Top

International Journal of Emergency Medicine

Published in:

Open Access 01-12-2012 | Review

Applications of minimally invasive cardiac output monitors

Authors: Jahan Porhomayon, Gino Zadeii, Samuel Congello, Nader D Nader

Published in: International Journal of Emergency Medicine | Issue 1/2012

Abstract

Because of the increasing age of the population, critical care and emergency medicine physicians have seen an increased number of critically ill patients over the last decade. Moreover, the trend of hospital closures in the United States t imposes a burden of increased efficiency. Hence, the identification of devices that facilitate accurate but rapid assessments of hemodynamic parameters without the added burden of invasiveness becomes tantamount. The purpose of this review is to understand the applications and limitations of these new technologies.

Available only for authorised users

Fegler G: Measurement of cardiac output in anaesthetized animals by a thermodilution method. Q J Exp Physiol Cogn Med Sci 1954,39(3):153–164.PubMed

Stewart GN: Researches on the circulation time and on the influences which affect it. J Physiol 1897,22(3):159–183.PubMedCentralPubMed

Reade MC, Angus DC: PAC-Man: game over for the pulmonary artery catheter? Crit Care 2006,10(1):303. 10.1186/cc3977PubMedCentralPubMed

Ivanov R, Allen J, Calvin JE: The incidence of major morbidity in critically ill patients managed with pulmonary artery catheters: a meta-analysis. Crit Care Med 2000,28(3):615–619. 10.1097/00003246-200003000-00002PubMed

Kahwash R, Leier CV, Miller L: Role of the pulmonary artery catheter in diagnosis and management of heart failure. Heart Fail Clin 2009,5(2):241–248. 10.1016/j.hfc.2008.12.002PubMed

Shah MR, et al.: Evaluation Study of Congestive Heart Failure and Pulmonary Artery Catheterization Effectiveness (ESCAPE): design and rationale. Am Heart J 2001,141(4):528–535. 10.1067/mhj.2001.113995PubMed

Side CD, Gosling RG: Non-surgical assessment of cardiac function. Nature 1971,232(5309):335–336. 10.1038/232335a0PubMed

Dark PM, Singer M: The validity of trans-esophageal Doppler ultrasonography as a measure of cardiac output in critically ill adults. Intensive Care Med 2004,30(11):2060–2066. 10.1007/s00134-004-2430-2PubMed

Singer M, Bennett ED: Noninvasive optimization of left ventricular filling using esophageal Doppler. Crit Care Med 1991,19(9):1132–1137. 10.1097/00003246-199109000-00007PubMed

10.

Madan AK, et al.: Esophageal Doppler ultrasound monitor versus pulmonary artery catheter in the hemodynamic management of critically ill surgical patients. J Trauma 1999,46(4):607–611. discussion 611–612 10.1097/00005373-199904000-00008PubMed

11.

Isakow W, Schuster DP: Extravascular lung water measurements and hemodynamic monitoring in the critically ill: bedside alternatives to the pulmonary artery catheter. Am J Physiol Lung Cell Mol Physiol 2006,291(6):L1118-L1131. 10.1152/ajplung.00277.2006PubMed

12.

Rodriguez RM, Berumen KA: Cardiac output measurement with an esophageal doppler in critically ill Emergency Department patients. J Emerg Med 2000,18(2):159–164. 10.1016/S0736-4679(99)00187-0PubMed

13.

Marquez J, et al.: Ability of pulse power, esophageal Doppler, and arterial pulse pressure to estimate rapid changes in stroke volume in humans. Crit Care Med 2008,36(11):3001–3007. 10.1097/CCM.0b013e31818b31f0PubMedCentralPubMed

14.

Seoudi HM, et al.: The esophageal Doppler monitor in mechanically ventilated surgical patients: does it work? J Trauma 2003,55(4):720–725. discussion 725–726 10.1097/01.TA.0000092593.31283.B4PubMed

15.

