Non-invasive Cardiac Output by Transthoracic Electrical Bioimpedence in Post-cardiac Surgery Patients: Comparison with Thermodilution Method
Objective Thoracic electrical bioimpedance (TEB) cardiac output (CO) is being explored increasingly as a non-invasive alternative to the pulmonary artery catheter (PAC). This study compared TEB-CO measured using a new instrument – NICOMON (Larsen & Toubro Ltd. India) with thermodilution (Td) CO...
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creator | Gujjar, Arunodaya R. Muralidhar, K. Banakal, Sanjay Gupta, Ratan Sathyaprabha, Talakad N. Jairaj, P. S. |
description | Objective
Thoracic electrical bioimpedance (TEB) cardiac output (CO) is being explored increasingly as a non-invasive alternative to the pulmonary artery catheter (PAC). This study compared TEB-CO measured using a new instrument – NICOMON (Larsen & Toubro Ltd. India) with thermodilution (Td) CO in post-cardiac surgery patients.
Methods
Postoperative cardiac surgical patients requiring a PAC for their management were studied. TEB-CO was measured by passing a 4 mA RMS alternating current across the chest and measuring the analog bioimpedence across the thorax. Kubicek equation was used to estimate TEB-CO. Td-CO was measured using a PAC. Bland-Altman analysis was used to compare paired data.
Results
One hundred and ninety-seven pairs of CO measurements were made by the two methods among 35 patients. Mean TEB-CO was 5.15 ± 1.27 l/min and mean Td-CO was 5.22 ± 1.28 l/min. Pearson correlation coefficient (r) for these measurements was 0.856 (
P
< 0.01), with bias −0.0651 l and precision: ±1.37 l/min. The percentage error of measurement of this precision was 26.44%. Cardiac index also correlated among the two methods (
r
= 0.789;
P
= 0.01).
Conclusions
Thoracic electrical bioimpedance cardiac output compares favorably with thermodilution method among post-cardiac surgery patients. Further studies are indi- cated with this instrument to validate its efficacy in various clinical situations and utility in monitoring hemodynamic interventions. |
doi_str_mv | 10.1007/s10877-008-9119-y |
format | Article |
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Thoracic electrical bioimpedance (TEB) cardiac output (CO) is being explored increasingly as a non-invasive alternative to the pulmonary artery catheter (PAC). This study compared TEB-CO measured using a new instrument – NICOMON (Larsen & Toubro Ltd. India) with thermodilution (Td) CO in post-cardiac surgery patients.
Methods
Postoperative cardiac surgical patients requiring a PAC for their management were studied. TEB-CO was measured by passing a 4 mA RMS alternating current across the chest and measuring the analog bioimpedence across the thorax. Kubicek equation was used to estimate TEB-CO. Td-CO was measured using a PAC. Bland-Altman analysis was used to compare paired data.
Results
One hundred and ninety-seven pairs of CO measurements were made by the two methods among 35 patients. Mean TEB-CO was 5.15 ± 1.27 l/min and mean Td-CO was 5.22 ± 1.28 l/min. Pearson correlation coefficient (r) for these measurements was 0.856 (
P
< 0.01), with bias −0.0651 l and precision: ±1.37 l/min. The percentage error of measurement of this precision was 26.44%. Cardiac index also correlated among the two methods (
r
= 0.789;
P
= 0.01).
