Transgastric, pulsed Doppler echocardiographic determination of cardiac output

被引:28
作者
DescorpsDeclere, A
Smail, N
Vigue, B
Duranteau, J
Mimoz, O
Edouard, A
Samii, K
机构
[1] Service d'Anesthésie Réanimation, Hôpital de Bicêtre, F-94275 Le Kremlin Bicetre Cedex
关键词
cardiac output; transesophageal echocardiography; Doppler ultrasonography;
D O I
10.1007/BF01728328
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objective: The aim of this study was to evaluate the accuracy of cardiac output measurement with transesophageal echocardiography (TEE) using a transgastric, pulsed Doppler method in acutely ill patients. Design: Cardiac output was simultaneously measured by thermodilution (TD) and a transgastric, pulsed Doppler method. Setting: The study was carried out in a surgical intensive care unit as part of the management protocol of the patients. Patients: Thirty consecutive acutely ill patients with a Swan-Ganz catheter, mechanically ventilated, sedated and with a stable hemodynamic condition were included. Measurements: Pulsed Doppler TEE was performed using a transgastric approach in order to obtain a long axis view of the left ventricle. Cardiac output was calculated from the left ventricular outflow tract diameter, the velocity time integral of the blood flow profile and heart rate. Results: One patient was excluded because of the presence of aortic regurgitation and another, because of the impossibility of obtaining a transgastric view Twenty-eight simultaneous measurements were performed in 28 patients. A clinically acceptable correlation and agreement were found between the two methods (Doppler cardiac output = 0.889 thermodilution cardiac output +0.741/min, r = 0.975, p < 0.0001). Conclusion: Transgastric pulsed Doppler measurement across the left ventricular outflow tract with TEE is a very feasible and clinically acceptable method for cardiac output measurement in acutely ill patients.
引用
收藏
页码:34 / 38
页数:5
相关论文
共 17 条
[1]   STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT [J].
BLAND, JM ;
ALTMAN, DG .
LANCET, 1986, 1 (8476) :307-310
[2]  
DARMON PL, 1994, ANESTHESIOLOGY, V80, P796, DOI 10.1097/00000542-199404000-00011
[3]  
DESCORPSDECLERE A, 1992, INTENS CARE MED, V18, pP244
[4]   DOPPLER ECHOCARDIOGRAPHIC MEASUREMENT OF MITRAL FLOW VOLUME - VALIDATION OF A NEW METHOD IN ADULT PATIENTS [J].
DEZUTTERE, D ;
TOUCHE, T ;
SAUMON, G ;
NITENBERG, A ;
PRASQUIER, R .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1988, 11 (02) :343-350
[5]   INFLUENCE OF SAMPLING SITE AND FLOW AREA ON CARDIAC-OUTPUT MEASUREMENTS BY DOPPLER ECHOCARDIOGRAPHY [J].
DITTMANN, H ;
VOELKER, W ;
KARSCH, KR ;
SEIPEL, L .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1987, 10 (04) :818-823
[6]  
FISCHER DC, 1984, CIRCULATION, V67, P872
[7]  
FISCHER DC, 1984, CIRCULATION, V67, P877
[8]   TRANSESOPHAGEAL ECHOCARDIOGRAPHY WITH A SINGLE-PLANE PROBE - LONG-AXIS VIEWS OF THE HEART FROM THE APICAL (TRANSGASTRIC) APPROACH [J].
GADASALLI, SN ;
SARNOSKI, JS ;
KUBOTA, J ;
SCHMIDT, DH ;
GAL, R .
ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, 1992, 9 (06) :589-596
[9]   INTRAOPERATIVE DETERMINATION OF CARDIAC-OUTPUT BY TRANSESOPHAGEAL CONTINUOUS WAVE DOPPLER [J].
GORCSAN, J ;
DIANA, P ;
BALL, BA ;
HATTLER, BG .
AMERICAN HEART JOURNAL, 1992, 123 (01) :171-176
[10]  
Hozumi T, 1993, J Am Soc Echocardiogr, V6, P62