Cardiac output monitoring: Is there a gold standard and how do the newer technologies compare?

Seminars in Cardiothoracic and Vascular Anesthesia

Volumn 14, Issue 4, 2010, Pages 274-282

  Pugsley, Jacob ^a   Lerner, Adam B ^a  

^a BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

Author keywords

cardiac output measurement; Fick; gold standard; monitoring; NICO; pulse contour analysis; TEE; thermodilution

Indexed keywords

CARBON DIOXIDE;

ARTICLE; BLOOD PRESSURE; CRITICALLY ILL PATIENT; HEART CATHETERIZATION; HEART HEMODYNAMICS; HEART OUTPUT; HUMAN; LUNG BLOOD FLOW; MEDICAL TECHNOLOGY; THERMODILUTION; TRANSESOPHAGEAL ECHOCARDIOGRAPHY;

BLOOD PRESSURE; CARDIAC OUTPUT; CATHETERIZATION, SWAN-GANZ; CRITICAL ILLNESS; HUMANS; OXYGEN; THERMODILUTION;

EID: 78650833522     PISSN: 10892532     EISSN: None     Source Type: Journal    
DOI: 10.1177/1089253210386386     Document Type: Article

References (90)

1. Kehlet H., Bundgaard-Nielsen M. Goal-directed perioperative fluid management: why, when, and how? Anesthesiology. 2009 ; 110: 453-455.
2. Rhodes A., Cecconi M., Hamilton M., et al. Goal-directed therapy in high-risk surgical patients: a 15-year follow-up study. Intensive Care Med. 2010 ; 36: 1327-1332.
3. Rivers E., Nguyen B., Havstad S., et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2001 ; 345: 1368-1377.
4. Laszlo G. Respiratory measurements of CO: from elegant idea to useful test. J Appl Physiol. 2004 ; 96: 428-437.
5. Kendrick AH, West J., Papouchado M., Rozkovec A. Direct Fick CO: are assumed values of oxygen consumption acceptable ? Eur Heart J. 1988 ; 9: 337-342.
6. Wolf A., Pollman MJ, Trindade PT, Fowler MB, Alderman EL Use of assumed versus measured oxygen consumption for the determination of CO using the Fick principle. Cathet Cardiovasc Diagn. 1998 ; 43: 372-380.
7. Taylor SH Measurement of the CO in man. Proc R Soc Med. 1966 ; 59 (suppl): 35-53.
8. Sorensen MB, Bille-Brahe NE, Engell HC CO measurement by thermal dilution: reproducibility and comparison with the dye-dilution technique. Ann Surg. 1976 ; 183: 67-72.
9. Fegler G. Measurement of CO in anaesthetized animals by a thermodilution method. Q J Exp Physiol Cogn Med Sci. 1954 ; 39: 153-164.
10. Fegler G. The reliability of the thermodilution method for determination of the CO and the blood flow in central veins. Q J Exp Physiol Cogn Med Sci. 1957 ; 42: 254-266.
11. Swan HJ, Ganz W., Forrester J., Marcus H., Diamond G., Chonette D. Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter. N Engl J Med. 1970 ; 283: 447-451.
12. Weisel RD, Vito L., Dennis RC, Berger RL, Hechtman HB Clinical applications of thermodilution CO determinations. Am J Surg. 1975 ; 129: 449-454.
13. Baylor P. Lack of agreement between thermodilution and Fick methods in the measurement of CO. J Intensive Care Med. 2006 ; 21: 93-98.
14. Gonzalez J., Delafosse C., Fartoukh M., et al. Comparison of bedside measurement of CO with the thermodilution method and the Fick method in mechanically ventilated patients. Crit Care. 2003 ; 7: 171-178.
15. Lipkin DP, Poole-Wilson PA Measurement of CO during exercise by the thermodilution and direct Fick techniques in patients with chronic congestive heart failure. Am J Cardiol. 1985 ; 56: 321-324.
16. Stetz CW, Miller RG, Kelly GE, Raffin TA Reliability of the thermodilution method in the determination of CO in clinical practice. Am Rev Respir Dis. 1982 ; 126: 1001-1004.
17. Connors AF Jr, Speroff T., Dawson NV, et al. The effectiveness of right heart catheterization in the initial care of critically ill patients. SUPPORT Investigators. JAMA. 1996 ; 276: 889-897.