Conclusions
Thoracic electrical bioimpedance cardiac output compares favorably with thermodilution method among post-cardiac surgery patients. Further studies are indi- cated with this instrument to validate its efficacy in various clinical situations and utility in monitoring hemodynamic interventions.</description><identifier>ISSN: 1387-1307</identifier><identifier>EISSN: 1573-2614</identifier><identifier>DOI: 10.1007/s10877-008-9119-y</identifier><identifier>PMID: 18418719</identifier><identifier>CODEN: JCMCFG</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anesthesiology ; Biological and medical sciences ; Cardiac Output ; Cardiography, Impedance - methods ; Critical Care Medicine ; Diagnosis, Computer-Assisted - methods ; Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care ; Female ; Health Sciences ; Heart Diseases - diagnosis ; Heart Diseases - physiopathology ; Heart Diseases - surgery ; Humans ; Intensive ; Intensive care medicine ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Postoperative Care - methods ; Reproducibility of Results ; Sensitivity and Specificity ; Statistics for Life Sciences ; Thermodilution - methods ; Young Adult</subject><ispartof>Journal of clinical monitoring and computing, 2008-06, Vol.22 (3), p.175-180</ispartof><rights>Springer Science+Business Media, LLC 2008</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c314y-1468ed935653d59f599db1add8f7621c5ccda68e2783288b1a9c435f3e404f6c3</citedby><cites>FETCH-LOGICAL-c314y-1468ed935653d59f599db1add8f7621c5ccda68e2783288b1a9c435f3e404f6c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10877-008-9119-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10877-008-9119-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20454015$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18418719$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gujjar, Arunodaya R.</creatorcontrib><creatorcontrib>Muralidhar, K.</creatorcontrib><creatorcontrib>Banakal, Sanjay</creatorcontrib><creatorcontrib>Gupta, Ratan</creatorcontrib><creatorcontrib>Sathyaprabha, Talakad N.</creatorcontrib><creatorcontrib>Jairaj, P. S.</creatorcontrib><title>Non-invasive Cardiac Output by Transthoracic Electrical Bioimpedence in Post-cardiac Surgery Patients: Comparison with Thermodilution Method</title><title>Journal of clinical monitoring and computing</title><addtitle>J Clin Monit Comput</addtitle><addtitle>J Clin Monit Comput</addtitle><description>Objective
Thoracic electrical bioimpedance (TEB) cardiac output (CO) is being explored increasingly as a non-invasive alternative to the pulmonary artery catheter (PAC). This study compared TEB-CO measured using a new instrument – NICOMON (Larsen & Toubro Ltd. India) with thermodilution (Td) CO in post-cardiac surgery patients.
Methods
Postoperative cardiac surgical patients requiring a PAC for their management were studied. TEB-CO was measured by passing a 4 mA RMS alternating current across the chest and measuring the analog bioimpedence across the thorax. Kubicek equation was used to estimate TEB-CO. Td-CO was measured using a PAC. Bland-Altman analysis was used to compare paired data.
Results
One hundred and ninety-seven pairs of CO measurements were made by the two methods among 35 patients. Mean TEB-CO was 5.15 ± 1.27 l/min and mean Td-CO was 5.22 ± 1.28 l/min. Pearson correlation coefficient (r) for these measurements was 0.856 (
P
< 0.01), with bias −0.0651 l and precision: ±1.37 l/min. The percentage error of measurement of this precision was 26.44%. Cardiac index also correlated among the two methods (
r
= 0.789;
P
= 0.01).
Conclusions
Thoracic electrical bioimpedance cardiac output compares favorably with thermodilution method among post-cardiac surgery patients. Further studies are indi- cated with this instrument to validate its efficacy in various clinical situations and utility in monitoring hemodynamic interventions.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anesthesiology</subject><subject>Biological and medical sciences</subject><subject>Cardiac Output</subject><subject>Cardiography, Impedance - methods</subject><subject>Critical Care Medicine</subject><subject>Diagnosis, Computer-Assisted - methods</subject><subject>Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care</subject><subject>Female</subject><subject>Health Sciences</subject><subject>Heart Diseases - diagnosis</subject><subject>Heart Diseases - physiopathology</subject><subject>Heart Diseases - surgery</subject><subject>Humans</subject><subject>Intensive</subject><subject>Intensive care medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Postoperative