Computer based haemodynamic guidance system is effective and safe in management of postoperative cardiac surgery patients

Anaesthesia and Intensive Care

Volumn 39, Issue 2, 2011, Pages 191-201

  Pellegrino, V A ^a   Mudaliar, Y ^b   Gopalakrishnan, M ^c   Horton, M D ^d   Killick, C J ^e   Parkin, W G ^e   Playford, H R ^b   Raper, R F ^f  

^a ALFRED HOSPITAL   (Australia)

^b WESTMEAD HOSPITAL   (Australia)

^c ST VINCENT S HOSPITAL   (Australia)

^d ST GEORGE HOSPITAL   (Australia)

^e MONASH MEDICAL CENTRE   (Australia)

^f ROYAL NORTH SHORE HOSPITAL   (Australia)

Author keywords

Cardiac output; Control system; Fluid therapy; Haemodynamics; Heart surgery; Mean systemic filling pressure; Medical device; Postoperative care; Pulmonary artery catheter

Indexed keywords

ADRENALIN; DOBUTAMINE; DOPAMINE; GLYCERYL TRINITRATE; NITROPRUSSIDE SODIUM; NORADRENALIN;

ADVERSE OUTCOME; ARTICLE; AUSTRALIA; CLINICAL EFFECTIVENESS; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; DEVICE SAFETY; FEMALE; HEART ATRIUM FIBRILLATION; HEART OUTPUT; HEART VALVE REPLACEMENT; HEART VALVE SURGERY; HEMODYNAMIC MONITORING; HUMAN; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEAN ARTERIAL PRESSURE; NURSING CARE; OPEN HEART SURGERY; POSTOPERATIVE CARE; PULMONARY ARTERY CATHETER; RANDOMIZED CONTROLLED TRIAL; SURGICAL PATIENT;

EID: 79953195570     PISSN: 0310057X     EISSN: 14480271     Source Type: Journal    
DOI: 10.1177/0310057x1103900207     Document Type: Article

References (29)

