COMPARISON OF THORACIC ELECTRICAL BIOIMPEDANCE AND THERMODILUTION FOR THE MEASUREMENT OF CARDIAC INDEX IN PATIENTS WITH SEVERE SEPSIS

被引:47
作者
YOUNG, JD [1 ]
MCQUILLAN, P [1 ]
机构
[1] JOHN RADCLIFFE HOSP,NUFFIELD DEPT ANAESTHET,INTENS CARE UNIT,OXFORD OX3 9DU,ENGLAND
基金
英国医学研究理事会;
关键词
COMPLICATIONS; SEPSIS; MEASUREMENT TECHNIQUES; THERMODILUTION; THORACIC BIOIMPEDANCE; MONITORING; CARDIAC INDEX;
D O I
10.1093/bja/70.1.58
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Cardiac index was measured using thoracic bioimpedance (Clbi) and thermodilution (Cltd) in 19 patients with proven sepsis, undergoing artificial ventilation of the lungs. There was a poor correlation between the techniques (r = 0.36, 242 data sets, regression line Clbi = 0.16 Cltd + 2.56 litre min-1 m-2). The overall bias (Cltd-Clbi) was 1.69 litre min-1 m-2 with limits of agreement (precision) of +4.17 to -0.79 litre min-1 m-2. In individual patients the bias was from -0.46 to 4.56 litre min-1 m-2 with the limits of agreement from +/- 0.29 to +/- 2.55 litre min-1 m-2 around the bias values. The two techniques cannot be used interchangeably in this group of patients.
引用
收藏
页码:58 / 62
页数:5
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