgery: Obtainable information and feasibility in 532 children. Paediatr Anaesth 2001; 11:657-662.
14. 2 rebreathing technique for cardiac output monitoring in critically ill patients. Acta Anaesthesiol Scand 2002; 46:152-159
15. 2 rebreathing. Anesthesiology 2002; 96:96-102.
16. Drazner MH, Thompson B, Rosenberg PB, et al. Comparisons of impedance cardiography with invasive hemodynamic measurements in patients with heart failure secondary to ischemic or nonischemic cardiomyopathy. Am J Cardiol 2002; 89:993-995. This reference from the cardiology literature studies patients with cardiomyopathy, finding modest agreement between bioimpedance and thermodilution cardiac output monitoring.
17. Spiess BD, Patel MA, Soltow LO, Wright IH. Comparison of bioimpedance versus thermodilution cardiac output during cardiac surgery: Evaluation of a second-generation bioimpedance device. J Cardiothorac Vasc Anesth 2001; 15:567-573. This comparison of cardiac output monitored by bioimpedance and pulmonary artery thermodilution during cardiac surgery found general agreement of the methods. The inaccuracy of cardiac output monitoring by the PAC is discussed as well as our perhaps misplaced reliance upon it.
18. Sageman WS, Riffenburgh RH, Spiess BD. Equivalence of bioimpedance and thermodilution in measuring cardiac index after cardiac surgery. J Cardiothorac Vasc Anesth 2002; 16:8-14. In 20 patients in the ICU following cardiac surgery, cardiac index monitored by PAC and bioimpedance were found equivalent.
19. Shoemaker WC. New approaches to trauma management using severity of illness and outcome prediction based on noninvasive hemodynamic monitoring. Surg Clin North Am 2002; 82:245-255. This reference utilizes the application of bioimpedance in the initial resuscitation of 155 major trauma patients applying perfusion-based endpoints.
20. Shoemaker WC, Wo CC, Chan L, et al. Outcome prediction of emergency patients by noninvasive hemodynamic monitoring. Chest 2001; 120:528-537.
21. Linton RA, Linton NW, Kelly F. Is clinical assessment of the circulation reliable in postoperative cardiac surgical patients? J Cardiothorac Vaso Anesth 2002; 16:4-7. In post cardiac surgery patients clinical estimates of cardiac output by physicians and others were usually wrong when compared with values obtained from pulse contour monitoring applied after clinical assessment. The appropriateness of a lower threshold for cardiac output monitoring is discussed.