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Accuracy analysis of noninvasive cardiometer in patients with septic shock |
Dai Jia-yuan, Li Yi-wei, Xu Jun, Zhu Hua-dong, Yu Xue-zhong |
Department of Emergency, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100370, China |
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Abstract Objective: To explore the accuracy of noninvasive cardiac output monitoring (NICOM) for hemodynamic monitoring in patients with septic shock. Methods: We performed a study of patients who were given PiCCO monitoring with septic shock admired to the Emergency Intensive Care Unit of the Peking Union Medical College Hospital from October 2016 to May 2017. All patients received ICON monitoring. We measured and recorded the level of CO, SV, SVRI, dpmax, and ICON. Results: There was no significant difference of CO, SV and SVRI between the two methods in different periods (P>0.05). Moreover, the CO, SV and SVRI by the two methods were significantly correlated (r=0.891, P<0.05, R2=0.794; r=0.879, P<0.05, R2=0.773; r=0.892, P<0.05, R2=0.796). In addition, dPmax and ICON has correlation with each other (r=0.762, P<0.05, R2=0.581). Conclusion: NICOM can provide accurate hemodynamic monitor and have great clinical value for diagnosis of septic shock and assessment of therapeutic effect.
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Received: 12 September 2017
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Corresponding Authors:
Zhu Hua-dong, E-mail: zhuhuadong1970@126.com
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[1]Shah MR, Hasseiblad V, Stevenson LW, et al. Impactofthe pulmonaryarterycatheterin critically ill patients: meta-analysisof randomized clinical trials[J].JAMA, 2005, 294(13): 1664 -1670.
[2]Rhodes A, Evans LE, Alhazzani W, et al. Surviving Sepsis Campaign:International Guidelines for Management of Sepsis and Septic Shock:2016[J].Intensive Care Med, 2017, 43(3):304-377.
[3]Jitin Narula, Usha Kiran, Sandeep Chauhan, et al. Electrical Cardiometry in Patients undergoing Cardiac Catheterisation[J]. Int J Periop Ultrasound Appl Technol, 2013, 2(3):102-107.
[4]徐军,王厚力,王仲,等.功能性血流动力学监测[J]. 中国医学科学院学报, 2008, 30(2): 214-217.
[5]Singer M, Deutsehman CS, Seymour CW, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)[J]. JAMA, 2016, 315(8):801-810.
[6]ARISE Investigators, ANZICS Clinical Trials Group, Peake SL, et al. Goal-directed resuscitation for patients with early septicshock[J]. N Engl J Med, 2014, 371(16):1496-1506.
[7]Raue W, Swierzy M, Koplin G, et al. Comparison of electrical velocimetry and transthoracic thermodilution technique for cardiac output assessment in critically ill patients[J].Eur J Ana esthesiol, 2009, 26(12):1067-1071.
[8]Litton E, Morgan M. The PiCCO monitor: a review[J].AnaesthIntensiveCare, 2012, 40(3):393-409.
[9]Norozi K, Beck C, Osthaus WA, et al. Electrical velocimetry for measuring cardiac output in children with congenital heart disease[J]. Br J Anaesth, 2007, 100(1):88-94.
[10]Vishwas Malik, Arun Subramanian, Sandeep Chauhan, et al. Correlation of Electric Cardiometry and Continuous Thermodilution Cardiac Output Monitoring Systems[J]. World Journal of Cardiovascular Surgery, 2014, 7(4):101-108.
[11]Noori S, Drabu B, Soleymani S, et al. Continuous non-invasive cardiac output measurements in the neonate by electrical velocimetry: a comparison with echocardiography[J]. Arch Dis Child Fetal Neonatal Ed, 2012, 97(5):340-343.
[12]Hsu KH, Wu TW, Wang YC, et al. Hemodynamic reference for neonates of different age and weight: a pilot study with electrical cardiometry[J]. J Perinatol, 2016, 36(6):481-485. |
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