18. Polanczyk CA, Rohde LE, Goldman L., et al. Right heart catheterization and cardiac complications in patients undergoing noncardiac surgery: an observational study. JAMA. 2001 ; 286: 309-314.
19. Sandham JD, Hull RD, Brant RF, et al. A randomized, controlled trial of the use of pulmonary-artery catheters in high-risk surgical patients. N Engl J Med. 2003 ; 348: 5-14.
20. Tuman KJ, McCarthy RJ, Spiess BD, et al. Effect of pulmonary artery catheterization on outcome in patients undergoing coronary artery surgery. Anesthesiology. 1989 ; 70: 199-206.
21. Bland JM, Altman DG Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986 ; 1: 307-310.
22. Critchley LA, Critchley JA A meta-analysis of studies using bias and precision statistics to compare CO measurement techniques. J Clin Monit Comput. 1999 ; 15: 85-91.
23. Manecke GR Jr, Auger WR CO determination from the arterial pressure wave: clinical testing of a novel algorithm that does not require calibration. J Cardiothorac Vasc Anesth. 2007 ; 21: 3-7.
24. Zimmermann A., Kufner C., Hofbauer S., et al. The accuracy of the Vigileo/FloTrac continuous CO monitor. J Cardiothorac Vasc Anesth. 2008 ; 22: 388-393.
25. Compton FD, Zukunft B., Hoffmann C., Zidek W., Schaefer JH Performance of a minimally invasive uncalibrated CO monitoring system (Flotrac/Vigileo) in haemodynamically unstable patients. Br J Anaesth. 2008 ; 100: 451-456.
26. Prasser C., Trabold B., Schwab A., Keyl C., Ziegler S., Wiesenack C. Evaluation of an improved algorithm for arterial pressure-based CO assessment without external calibration. Intensive Care Med. 2007 ; 33: 2223-2225. (Pubitemid 350164566)
27. Breukers RM, Sepehrkhouy S., Spiegelenberg SR, Groeneveld AB CO measured by a new arterial pressure waveform analysis method without calibration compared with thermodilution after cardiac surgery. J Cardiothorac Vasc Anesth. 2007 ; 21: 632-635.
28. Button D., Weibel L., Reuthebuch O., Genoni M., Zollinger A., Hofer CK Clinical evaluation of the FloTrac/Vigileo system and two established continuous CO monitoring devices in patients undergoing cardiac surgery. Br J Anaesth. 2007 ; 99: 329-336.
29. Chakravarthy M., Rajeev S., Jawali V. Cardiac index value measurement by invasive, semi-invasive and non invasive techniques: a prospective study in postoperative off pump coronary artery bypass surgery patients. J Clin Monit Comput. 2009 ; 23: 175-180.
30. de Waal EE, Kalkman CJ, Rex S., Buhre WF Validation of a new arterial pulse contour-based CO device. Crit Care Med. 2007 ; 35: 1904-1909.
31. Lorsomradee S., Cromheecke S., De Hert SG Uncalibrated arterial pulse contour analysis versus continuous thermodilution technique: effects of alterations in arterial waveform. J Cardiothorac Vasc Anesth. 2007 ; 21: 636-643.
32. Mayer J., Boldt J., Schollhorn T., Rohm KD, Mengistu AM, Suttner S. Semi-invasive monitoring of CO by a new device using arterial pressure waveform analysis: a comparison with intermittent pulmonary artery thermodilution in patients undergoing cardiac surgery. Br J Anaesth. 2007 ; 98: 176-182.
33. Mayer J., Boldt J., Wolf MW, Lang J., Suttner S. CO derived from arterial pressure waveform analysis in patients undergoing cardiac surgery: validity of a second generation device. Anesth Analg. 2008 ; 106: 867-872, table of contents.
34. Mehta Y., Chand RK, Sawhney R., Bhise M., Singh A., Trehan N. CO monitoring: comparison of a new arterial pressure waveform analysis to the bolus thermodilution technique in patients undergoing off-pump coronary artery bypass surgery. J Cardiothorac Vasc Anesth. 2008 ; 22: 394-399.
35. Senn A., Button D., Zollinger A., Hofer CK Assessment of CO changes using a modified FloTrac/Vigileo algorithm in cardiac surgery patients. Crit Care. 2009 ; 13: R32.
