https://scholars.lib.ntu.edu.tw/handle/123456789/572436
標題: | Evaluation of cardiac output by bioreactance technique in patients undergoing liver transplantation | 作者: | PO-YUAN SHIH WEN-YING LIN MING-HUI HUNG YA-JUNG CHENG KUANG-CHENG CHAN |
關鍵字: | bioreactance; cardiac output monitoring; liver transplantation; thermodilution | 公開日期: | 2016 | 出版社: | Elsevier Taiwan LLC | 卷: | 54 | 期: | 2 | 起(迄)頁: | 57-61 | 來源出版物: | Acta Anaesthesiologica Taiwanica | 摘要: | Background This study compared the cardiac output (CO) obtained from PiCCO with that obtained from the noninvasive NICOM method. Methods Twenty-one cirrhotic patients receiving liver transplantation were enrolled. During the operation, their CO was measured by the PiCCO system via the thermodilution method as the standard and by the NICOM method. Two parameters including cardiac index (CI) and stroke volume index (SVI) were collected simultaneously at three phases during the surgery including the dissection phase (T1), the anhepatic phase (T2), and the reperfusion phase (T3). Correlation, Bland and Altman methods, and linear mixed model were used to evaluate the monitoring ability of both systems. Results Poor correlation was noted between the data measured by NICOM and PiCCO; the correlation coefficients for CI and SVI measured between the two systems were 0.32 and 0.39, respectively. Bland and Altman analysis showed the percentage error of CI as 63.7%, and that of SVI as 66.6% for NICOM compared to PiCCO. Using the linear mixed model, the CI and SVI measured using NICOM were significantly higher than those using PiCCO (estimated regression coefficient 0.92 and?10.77, both p?0.001). Mixed model analysis showed no differences between the trends of CI and SVI measured by the two methods. Conclusions NICOM provided a comparable CI and SVI trend when compared to the gold standard PiCCO, but it raises concerns as an effective CO monitor because of its tendency to overestimate CI and SVI especially during the state of high cardiac output. ? 2016 |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84991094122&doi=10.1016%2fj.aat.2016.06.001&partnerID=40&md5=0d5c44b541c3bf6ba47136f560922a26 https://scholars.lib.ntu.edu.tw/handle/123456789/572436 |
ISSN: | 1875-4597 | DOI: | 10.1016/j.aat.2016.06.001 | SDG/關鍵字: | accuracy; adult; alcohol liver cirrhosis; Article; bile duct atresia; clinical article; controlled study; female; fiberoptic oximeter catheter; heart index; heart output; heart stroke volume; hepatitis B; human; liver cell carcinoma; liver cirrhosis; liver transplantation; male; middle aged; patient monitoring; portoenterostomy; primary biliary cirrhosis; thermodilution; aged; intraoperative monitoring; procedures; Adult; Aged; Cardiac Output; Female; Humans; Liver Transplantation; Male; Middle Aged; Monitoring, Intraoperative |
顯示於: | 醫學院附設癌醫中心醫院(臺大癌醫) |
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