Uncalibrated Radial and Femoral Arterial Pressure Waveform Analysis for Continuous Cardiac Output Measurement: An Evaluation in Cardiac Surgery Patients

Hofer, Christoph K.; Button, D.; Weibel, Luc; Genoni, Michele; Zollinger, Andreas

doi:10.1053/j.jvca.2009.06.003

Cited by 28 publications

(16 citation statements)

References 28 publications

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“…Regarding the cardiac surgical patients, the performance of FloTrac/Vigileo, PiCCOplus, and Vigilance CCO in CO measuring were comparable when tested against intermittent thermodilution in elective cardiac surgery [53]. In comparison with PAC the FloTrac/Vigileo was proved to be a reliable method for CO assessment both during CABG surgery [54] and after elective cardiac surgery [55] but remains sensitive to changes in vascular tone [56]. Newer studies have emphasized that the system is not accurate in cardiac surgical patients with low CO (especially when CI < 2.2 l/min/m 2 ) and in those with low ejection fraction (< 40 %) [57][58].…”

Section: Flotrac/vigileo (Edwards Lifesciences -Usa)mentioning

confidence: 96%

Pulse waveform hemodynamic monitoring devices: recent advances and the place in goal-directed therapy in cardiac surgical patients

Hendy

Bubenek

2016

Rom J Anaesth Int Care

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Hemodynamic monitoring has evolved and improved greatly during the past decades as the medical approach has shifted from a static to a functional approach. The technological advances have led to innovating calibrated or not, but minimally invasive and noninvasive devices based on arterial pressure waveform (APW) analysis. This systematic clinical review outlines the physiologic rationale behind these recent technologies. We describe the strengths and the limitations of each method in terms of accuracy and precision of measuring the flow parameters (stroke volume, cardiac output) and dynamic parameters which predict the fluid responsiveness. We also analyzed the place of the APW monitoring devices in goaldirected therapy (GDT) protocols in cardiac surgical patients. According to the data from the three GDTrandomized control trials performed in cardiac surgery (using two types of APW techniques PiCCO and FloTrac/Vigileo), these devices did not demonstrate that they played a role in decreasing mortality, but only decreasing the ventilation time and the ICU and hospital length of stay.

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Section: Flotrac/vigileo (Edwards Lifesciences -Usa)mentioning

confidence: 96%

Pulse waveform hemodynamic monitoring devices: recent advances and the place in goal-directed therapy in cardiac surgical patients

Hendy

Bubenek

2016

Rom J Anaesth Int Care

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“…64,[66][67][68] The accuracy of these devices generally decreases during periods of hemodynamic instability; 59,60,64,[69][70][71] thus, there appears to be a tradeoff between convenience and reliability, especially in situations in which loading conditions are expected to change.…”

Section: Technological Assessmentmentioning

confidence: 99%

Inter-device differences in monitoring for goal-directed fluid therapy

Thiele

Bartels

Gan

2014

Can J Anesth/J Can Anesth

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“…Device calibration is necessary every 8 h in hemodynamically stable patients and needs to be done more frequently (eventually every hour) during situations of hemodynamic instability [5]. Nevertheless, a variety of studies have successfully validated the PiCCOplus system (by comparing it with PAC) in different patient populations including the cardiac surgery patients [6,7].…”

Section: The Piccoplus Systemmentioning

confidence: 99%

Minimally Invasive Monitoring of Cardiac Output in the Cardiac Surgery Intensive Care Unit

Alhashemi

Cecconi

Rocca

et al. 2010

Curr Heart Fail Rep

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Cardiac output monitoring in the cardiac surgery patient is standard practice that is traditionally performed using the pulmonary artery catheter. However, over the past 20 years, the value of pulmonary artery catheters has been challenged, with some authors suggesting that its use might be not only unnecessary but also harmful. New minimally invasive devices that measure cardiac output have become available. In this paper, we review their operative principles, limitations, and utility in an integrated approach that could potentially change patients' outcome. However, it is now clear that it is how the monitor is used (ie, the protocol or therapy associated with its use, or its lack thereof), and not the monitor per se, that should be questioned when a patient's outcome is being evaluated.

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Uncalibrated Radial and Femoral Arterial Pressure Waveform Analysis for Continuous Cardiac Output Measurement: An Evaluation in Cardiac Surgery Patients

Cited by 28 publications

References 28 publications

Pulse waveform hemodynamic monitoring devices: recent advances and the place in goal-directed therapy in cardiac surgical patients

Pulse waveform hemodynamic monitoring devices: recent advances and the place in goal-directed therapy in cardiac surgical patients

Inter-device differences in monitoring for goal-directed fluid therapy

Minimally Invasive Monitoring of Cardiac Output in the Cardiac Surgery Intensive Care Unit

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