36. Zimmermann A., Steinwendner J., Hofbauer S., et al. The accuracy of the Vigileo/FloTrac system has been improved- follow-up after a software update: a blinded comparative study of 30 cardiosurgical patients. J Cardiothorac Vasc Anesth. 2009 ; 929-931.
37. Sakka SG, Kozieras J., Thuemer O., van Hout N. Measurement of CO: a comparison between transpulmonary thermodilution and uncalibrated pulse contour analysis. Br J Anaesth. 2007 ; 99: 337-342.
38. Linton RA, Band DM, Haire KM A new method of measuring CO in man using lithium dilution. Br J Anaesth. 1993 ; 71: 262-266.
39. Pearse RM, Ikram K., Barry J. Equipment review: an appraisal of the LiDCO plus method of measuring CO. Crit Care. 2004 ; 8: 190-195.
40. Costa MG, Della Rocca G., Chiarandini P., et al. Continuous and intermittent CO measurement in hyperdynamic conditions: pulmonary artery catheter vs. lithium dilution technique. Intensive Care Med. 2008 ; 34: 257-263.
41. Kurita T., Morita K., Kato S., Kikura M., Horie M., Ikeda K. Comparison of the accuracy of the lithium dilution technique with the thermodilution technique for measurement of CO. Br J Anaesth. 1997 ; 79: 770-775.
42. Cecconi M., Dawson D., Grounds RM, Rhodes A. Lithium dilution CO measurement in the critically ill patient: determination of precision of the technique. Intensive Care Med. 2009 ; 35: 498-504.
43. Cooper ES, Muir WW Continuous CO monitoring via arterial pressure waveform analysis following severe hemorrhagic shock in dogs. Crit Care Med. 2007 ; 35: 1724-1729.
44. Gruenewald M., Renner J., Meybohm P., Hocker J., Scholz J., Bein B. Reliability of continuous CO measurement during intra-abdominal hypertension relies on repeated calibrations: an experimental animal study. Crit Care. 2008 ; 12: R132.
45. Cecconi M., Fawcett J., Grounds RM, Rhodes A. A prospective study to evaluate the accuracy of pulse power analysis to monitor CO in critically ill patients. BMC Anesthesiol. 2008 ; 8: 3.
46. Hamilton TT, Huber LM, Jessen ME PulseCO: a less-invasive method to monitor CO from arterial pressure after cardiac surgery. Ann Thorac Surg. 2002 ; 74: S1408 - S1412.
47. Kemps HM, Thijssen EJ, Schep G., et al. Evaluation of two methods for continuous CO assessment during exercise in chronic heart failure patients. J Appl Physiol. 2008 ; 105: 1822-1829.
48. Kim JJ, Dreyer WJ, Chang AC, Breinholt JP III, Grifka RG Arterial pulse wave analysis: an accurate means of determining CO in children. Pediatr Crit Care Med. 2006 ; 7: 532-535.
49. Missant C., Rex S., Wouters PF Accuracy of CO measurements with pulse contour analysis (PulseCO) and Doppler echocardiography during off-pump coronary artery bypass grafting. Eur J Anaesthesiol. 2008 ; 25: 243-248.
50. McCoy JV, Hollenberg SM, Dellinger RP, et al. Continuous cardiac index monitoring: a prospective observational study of agreement between a pulmonary artery catheter and a calibrated minimally invasive technique. Resuscitation. 2009 ; 80: 893-897.
51. Yamashita K., Nishiyama T., Yokoyama T., Abe H., Manabe M. CO by PulseCO is not interchangeable with thermodilution in patients undergoing OPCAB. Can J Anaesth. 2005 ; 52: 530-534.
52. Yamashita K., Nishiyama T., Yokoyama T., Abe H., Manabe M. Effects of vasodilation on CO measured by PulseCO. J Clin Monit Comput. 2007 ; 21: 335-339.
53. Oren-Grinberg A. The PiCCO Monitor. Int Anesthesiol Clin. 2010 ; 48: 57-85.
54. Reuter DA, Huang C., Edrich T., Shernan SK, Eltzschig HK CO monitoring using indicator-dilution techniques: basics, limits, and perspectives. Anesth Analg. 2010 ; 110: 799-811.
55. Renner LE, Morton MJ, Sakuma GY Indicator amount, temperature, and intrinsic CO affect thermodilution CO accuracy and reproducibility. Crit Care Med. 1993 ; 21: 586-597.