Atlas GM: Development and application of a logistic-based systolic model for hemodynamic measurements using the esophageal Doppler monitor. Cardiovasc Eng 2008,8(3):159–173. 10.1007/s10558-008-9057-9PubMed

16.

Dabrowski GP, et al.: A critical assessment of endpoints of shock resuscitation. Surg Clin North Am 2000,80(3):825–844. 10.1016/S0039-6109(05)70098-0PubMed

17.

Marik PE: Pulmonary artery catheterization and esophageal doppler monitoring in the ICU. Chest 1999,116(4):1085–1091. 10.1378/chest.116.4.1085PubMed

18.

Royse CF: Ultrasound-guided haemodynamic state assessment. Best Pract Res Clin Anaesthesiol 2009,23(3):273–283. 10.1016/j.bpa.2009.02.009PubMed

19.

Price S, Uddin S, Quinn T: Echocardiography in cardiac arrest. Curr Opin Crit Care 2010,16(3):211–215. 10.1097/MCC.0b013e3283399d4cPubMed

20.

Mookadam F, et al.: Critical appraisal on the utility of echocardiography in the management of acute pulmonary embolism. Cardiol Rev 2010,18(1):29–37. 10.1097/CRD.0b013e3181c09443PubMed

21.

Breitkreutz R, Walcher F, Seeger FH: Focused echocardiographic evaluation in resuscitation management: concept of an advanced life support-conformed algorithm. Crit Care Med 2007,35(5 Suppl):S150-S161.PubMed

22.

Parato VM, et al.: Resting echocardiography for the early detection of acute coronary syndromes in chest pain unit patients. Echocardiography 2010,27(6):597–602. 10.1111/j.1540-8175.2010.01166.xPubMed

23.

Longjohn M, et al.: Point-of-care echocardiography by pediatric emergency physicians. Pediatr Emerg Care 2011,27(8):693–696. 10.1097/PEC.0b013e318226c7c7PubMed

24.

Randazzo MR, et al.: Accuracy of emergency physician assessment of left ventricular ejection fraction and central venous pressure using echocardiography. Acad Emerg Med 2003,10(9):973–977. 10.1111/j.1553-2712.2003.tb00654.xPubMed

25.

Wesseling KH, et al.: A computer module for the continuous monitoring of cardiac output in the operating theatre and the ICU. Acta Anaesthesiol Belg 1976,27(suppl):327–341.PubMed

26.

Eisenberg PR, et al.: A prospective study of lung water measurements during patient management in an intensive care unit. Am Rev Respir Dis 1987,136(3):662–668. 10.1164/ajrccm/136.3.662PubMed

27.

Della Rocca G, et al.: Cardiac output monitoring: aortic transpulmonary thermodilution and pulse contour analysis agree with standard thermodilution methods in patients undergoing lung transplantation. Can J Anaesth 2003,50(7):707–711. 10.1007/BF03018714PubMed

28.

Halvorsen PS, 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(9):1050–1057. 10.1111/j.1399-6576.2006.01118.xPubMed

29.

Cottis R, Magee N, Higgins DJ: Haemodynamic monitoring with pulse-induced contour cardiac output (PiCCO) in critical care. Intensive Crit Care Nurs 2003,19(5):301–307. 10.1016/S0964-3397(03)00063-6PubMed

30.

Hung MH, et al.: Application of Pulse Contour Cardiac Output (PiCCO) system for adequate fluid management in a patient with severe reexpansion pulmonary edema. Acta Anaesthesiol Taiwan 2008,46(4):187–190. 10.1016/S1875-4597(09)60008-4PubMed

31.

Aguilar G, Belda FJ, Perel A: Minimally invasive cardiopulmonary monitoring with the PiCCO Plus system. Rev Esp Anestesiol Reanim 2008,55(2):90–100.PubMed

32.

