J Clin Monit Comput - Arterial pressure waveform derived cardiac output FloTrac/Vigileo system (third generation software): comparison of two monitoring sites with the thermodilution cardiac output.

Tópicos

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Resumo

The present study was conducted to study the effect of monitoring site, radial or femoral, for arterial pressure waveform derived cardiac output using FloTrac/Vigileo system with third generation software version 3.02 during cardiac surgery. The cardiac output derived from the two sites was also compared to the pulmonary artery catheter (PAC) derived cardiac output to reevaluate the relation between them using the newer software. The effect of cardiopulmonary bypass (CPB) was also studied by doing the sub analysis before and after bypass. Forty patients undergoing coronary artery bypass surgery with cardiopulmonary bypass were enrolled in the study. Cardiac output derived from radial artery (RADCO), femoral artery (FEMCO) using FloTrac/Vigileo system with third generation software version 3.02 and cardiac output using pulmonary artery catheter (PACCO) at predefined nine time points were recorded. Three hundred and forty two cardiac output data triplets were analysed. The Bland-Altman analysis of RADCO and FEMCO revealed a mean bias of -0.28 with percentage error of 20%. The pre CPB precision of both RADCO and FEMCO was 1.25 times as that of PACCO. The post CPB precision of FEMCO was 1.2 times of PACCO while that of RADCO was 1.7 times of PACCO. The third generation of FloTrac/Vigileo system shows good correlation between the radial and femoral derived cardiac outputs in both pre and post bypass periods. The newer software correlates better to PAC derived cardiac output in the post bypass period for femoral artery than radial artery.

Resumo Limpo

present studi conduct studi effect monitor site radial femor arteri pressur waveform deriv cardiac output use flotracvigileo system third generat softwar version cardiac surgeri cardiac output deriv two site also compar pulmonari arteri cathet pac deriv cardiac output reevalu relat use newer softwar effect cardiopulmonari bypass cpb also studi sub analysi bypass forti patient undergo coronari arteri bypass surgeri cardiopulmonari bypass enrol studi cardiac output deriv radial arteri radco femor arteri femco use flotracvigileo system third generat softwar version cardiac output use pulmonari arteri cathet pacco predefin nine time point record three hundr forti two cardiac output data triplet analys blandaltman analysi radco femco reveal mean bias percentag error pre cpb precis radco femco time pacco post cpb precis femco time pacco radco time pacco third generat flotracvigileo system show good correl radial femor deriv cardiac output pre post bypass period newer softwar correl better pac deriv cardiac output post bypass period femor arteri radial arteri

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