Validation of Cardiac Output Measurement by Ultrasound Dilution Technique With Pulmonary Artery Thermodilution in a Pediatric Animal Model
| Autor: | Naveen Thuramalla, Edward Darling, Bruce Searles |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Catheterization
Central Venous Cardiac output medicine.medical_specialty Dilution technique Swine medicine.medical_treatment Statistics as Topic Thermodilution Indicator Dilution Techniques Pulmonary Artery Sodium Chloride Article Cardiac output measurement Animal model medicine.artery Catheterization Peripheral medicine Animals Cardiac Output Saline Ultrasonography business.industry Ultrasound Cardiac surgery Disease Models Animal Anesthesia Pediatrics Perinatology and Child Health Pulmonary artery Cardiology and Cardiovascular Medicine business Nuclear medicine |
| Zdroj: | Pediatric Cardiology. 32:585-589 |
| ISSN: | 1432-1971 0172-0643 |
| DOI: | 10.1007/s00246-011-9915-x |
| Popis: | Novel COstatus system (Transonic Systems, Inc., NY), based on ultrasound dilution (UD), works off in situ arterial and central venous catheters in pediatric patients to measure cardiac output (CO). The purpose of the present study was to validate CO measurement by UD (COUD) with pulmonary artery (PA) thermodilution (COTD) in a prospective animal study. Ten anesthetized pigs (16–45 kg) were instrumented with pediatric PA, central venous, and peripheral artery catheters. For COUD measurements, normothermic saline (0.5–1.0 ml/kg body weight, up to a maximum of 30 ml) was injected into the venous limb of an arteriovenous loop that was connected between in situ catheters. For COTD measurements, 5–10 ml cold saline was injected into the PA catheter. Sixty-four averaged sets were obtained for comparison. COTD mean was 2.98 ± 1.21 l/min (range 1.33–6.29), and COUD mean was 2.68 ± 1.16 l/min (range 1.33–5.85). This study yielded a correlation r = 0.96, COUD = 0.91* (COTD) − 0.04 l/min; bias was 0.3 l/min with limits of agreement as −0.39 to 0.99 l/min; and the percentage error was 23.73% between the methods. CO measurements by UD agreed well with thermodilution measurements in the pediatric swine model. |
| Databáze: | OpenAIRE |
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