Uchino S, et al.: Pulmonary artery catheter versus pulse contour analysis: a prospective epidemiological study. Crit Care 2006,10(6):R174. 10.1186/cc5126PubMedCentralPubMed

33.

Mehta Y, et al.: Cardiac output 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(3):394–399. 10.1053/j.jvca.2008.02.015PubMed

34.

Mayer J, et al.: Cardiac output derived from arterial pressure waveform analysis in patients undergoing cardiac surgery: validity of a second generation device. Anesth Analg 2008,106(3):867–872. table of contents 10.1213/ane.0b013e318161964dPubMed

35.

Scheeren TW, et al.: Performance of a minimally invasive cardiac output monitoring system (Flotrac/Vigileo). Br J Anaesth 2008,101(2):279–280. 10.1093/bja/aen195PubMed

36.

Langewouters GJ, Wesseling KH, Goedhard WJ: The pressure dependent dynamic elasticity of 35 thoracic and 16 abdominal human aortas in vitro described by a five component model. J Biomech 1985,18(8):613–620. 10.1016/0021-9290(85)90015-6PubMed

37.

Button D, et al.: Clinical evaluation of the FloTrac/Vigileo system and two established continuous cardiac output monitoring devices in patients undergoing cardiac surgery. Br J Anaesth 2007,99(3):329–336. 10.1093/bja/aem188PubMed

38.

McLean AS, et al.: Comparison of cardiac output measurements in critically ill patients: FloTrac/Vigileo vs transthoracic Doppler echocardiography. Anaesth Intensive Care 2011,39(4):590–598.PubMed

39.

Reid RD, Jayamaha J: The use of a cardiac output monitor to guide the initial fluid resuscitation in a patient with burns. Emerg Med J 2007,24(5):e32. 10.1136/emj.2006.043349PubMed

40.

Sotomi Y, et al.: Reliability of a less-invasive cardiac output monitor in the perioperative period of a patient with severe dilated cardiomyopathy. Masui 2011,60(2):203–207.PubMed

41.

Linton RA, Band DM, Haire KM: A new method of measuring cardiac output in man using lithium dilution. British J Anaesthesia 1993,71(2):262–266. 10.1093/bja/71.2.262

42.

Pearse RM, Ikram K, Barry J: Equipment review: an appraisal of the LiDCO plus method of measuring cardiac output. Crit Care 2004,8(3):190–195. 10.1186/cc2852PubMedCentralPubMed

43.

Kurita T, et al.: Comparison of the accuracy of the lithium dilution technique with the thermodilution technique for measurement of cardiac output. British J Anaesthesia 1997,79(6):770–775. 10.1093/bja/79.6.770

44.

Costa MG, et al.: Continuous and intermittent cardiac output measurement in hyperdynamic conditions: pulmonary artery catheter vs. lithium dilution technique. Intensive Care Med 2008,34(2):257–263. 10.1007/s00134-007-0878-6PubMed

45.

Kubicek WG, et al.: Development and evaluation of an impedance cardiac output system. Aerosp Med 1966,37(12):1208–1212.PubMed

46.

Summers RL, et al.: Bench to bedside: electrophysiologic and clinical principles of noninvasive hemodynamic monitoring using impedance cardiography. Acad Emerg Med 2003,10(6):669–680. 10.1111/j.1553-2712.2003.tb00054.xPubMed

47.

Gujjar AR, et al.: Non-invasive cardiac output by transthoracic electrical bioimpedence in post-cardiac surgery patients: comparison with thermodilution method. J Clin Monit Comput 2008,22(3):175–180. 10.1007/s10877-008-9119-yPubMed

48.

Van De Water JM, et al.: Impedance cardiography: the next vital sign technology? Chest 2003,123(6):2028–2033. 10.1378/chest.123.6.2028PubMed

49.

Maus TM, et al.: Cardiac output determination from endotracheally measured impedance cardiography: clinical evaluation of endotracheal cardiac output monitor. J Cardiothorac Vasc Anesth 2011,25(5):770–775. 10.1053/j.jvca.2010.12.017PubMed

50.

