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Cardiac Output Measurement in the Critically Ill: Invasive Versus Noninvasive Techniques

  • Conference paper

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 11))

Abstract

Oxygen transport to the tissues is fundamental to organ function and therefore preservation of life. Appropriate oxygen supply to the tissues depends on hemoglobin level, arterial oxygen tension, cardiac output, blood flow distribution and various peripheral factors governing the oxygen release to the cells. Therefore, the assessment of cardiac output is as important as the measurement of hemoglobin or PaO2 to insure appropriate oxygen transport to the tissues. The clinical assessment of a low cardiac output is probably as reliable as the clinical assessment of anemia or hypoxemia. As hemoglobin levels and blood gas tensions need to be measured in some clinical situations, cardiac output measurements can be required for proper management of the critically ill patient.

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References

  1. Davies GG, Jebson PJR, Glasgow BM, Hess DR (1986) Continuous Fick cardiac output compared to thermodilution cardiac output. Crit Care Med 14: 881–885

    Article  PubMed  CAS  Google Scholar 

  2. Vincent JL, N’Guyen M, Leon M, Carlier E, Kahn RJ (1990) Automated cardiovascular analysis and treatment (ACAT). Int J Clin Monit Comp (in press)

    Google Scholar 

  3. French WJ, Haskell RJ, Knouse RW, Criley JM (1987) Left ventricular derived cardiac output. Am J Cardiol 59: 142–144

    Article  PubMed  CAS  Google Scholar 

  4. Yang SS, Bentivoglio LG, Maranhao V, Goldberg H (1978) Cardiac output. In: From cardiac catheterization data to hemodynamic parameters, 2nd edn. Davis, Philadelphia, pp 55–88

    Google Scholar 

  5. Fegler GA (1954) Measurement of cardiac output in anesthetized animals by a thermodilution method. Quart J Exptl Physiol 39: 153–164

    CAS  Google Scholar 

  6. Ganz W, Donoso R, Marcus HS, Forrester J, Swan HJC (1971) A new technique for measurement of cardiac output by thermodilution in man. Am J Cardiol 27: 392–395

    Article  PubMed  CAS  Google Scholar 

  7. Nelson LD, Anderson HB (1985) Patient selection for iced versus room temperature injectate for thermodilution cardiac output determinations. Crit Care Med 13:182–184

    Article  PubMed  CAS  Google Scholar 

  8. Pearl RG, Rosenthal MH, Nielson L, Ashton JAP, Brown BW Jr (1986) Effect of injectate volume and temperature on thermodilution cardiac output determination. Anesthesiology 64: 798–801

    Article  PubMed  CAS  Google Scholar 

  9. Stevens HJ, Thomas AR, Frederick GM, et al (1985) Thermodilution cardiac output measurement: Effects of respiratory cycle in its reproductibility. JAMA 253: 2240–2242

    Article  PubMed  CAS  Google Scholar 

  10. Daper A, Parquier JN, Preiser JC, Contempre B, Vincent JL (1986) Timing of cardiac output measurements during mechanical ventilation. Acute Care 12: 113–116

    PubMed  CAS  Google Scholar 

  11. Stoller JK, Herbst TJ, Hurford W, Rie MA (1986) Spuriously high cardiac output from injecting thermal indicator through an ensheathed port. Crit Care Med 14: 1064–1065

    Article  PubMed  CAS  Google Scholar 

  12. Stetz CW, Miller RG, Kelly GE, Raffin TA (1982) Reliability of the thermodilution method in the determination of cardiac output in clinical practice. Am Rev Respir Dis 126: 1001–1004

    PubMed  CAS  Google Scholar 

  13. Cigarroa RG, Lange RA, Williams RH, Bedotto JB, Hillis LD (1989) Underestimation of cardiac output by thermodilution in patients with tricuspid regurgitation. Am J Med 86: 417–420

    Article  PubMed  CAS  Google Scholar 

  14. Bernstein DP (1986) A new stroke volume equation for thoracic electrical bioimpedance: theory and rationale. Crit Care Med 14: 904–909

    Article  PubMed  CAS  Google Scholar 

  15. Preiser JC, Daper A, Parquier JN, Contempré B, Vincent JL (1989) Transthoracic electrical bioimpedance versus thermodilution technique for cardiac output measurement during mechanical ventilation. Intensive Care Med 15: 221–223

