Performance of a new pulse contour method for continuous cardiac output monitoring: validation in critically ill patients

Bendjelid, Karim; Marx, Gernot; Kiefer, Nicholas; Simon, Tim Philipp; Geisen, Martin; Hoeft, Andreas; Siegenthaler, Nils; Hofer, Christoph K.

doi:10.1093/bja/aet116

Cited by 51 publications

(31 citation statements)

References 43 publications

(29 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Due to the fact that a good correlation of data was obtained when the transpulmonary thermodilution technique was compared with the gold standard technique (the pulmonary artery catheter) in septic shock patients [8][9][10], and EV1000™ device uses the aforementioned transpulmonary technique, we assumed this method to be the gold standard equivalent and considered any deviation of the Vigileo™ monitor away from the EV1000™ values a deviation from the real value. We addressed the level of agreement between the two methods by visual examination of data patterns using graphs and studying the bias (the average deviation from the real value; the mean difference in values obtained with the two different methods), limits of agreement (lower limit, LLA; upper limit, ULA) and creating Bland-Altman plots [11,12].…”

Section: Methodsmentioning

confidence: 99%

Assessment of method agreement between two minimally invasive hemodynamic measurements in septic shock patients on high doses of vasopressor drugs. A preliminary study

Antal

Mărginean

Hagău

2017

Rom J Anaesth Intensive Care

View full text Add to dashboard Cite

Background: Minimally invasive hemodynamic monitoring is still controversial among the methods used to assess the hemodynamic profile of the septic shock patient. The aim of this study was to test the level of agreement between two different devices.Methods. We collected 385 data entries during 12-hour intervals from four critically ill patients with septic shock and high doses of vasoactive therapy using two minimally invasive methods at the same time: Vigileo™ device which uses the pulse contour principle, and EV1000™ monitoring platform which uses the transpulmonary thermodilution principle. The studied parameters were Stroke Volume (SV), Cardiac Output (CO) and Mean Arterial Pressure (MAP). We tested the agreement by performing the visual examination of data patterns using graphs and studying the bias, limits of agreement and creating BlandAltman plots. For assessing the systematic, proportional and random differences, we computed a PassingBablock regression with the CUSUM test for linearity.Results. The one sample t-Test for the differences between the two methods against the null value was statistically significant for the studied parameters (p < 0.0001). The Bland-Altman analysis found no agreement between the data obtained using the two techniques, with calculated error percent as high as 88.28% for SV, 82.02% for CO and 42.06% for MAP. The Passing-Bablock regression analysis tested positive for systematic differences, but this could not be accounted for.Conclusion. We found no agreement between data obtained from the studied devices; therefore, these cannot be used interchangeably for critically ill septic shock patients on high doses of vasoactive substances.

show abstract

Section: Methodsmentioning

confidence: 99%

Assessment of method agreement between two minimally invasive hemodynamic measurements in septic shock patients on high doses of vasopressor drugs. A preliminary study

Antal

Mărginean

Hagău

2017

Rom J Anaesth Intensive Care

View full text Add to dashboard Cite

show abstract

“…3 While a pulmonary artery catheter was formerly the goldstandard monitoring approach, its use is associated with various complications and increased mortality; accordingly, it has been progressively replaced by less invasive monitoring techniques. [8][9][10] A reliable cardiac output monitor, ideally a minimally invasive one, could be of immense use for monitoring patients with cardiac comorbidities undergoing cerebrovascular surgery. Due to her pre-existing heart condition, the patient in the current case required precise monitoring of her left ventricular function.…”

Section: Case Reportmentioning

confidence: 99%

Use of a Minimally Invasive Cardiac Output Monitor to Optimise Haemodynamics in a Patient with Mitral Valve Disease Undergoing Cerebrovascular Surgery

Al-Mashani

Waje

Salhotra

et al. 2017

SQUMJ

View full text Add to dashboard Cite

abstract:Patients with mitral valve disease undergoing cerebrovascular surgery face increased inherent risks due to their associated cardiac comorbidities. As such, the anaesthetic management of such patients is distinctly challenging. Simultaneous consideration of both the cerebrovascular and underlying cardiac conditions determines key anaesthetic issues, as fluids and vasopressors or inotropes need to be titrated according to haemodynamic variables in order to optimise cerebral blood flow without compromising cardiac function. We report a 45-yearold female patient with mild mitral stenosis and moderate-to-severe mitral regurgitation who presented to the Khoula Hospital, Muscat, Oman, in 2016 following a ruptured anterior communicating artery aneurysm requiring urgent surgical intervention. As highlighted in this case, the VolumeView EV1000 ™ (Edwards Lifesciences, Irvine, California, USA) system is a minimially invasive haemodynamic monitor that can help immensely in the perioperative management of such patients.

show abstract

“…Should we monitor the preload and fluid responsiveness in shock? The routine measurement of CO is recommended only in shock patients that do not respond to initial treatment because there is a need to evaluate, in a very accurate manner, the response to fluid or inotropes [23]. Previous approaches were based mainly on the measurements of cardiac filling pressures (CVP, PCWP) and CO but these parameters cannot always discriminate with enough power, between different types of shock or certain combinations.…”

Section: How Do the Parameters Provided By Hemodynamic Monitoring Helmentioning

confidence: 99%

The Diagnosis and Hemodynamic Monitoring of Circulatory Shock: Current and Future Trends

Hendy

Bubenek-Turconi

2016

The Journal of Critical Care Medicine

View full text Add to dashboard Cite

Circulatory shock is a complex clinical syndrome encompassing a group of conditions that can arise from different etiologies and presented by several different hemodynamic patterns. If not corrected, cell dysfunction, irreversible multiple organ insufficiency, and death may occur. The four basic types of shock, hypovolemic, cardiogenic, obstructive and distributive, have features similar to that of hemodynamic shock. It is therefore essential, when monitoring hemodynamic shock, to making accurate clinical assessments which will guide and dictate appropriate management therapy. The European Society of Intensive Care has recently made recommendations for monitoring hemodynamic shock. The present paper discusses the issues raised in the new statements, including individualization of blood pressure targets, prediction of fluid responsiveness, and the use of echocardiography as the first means during the initial evaluation of circulatory shock. Also, the place of more invasive hemodynamic monitoring techniques and future trends in hemodynamic and metabolic monitoring in circulatory shock, will be debated.

show abstract

Performance of a new pulse contour method for continuous cardiac output monitoring: validation in critically ill patients

Abstract: The performance of the new VolumeView™-CCO method is as reliable as the PiCCO2™-CCO pulse wave analysis in critically ill patients. However, an improved precision was observed with the VolumeView™ technique. CLINICALTRIALS.GOV IDENTIFIER: NCT01405040.

Cited by 51 publications

References 43 publications

Assessment of method agreement between two minimally invasive hemodynamic measurements in septic shock patients on high doses of vasopressor drugs. A preliminary study

Assessment of method agreement between two minimally invasive hemodynamic measurements in septic shock patients on high doses of vasopressor drugs. A preliminary study

Use of a Minimally Invasive Cardiac Output Monitor to Optimise Haemodynamics in a Patient with Mitral Valve Disease Undergoing Cerebrovascular Surgery

The Diagnosis and Hemodynamic Monitoring of Circulatory Shock: Current and Future Trends

Contact Info

Product

Resources

About