56. Wiesenack C., Fiegl C., Keyser A., Prasser C., Keyl C. Assessment of fluid responsiveness in mechanically ventilated cardiac surgical patients. Eur J Anaesthesiol. 2005 ; 22: 658-665.
57. Chakravarthy M., Patil TA, Jayaprakash K., Kalligudd P., Prabhakumar D., Jawali V. Comparison of simultaneous estimation of CO by four techniques in patients undergoing off-pump coronary artery bypass surgery: a prospective observational study. Ann Card Anaesth. 2007 ; 10: 121-126.
58. Wiesenack C., Prasser C., Keyl C., Rodig G. Assessment of intrathoracic blood volume as an indicator of cardiac preload: single transpulmonary thermodilution technique versus assessment of pressure preload parameters derived from a pulmonary artery catheter. J Cardiothorac Vasc Anesth. 2001 ; 15: 584-588.
59. Buhre W., Weyland A., Kazmaier S., et al. Comparison of CO assessed by pulse-contour analysis and thermodilution in patients undergoing minimally invasive direct coronary artery bypass grafting. J Cardiothorac Vasc Anesth. 1999 ; 13: 437-440.
60. Halvorsen PS, Espinoza A., Lundblad R., et al. Agreement between PiCCO pulse-contour analysis, pulmonal artery thermodilution and transthoracic thermodilution during off-pump coronary artery by-pass surgery. Acta Anaesthesiol Scand. 2006 ; 50: 1050-1057.
61. Halvorsen PS, Sokolov A., Cvancarova M., Hol PK, Lundblad R., Tonnessen TI Continuous CO during off-pump coronary artery bypass surgery: pulse-contour analyses vs pulmonary artery thermodilution. Br J Anaesth. 2007 ; 99: 484-492.
62. Della Rocca G., Costa MG, Coccia C., et al. CO monitoring: aortic transpulmonary thermodilution and pulse contour analysis agree with standard thermodilution methods in patients undergoing lung transplantation. Can J Anaesth. 2003 ; 50: 707-711.
63. Della Rocca G., Costa MG, Pompei L., Coccia C., Pietropaoli P. Continuous and intermittent CO measurement: pulmonary artery catheter versus aortic transpulmonary technique. Br J Anaesth. 2002 ; 88: 350-356.
64. Boyle M., Lawrence J., Belessis A., Murgo M., Shehabi Y. Comparison of dynamic measurements of pulse contour with pulsed heat continuous CO in postoperative cardiac surgical patients. Aust Crit Care. 2007 ; 20: 27-32.
65. Kuntscher MV, Blome-Eberwein S., Pelzer M., Erdmann D., Germann G. Transcardiopulmonary vs pulmonary arterial thermodilution methods for hemodynamic monitoring of burned patients. J Burn Care Rehabil. 2002 ; 23: 21-26.
66. Himelman RB, Cassidy MM, Landzberg JS, Schiller NB Reproducibility of quantitative two-dimensional echocardiography. Am Heart J. 1988 ; 115: 425-431.
67. Ryan T., Burwash I., Lu J., et al. The agreement between ventricular volumes and ejection fraction by transesophageal echocardiography or a combined radionuclear and thermodilution technique in patients after coronary artery surgery. J Cardiothorac Vasc Anesth. 1996 ; 10: 323-328.
68. Descorps-Declere A., Smail N., Vigue B., et al. Transgastric, pulsed Doppler echocardiographic determination of CO. Intensive Care Med. 1996 ; 22: 34-38.
69. Perrino AC Jr, Harris SN, Luther MA Intraoperative determination of CO using multiplane transesophageal echocardiography: a comparison to thermodilution. Anesthesiology. 1998 ; 89: 350-357.
70. Maslow A., Comunale ME, Haering JM, Watkins J. Pulsed wave Doppler measurement of CO from the right ventricular outflow tract. Anesth Analg. 1996 ; 83: 466-471.
71. Zhao X., Mashikian JS, Panzica P., Lerner A., Park KW, Comunale ME Comparison of thermodilution bolus CO and Doppler CO in the early post-cardiopulmonary bypass period. J Cardiothorac Vasc Anesth. 2003 ; 17: 193-198.