    Article  PubMed  CAS  Google Scholar 

  16. Baan J, Van der Velde ET, de Bruin HG, et al (1984) Continuous measurement of left ventricular volume in animals and humans by conductance catheter. Circulation 70: 812–823

    Article  PubMed  CAS  Google Scholar 

  17. Kass DA, Yamazaki T, Burkhoff D, Maughan WL, Sagawa K (1986) Determination of left ventricular end-systolic pressure-volume relationships by the conductance (volume) catheter technique. Circulation 73: 586–595

    Article  PubMed  CAS  Google Scholar 

  18. Cabrera Fisher EI, Spinelli JC, Willshaw P, et al (1988) Detection of left ventricular regional myocardial ischaemia in dogs by intraventricular conductance catheter. Cardiovasc Res 22: 185–192

    Article  Google Scholar 

  19. Reiter SJ, Rumberger JA, Feiring AJ, Stanford W, Marcus ML (1986) Precision of measurements of right and left ventricular volume by cine computed tomography. Circulation 74: 890–900

    Article  PubMed  CAS  Google Scholar 

  20. Chandraratna A, Nanna M, McKay C, Nimalasuriya A, Swinney R, Elkayam U, Rahimtoola SH (1984) Determination of cardiac output by transcutaneous continuous- wave ultrasonic Doppler computer. Am J Cardiol 53: 234–237

    Article  PubMed  CAS  Google Scholar 

  21. Christie J, Sheldahl LM, Tristani FE, Sagar KB, Ptacin MJ, Wann S (1987) Determination of stroke volume and cardiac output during exercise: comparison of two-dimensional and Doppler echocardiography, Fick oximetry, and thermodilution. Circulation 76: 539–547

    Article  PubMed  CAS  Google Scholar 

  22. Haites NE, McLennan FM, Mowat DHR, Rawles JM (1985) Assessment of cardiac output by the Doppler ultrasound technique alone. Br Heart J 53: 123–129

    Article  PubMed  CAS  Google Scholar 

  23. Goldstein M, Vincent JL, Kahn RJ (1988) Evaluation of cardiac function by echo-Doppler studies in critically ill patients. Intensive Care Med 14: 406–410

    Article  PubMed  CAS  Google Scholar 

  24. Mark JB, Steinbrook RA, Gugino LD, et al (1986) Continuous noninvasive monitoring of cardiac output with esophageal Doppler ultrasound during cardiac surgery. Anesth Analg 65: 1013–1020

    Article  PubMed  CAS  Google Scholar 

  25. Singer M, Bennett D (1989) Optimisation of positive end expiratory pressure for maximal delivery of oxygen to tissues using oesophageal Doppler ultrasonography. Br Med J 298: 1350–1353

    Article  CAS  Google Scholar 

  26. Abrams JH, Weber RE, Holmen KD (1989) Continuous cardiac output determination using transtracheal Doppler: initial results in humans. Anesthesiology 71: 11–15

    Article  PubMed  CAS  Google Scholar 

  27. Keagy BA, Wilcox BR, Lucas CL, Hsiao HS, Henry GW, Baudino M, Bornzin G (1987) Constant postoperative monitoring of cardiac output after correction of congenital heart defects. J Thorac Cardiovasc Surg 93: 658–664

    PubMed  CAS  Google Scholar 

  28. Looyenga DS, Liebson PR, Bone RC, Balk RA, Messer JV (1989) Determination of cardiac output in critically ill patients by dual beam Doppler echocardiography. J Am Coll Cardiol 13: 340–347

    Article  PubMed  CAS  Google Scholar 

  29. Segal J, Pearl DG, Ford AJ, Stern RA, Gehlbach SM (1989) Instantaneous and continuous cardiac output obtained with a Doppler pulmonary artery catheter. J Am Coll Cardiol 13: 1382–1392

    Article  PubMed  CAS  Google Scholar 

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© 1991 Springer-Verlag Berlin Heidelberg

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Vincent, J.L., Goldstein, M. (1991). Cardiac Output Measurement in the Critically Ill: Invasive Versus Noninvasive Techniques. In: Dhainaut, JF., Payen, D. (eds) Strategy in Bedside Hemodynamic Monitoring. Update in Intensive Care and Emergency Medicine, vol 11. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84167-5_9

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  • DOI: https://doi.org/10.1007/978-3-642-84167-5_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-52471-7

  • Online ISBN: 978-3-642-84167-5

  • eBook Packages: Springer Book Archive

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