1. Antonelli M, Levy M, Andrews PJD, Chastre J, Hudson LD, Manthous C et al. Hemodynamic monitoring in shock and implications for management. International Consensus Conference, Paris, France, 27-28 April 2006. Intensive Care Med 2007; 33:575-590.
2. Beale RJ, Hollenberg SM, Vincent J-L, Parrillo JE. Vasopressor and inotropic support in septic shock: an evidence-based review. Crit Care Med 2004; 32:S455-465.
3. Dellinger RP, Levy MM, Carlet JM, Bion J, Parker MM, Jaeschke R et al. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2008. Intensive Care Med 2008; 34:17-60.
4. Harvey S, Harrison DA, Singer M, Ashcroft J, Jones CM, Elbourne D et al. Assessment of the clinical effectiveness of pulmonary artery catheters in management of patients in intensive care (PAC-Man): a randomised controlled trial. Lancet 2005; 366:472-477. (Pubitemid 41111695)
5. Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 2001; 345:1368-1377.
6. Wakeling HG, McFall MR, Jenkins CS, Woods WGA, Miles WFA, Barclay GR et al. Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery. Br J Anaesth 2005; 95:634-642. (Pubitemid 41600025)
7. Denai MA, Mahfouf M, Ross JJ. A hybrid hierarchical decision support system for cardiac surgical intensive care patients. Part I: Physiological modelling and decision support system design. Artif Intell Med 2009; 45:35-52.
8. Parkin WG, Leaning MS. Therapeutic control of the circulation. J Clin Monit Comput 2008; 22:391-400.
9. Parkin WG. Volume state control - a new approach. Crit Care Resusc 1999; 1:311-321.
10. Parkin G, Wright C, Bellomo R, Boyce N. Use of a mean systemic filling pressure analogue during the closed-loop control of fluid replacement in continuous hemodiafiltration. J Crit Care 1994; 9:124-133. (Pubitemid 24189802)
11. Hekmat K, Kroener A, Stuetzer H, Schwinger RHG, Kampe S, Bennink G et al. Daily assessment of organ dysfunction and survival in intensive care unit cardiac surgical patients. Ann Thorac Surg 2005; 79:1555-1562. (Pubitemid 40614567)
12. MedDRA V. Northrop Grumman Corporation. From www.meddramssocom/ translations/downloads.htm Accessed April 2009.
13. Yelderman ML, Ramsay MA, Quinn MD, Paulsen AW, McKown RC, Gillman PH. Continuous thermodilution cardiac output measurement in intensive care unit patients. J Cardiothorac Vasc Anesth 1992; 6:270-274.
14. Yelderman M. Continuous measurement of cardiac output with the use of stochastic system identification techniques. J Clin Monit 1990; 6:322-332. (Pubitemid 20374404)
15. McCoy JV, Hollenberg SM, Dellinger RP, Arnold RC, Ruoss L, Lotano V 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.
16. Pearse R, Dawson D, Fawcett J, Rhodes A, Grounds RM, Bennett ED. Early goal-directed therapy after major surgery reduces complications and duration of hospital stay. A randomised, controlled trial [ISRCTN38797445]. Crit Care 2005; 9:R687-693.
17. Polonen P, Ruokonen E, Hippelainen M, Poyhonen M, Takala J. A prospective, randomized study of goal-oriented hemodynamic therapy in cardiac surgical patients. Anesth Analg 2000; 90:1052-1059. (Pubitemid 30253449)
18. Shoemaker WC, Appel PL, Kram HB, Waxman K, Lee TS. Prospective trial of supranormal values of survivors as therapeutic goals in high-risk surgical patients. Chest 1988; 94:1176-1186. (Pubitemid 19002776)
19. Ferrer R, Artigas A, Levy MM, Blanco J, Gonzalez-Diaz G, Garnacho-Montero J. Improvement in process of care and outcome after a multicenter severe sepsis educational program in Spain. JAMA 2008; 299:2294-2303. (Pubitemid 351724396)
20. Dellinger RP, Levy MM, Carlet JM, Bion J, Parker MM, Jaeschke R et al. The Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2008. Crit Care Med 2008; 36:269-327.
21. Colpaert K, Claus B, Somers A, Vandewoude K, Robays H, Decruyenaere J. Impact of computerized physician order entry on medication prescription errors in the intensive care unit: a controlled cross-sectional trial. Crit Care 2006; 10:R21.
22. East TD, Heermann LK, Bradshaw RL, Lugo A, Sailors RM, Ershler L et al. Efficacy of computerized decision support for mechanical ventilation: results of a prospective multi-center randomized trial. Proc AMIA Symp 1999; n/a:251-255.
23. Grover C, Barney K. Operating safely in surgery and critical care with perioperative automation. J Healthc Inf Manag 2004; 18:56-61.
24. Johnston ME, Langton KB, Haynes RB, Mathieu A. Effects of computer-based clinical decision support systems on clinician performance and patient outcome. A critical appraisal of research. Ann Intern Med 1994; 120:135-142. (Pubitemid 24027555)
25. Hoeksel SA, Blom JA, Jansen JR, Maessen JG, Schreuder JJ. Automated infusion of vasoactive and inotropic drugs to control arterial and pulmonary pressures during cardiac surgery. Crit Care Med 1999; 27:2792-2798. (Pubitemid 30027199)
26. Hoeksel SA, Blom JA, Jansen JR, Maessen JG, Schreuder JJ. Computer control versus manual control of systemic hypertension during cardiac surgery. Acta Anaesthesiol Scand 2001; 45:553-557. (Pubitemid 32417463)
27. Bion JF, Heffner JE. Challenges in the care of the acutely ill. Lancet 2004; 363:970-977. (Pubitemid 38388333)
28. Morris AH. Rational use of computerized protocols in the intensive care unit. Crit Care 2001; 5:249-254. (Pubitemid 32976332)
29. Guyton AC. Circulatory Physiology III, Arterial Pressure and Hypertension (preface). WB Saunders Co, Philadelphia 1980.