72. Feinberg MS, Hopkins WE, Davila-Roman VG, Barzilai B. Multiplane transesophageal echocardiographic doppler imaging accurately determines CO measurements in critically ill patients. Chest. 1995 ; 107: 769-773.
73. Parra V., Fita G., Rovira I., Matute P., Gomar C., Pare C. Transoesophageal echocardiography accurately detects CO variation: a prospective comparison with thermodilution in cardiac surgery. Eur J Anaesthesiol. 2008 ; 25: 135-143.
74. Lafanechere A., Albaladejo P., Raux M., et al. CO measurement during infrarenal aortic surgery: echo-esophageal Doppler versus thermodilution catheter. J Cardiothorac Vasc Anesth. 2006 ; 20: 26-30.
75. Boucaud C., Bouffard Y., Dumortier J., et al. Transoesophageal echo-Doppler vs. thermodilution CO measurement during hepatic vascular exclusion in liver transplantation. Eur J Anaesthesiol. 2008 ; 25: 485-489.
76. Axler O., Tousignant C., Thompson CR, et al. Comparison of transesophageal echocardiographic, Fick, and thermodilution CO in critically ill patients. J Crit Care. 1996 ; 11: 109-116.
77. Bettex DA, Hinselmann V., Hellermann JP, Jenni R., Schmid ER Transoesophageal echocardiography is unreliable for CO assessment after cardiac surgery compared with thermodilution. Anaesthesia. 2004 ; 59: 1184-1192.
78. Lefrant JY, Bruelle P., Aya AG, et al. Training is required to improve the reliability of esophageal Doppler to measure CO in critically ill patients. Intensive Care Med. 1998 ; 24: 347-352.
79. Jaffe MB Partial CO2 rebreathing CO: operating principles of the NICO system. J Clin Monit Comput. 1999 ; 15: 387-401.
80. Benatar SR, Hewlett AM, Nunn JF The use of iso-shunt lines for control of oxygen therapy. Br J Anaesth. 1973 ; 45: 711-718.
81. Ng JM, Chow MY, Ip-Yam PC, Goh MH, Agasthian T. Evaluation of partial carbon dioxide rebreathing CO measurement during thoracic surgery. J Cardiothorac Vasc Anesth. 2007 ; 21: 655-658.
82. Kotake Y., Yamada T., Nagata H., et al. Improved accuracy of CO estimation by the partial CO2 rebreathing method. J Clin Monit Comput. 2009 ; 23: 149-155.
83. Kotake Y., Moriyama K., Innami Y., et al. Performance of noninvasive partial CO2 rebreathing CO and continuous thermodilution CO in patients undergoing aortic reconstruction surgery. Anesthesiology. 2003 ; 99: 283-288.
84. Gueret G., Kiss G., Khaldi S., et al. Comparison of CO measurements between NICO and the pulmonary artery catheter during repeat surgery for total hip replacement. Eur J Anaesthesiol. 2007 ; 24: 1028-1033.
85. Gueret G., Kiss G., Rossignol B., et al. CO measurements in off-pump coronary surgery: comparison between NICO and the Swan-Ganz catheter. Eur J Anaesthesiol. 2006 ; 23: 848-854.
86. Botero M., Kirby D., Lobato EB, Staples ED, Gravenstein N. Measurement of CO before and after cardiopulmonary bypass: comparison among aortic transit-time ultrasound, thermodilution, and noninvasive partial CO2 rebreathing. J Cardiothorac Vasc Anesth. 2004 ; 18: 563-572.
87. Odenstedt H., Stenqvist O., Lundin S. Clinical evaluation of a partial CO2 rebreathing technique for CO monitoring in critically ill patients. Acta Anaesthesiol Scand. 2002 ; 46: 152-159.
88. Mielck F., Buhre W., Hanekop G., Tirilomis T., Hilgers R., Sonntag H. Comparison of continuous CO measurements in patients after cardiac surgery. J Cardiothorac Vasc Anesth. 2003 ; 17: 211-216.
89. van Heerden PV, Baker S., Lim SI, Weidman C., Bulsara M. Clinical evaluation of the non-invasive CO (NICO) monitor in the intensive care unit. Anaesth Intensive Care. 2000 ; 28: 427-430.
90. Nilsson LB, Eldrup N., Berthelsen PG Lack of agreement between thermodilution and carbon dioxide-rebreathing CO. Acta Anaesthesiol Scand. 2001 ; 45: 680-685.