Pulse contour-derived cardiac output in hemodialysis patients
Autor: | Soeren D. Ladefoged, Joakim Cordtz |
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Rok vydání: | 2010 |
Předmět: |
Adult
Male medicine.medical_specialty Cardiac output medicine.medical_treatment Arteriovenous fistula Heart Rate Renal Dialysis Internal medicine Monitoring Intraoperative medicine Humans Cardiac Output Pulse Dialysis Aged Monitoring Physiologic Pulse (signal processing) Vascular disease business.industry Hemodynamics Hematology Gold standard (test) Middle Aged medicine.disease Nephrology Cardiology Female Hemodialysis Intradialytic hypotension Hypotension business |
Zdroj: | Hemodialysis international. International Symposium on Home Hemodialysis. 14(1) |
ISSN: | 1542-4758 |
Popis: | Reliable methods for cardiac output determination are essential for studying the pathophysiology of intradialytic hypotension. Use of the current gold standard, the Transonic monitor, requires an arteriovenous fistula. We wished to verify the accuracy of a method based on finger pulse contour analysis, namely the Finometer monitor (FNM) for further use on patients dialyzing on a central vascular catheter. Fifty simultaneous cardiac output measurements were obtained during hemodialysis sessions in 25 patients. The internal variability of the FNM measurements was assessed by comparing 24 pairs of immediately successive measurements. The variability of successive FNM measurements was small (bias 0.28%, SD +/- 6.1%; NS). The absolute cardiac output values reported by the FNM were unreliable (bias 20.1%, SD +/- 35.3%; P |
Databáze: | OpenAIRE |
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