A comparison of hemodynamic data derived by pulmonary artery flotation catheter and the esophageal Doppler monitor in preeclampsia
| Autor: | M Singer, J A Penny, John Anthony, Andrew Shennan, M. de Swiet |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Adult
medicine.medical_specialty Cardiac output Time Factors Hemodynamics symbols.namesake Esophagus Pre-Eclampsia Pregnancy Internal medicine medicine.artery medicine Humans Cardiac Output False Negative Reactions Monitoring Physiologic business.industry Obstetrics and Gynecology Ultrasonography Doppler Surgery Catheter medicine.anatomical_structure Catheterization Swan-Ganz Pulmonary artery cardiovascular system symbols Cardiology Female Complication business Doppler effect Artery |
| Zdroj: | American Journal of Obstetrics and Gynecology. 183:658-661 |
| ISSN: | 0002-9378 |
| DOI: | 10.1067/mob.2000.106579 |
| Popis: | This study was undertaken to compare hemodynamic data derived with the esophageal Doppler monitor against those obtained with a pulmonary artery flotation catheter in women with complicated preeclampsia.Seventeen women with severe preeclampsia who had a pulmonary artery flotation catheter placed for clinical indications also had an esophageal Doppler monitor inserted. Hemodynamic data were recorded on 2 occasions separated by several hours with both the pulmonary artery flotation catheter and the esophageal Doppler monitor simultaneously.The esophageal Doppler monitor underestimated cardiac output by 36% +/- 14% (mean +/- SD). The esophageal Doppler monitor accurately estimated cardiac output in 3 women40 years old, whereas in the remaining women (all35 years old) the esophageal Doppler monitor underestimated cardiac output by 38% +/- 11%. The esophageal Doppler monitor accurately reflected changes in cardiac output with time when compared with the pulmonary artery flotation catheter.In women with preeclampsia the esophageal Doppler monitor consistently underestimated cardiac output by approximately 40%. It is not known whether the apparent increase in accuracy among the women40 years old arose by chance or reflected a real improvement in performance. The esophageal Doppler monitor accurately reflected the direction and magnitude of the changes in cardiac output with time. |
| Databáze: | OpenAIRE |
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