Fellahi JL, et al.: A comparison of endotracheal bioimpedance cardiography and transpulmonary thermodilution in cardiac surgery patients. J Cardiothorac Vasc Anesth 2012,26(2):217–222. 10.1053/j.jvca.2011.06.023PubMed

51.

Wallace AW, et al.: Endotracheal cardiac output monitor. Anesthesiology 2000,92(1):178–189. 10.1097/00000542-200001000-00030PubMed

52.

Kossari N, Hufnagel G, Squara P: Bioreactance: a new tool for cardiac output and thoracic fluid content monitoring during hemodialysis. Hemodial Int 2009,13(4):512–517. 10.1111/j.1542-4758.2009.00386.xPubMed

53.

Benomar B, et al.: Fluid responsiveness predicted by noninvasive bioreactance-based passive leg raise test. Intensive Care Med 2010,36(11):1875–1881. 10.1007/s00134-010-1990-6PubMed

54.

Raval NY, et al.: Multicenter evaluation of noninvasive cardiac output measurement by bioreactance technique. J Clin Monit Comput 2008,22(2):113–119. 10.1007/s10877-008-9112-5PubMed

55.

Ohashi Y, et al.: Non-invasive hemodynamic assessment of non-pregnant, healthy pregnant and preeclamptic women using bioreactance. [corrected]. Revista Brasileira De Anestesiologia 2010,60(6):603–613. 335–340PubMed

56.

Squara P, et al.: Comparison of monitoring performance of Bioreactance vs. pulse contour during lung recruitment maneuvers. Crit Care 2009,13(4):R125. 10.1186/cc7981PubMedCentralPubMed

57.

Karpman VL: The theoretical analysis of Fick's equation. On the centennial of the use of Fick's principle in physiology. Z Kardiol 1975,64(9):801–808.PubMed

58.

Shepherd AP, et al.: Local control of tissue oxygen delivery and its contribution to the regulation of cardiac output. Am J Physiol 1973,225(3):747–755.PubMed

59.

Ehlers KC, et al.: Cardiac output measurements. A review of current techniques and research. Ann Biomed Eng 1986,14(3):219–239. 10.1007/BF02584272PubMed

60.

de Abreu MG, et al.: Partial carbon dioxide rebreathing: a reliable technique for noninvasive measurement of nonshunted pulmonary capillary blood flow. Crit Care Med 1997,25(4):675–683. 10.1097/00003246-199704000-00020PubMed

61.

Green DW: Comparison of cardiac outputs during major surgery using the Deltex CardioQ oesophageal Doppler monitor and the Novametrix-Respironics NICO: a prospective observational study. Int J Surg 2007,5(3):176–182. 10.1016/j.ijsu.2006.05.009PubMed

Title: Applications of minimally invasive cardiac output monitors
Authors: Jahan Porhomayon
Gino Zadeii
Samuel Congello
Nader D Nader
Publication date: 01-12-2012
Publisher: Springer Berlin Heidelberg
Published in: International Journal of Emergency Medicine / Issue 1/2012
Print ISSN: 1865-1372
Electronic ISSN: 1865-1380
DOI: https://doi.org/10.1186/1865-1380-5-18

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Applications of minimally invasive cardiac output monitors

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2012

Fatal transorbital penetrating intracranial injury caused by a bicycle hand brake

Current status of establishing a venous line in CPA patients by Emergency Life-Saving Technicians in the prehospital setting in Japan and a proposal for intraosseous infusion

Successful treatment of severe accidental hypothermia with cardiac arrest for a long time using cardiopulmonary bypass - report of a case

Is there a relationship between wound infections and laceration closure times?

Non-fatal injuries among pediatric patients seeking care in an urban Ghanaian emergency department

Emerging concepts in the diagnosis and treatment of patients with undifferentiated angioedema