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

来源：

BRITISH JOURNAL OF ANAESTHESIA | 1993年 / 70卷 / 01期

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

页码：58 / 62

页数：5

共 34 条

[11] IMPEDANCE CARDIOGRAMS RELIABLY ESTIMATE BEAT-BY-BEAT CHANGES OF LEFT-VENTRICULAR STROKE VOLUME IN HUMANS [J].

EBERT, TJ ;

ECKBERG, DL ;

VETROVEC, GM ;

COWLEY, MJ .

CARDIOVASCULAR RESEARCH, 1984, 18 (06) :354-360

[12] CARDIAC-OUTPUT MEASURED BY TRANS-THORACIC IMPEDANCE CARDIOGRAPHY AT REST, DURING EXERCISE AND AT VARIOUS LUNG-VOLUMES [J].

EDMUNDS, AT ;

GODFREY, S ;

TOOLEY, M .

CLINICAL SCIENCE, 1982, 63 (02) :107-113

[13] EVALUATION OF TRANS-THORACIC ELECTRICAL-IMPEDANCE IN THE DIAGNOSIS OF PULMONARY-EDEMA [J].

FEIN, A ;

GROSSMAN, RF ;

JONES, JG ;

GOODMAN, PC ;

MURRAY, JF .

CIRCULATION, 1979, 60 (05) :1156-1160

[14] COMPARISON OF 2 IMPEDANCE CARDIOGRAPHIC TECHNIQUES FOR MEASURING CARDIAC-OUTPUT IN CRITICALLY ILL PATIENTS [J].

GOTSHALL, RW ;

WOOD, VC ;

MILES, DS .

CRITICAL CARE MEDICINE, 1989, 17 (08) :806-811

[15] COMPARISON OF 2 NONINVASIVE TECHNIQUES FOR ESTIMATING CARDIAC-OUTPUT DURING EXERCISE [J].

HATCHER, DD ;

SRB, OD .

JOURNAL OF APPLIED PHYSIOLOGY, 1986, 61 (01) :155-159

[16] NONINVASIVE MEASUREMENT OF CARDIAC-OUTPUT BY THORACIC ELECTRICAL BIOIMPEDANCE - A STUDY OF REPRODUCIBILITY AND COMPARISON WITH THERMODILUTION [J].

JEWKES, C ;

SEAR, JW ;

VERHOEFF, F ;

SANDERS, DJ ;

FOEX, P .

BRITISH JOURNAL OF ANAESTHESIA, 1991, 67 (06) :788-794

[17] IMPEDANCE CARDIOGRAPHY FOR DETERMINATION OF STROKE INDEX [J].

KEIM, HJ ;

WALLACE, JM ;

THURSTON, H ;

CASE, DB ;

DRAYER, JIM ;

LARAGH, JH .

JOURNAL OF APPLIED PHYSIOLOGY, 1976, 41 (05) :797-799

[18]

KUBICEK WG, 1966, AEROSPACE MED, V37, P1208

[19]

KUBICEK WG, 1970, ANN NY ACAD SCI, V170, P734

[20] NONINVASIVE DETERMINATION OF CARDIAC-OUTPUT BY THORACIC ELECTRICAL BIOIMPEDANCE [J].

MASAKI, DI ;

GREENSPOON, JS ;

OUZOUNIAN, JG .

CRITICAL CARE MEDICINE, 1990, 18 (01) :121-121

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