Care - methods</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Statistics for Life Sciences</subject><subject>Thermodilution - methods</subject><subject>Young Adult</subject><issn>1387-1307</issn><issn>1573-2614</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kd1qFDEUgAdRbK0-gDcSBL2L5kySScY7XeoPVFtwvQ7ZJOOmzCTbJFOZd_ChTdnBguBVDjnf-eF8TfMcyBsgRLzNQKQQmBCJe4AeLw-aU-CC4rYD9rDGVAoMlIiT5knO14SQXlJ43JyAZCAF9KfN728xYB9udfa3Dm10sl4bdDmXw1zQbkHbpEMu-5i08Qadj86U5I0e0Qcf_XRw1gXjkA_oKuaCzVr_fU4_XVrQlS7ehZLfoU2cDjr5HAP65csebfcuTdH6cS6-_n11dYZ92jwa9Jjds_U9a358PN9uPuOLy09fNu8vsKHAFgysk872lHecWt4PvO_tDrS1chBdC4YbY3VFWiFpK2VN9YZRPlDHCBs6Q8-a18e-hxRvZpeLmnw2bhx1cHHOilIuWEtEBV_-A17HOYW6m2pBAO0o6SoER8ikmHNygzokP-m0KCDqzpM6elLVk7rzpJZa82JtPO8mZ-8rVjEVeLUCOtdzD1WD8fkv1xLGGQFeufbI5ZoK9ej3G_5_-h-UqK1S</recordid><startdate>200806</startdate><enddate>200806</enddate><creator>Gujjar, Arunodaya R.</creator><creator>Muralidhar, K.</creator><creator>Banakal, Sanjay</creator><creator>Gupta, Ratan</creator><creator>Sathyaprabha, Talakad N.</creator><creator>Jairaj, P. S.</creator><general>Springer Netherlands</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7SC</scope><scope>7SP</scope><scope>7U5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>JQ2</scope><scope>K7-</scope><scope>K9.</scope><scope>KB0</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>200806</creationdate><title>Non-invasive Cardiac Output by Transthoracic Electrical Bioimpedence in Post-cardiac Surgery Patients: Comparison with Thermodilution Method</title><author>Gujjar, Arunodaya R. ; Muralidhar, K. ; Banakal, Sanjay ; Gupta, Ratan ; Sathyaprabha, Talakad N. ; Jairaj, P. S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c314y-1468ed935653d59f599db1add8f7621c5ccda68e2783288b1a9c435f3e404f6c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anesthesiology</topic><topic>Biological and medical sciences</topic><topic>Cardiac Output</topic><topic>Cardiography, Impedance - methods</topic><topic>Critical Care Medicine</topic><topic>Diagnosis, Computer-Assisted - methods</topic><topic>Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care</topic><topic>Female</topic><topic>Health Sciences</topic><topic>Heart Diseases - diagnosis</topic><topic>Heart Diseases - physiopathology</topic><topic>Heart Diseases - surgery</topic><topic>Humans</topic><topic>Intensive</topic><topic>Intensive care medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Postoperative Care - methods</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>Statistics for Life Sciences</topic><topic>Thermodilution - methods</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gujjar, Arunodaya R.</creatorcontrib><creatorcontrib>Muralidhar, K.</creatorcontrib><creatorcontrib>Banakal, Sanjay</creatorcontrib><creatorcontrib>Gupta, Ratan</creatorcontrib><creatorcontrib>Sathyaprabha, Talakad N.</creatorcontrib><creatorcontrib>Jairaj, P. 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S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Non-invasive Cardiac Output by Transthoracic Electrical Bioimpedence in Post-cardiac Surgery Patients: Comparison with Thermodilution Method</atitle><jtitle>Journal of clinical monitoring and computing</jtitle><stitle>J Clin Monit Comput</stitle><addtitle>J Clin Monit Comput</addtitle><date>2008-06</date><risdate>2008</risdate><volume>22</volume><issue>3</issue><spage>175</spage><epage>180</epage><pages>175-180</pages><issn>1387-1307</issn><eissn>1573-2614</eissn><coden>JCMCFG</coden><abstract>Objective
Thoracic electrical bioimpedance (TEB) cardiac output (CO) is being explored increasingly as a non-invasive alternative to the pulmonary artery catheter (PAC). This study compared TEB-CO measured using a new instrument – NICOMON (Larsen & Toubro Ltd. India) with thermodilution (Td) CO in post-cardiac surgery patients.
Methods
Postoperative cardiac surgical patients requiring a PAC for their management were studied. TEB-CO was measured by passing a 4 mA RMS alternating current across the chest and measuring the analog bioimpedence across the thorax. Kubicek equation was used to estimate TEB-CO. Td-CO was measured using a PAC. Bland-Altman analysis was used to compare paired data.
Results
One hundred and ninety-seven pairs of CO measurements were made by the two methods among 35 patients. Mean TEB-CO was 5.15 ± 1.27 l/min and mean Td-CO was 5.22 ± 1.28 l/min. Pearson correlation coefficient (r) for these measurements was 0.856 (
P
< 0.01), with bias −0.0651 l and precision: ±1.37 l/min. The percentage error of measurement of this precision was 26.44%. Cardiac index also correlated among the two methods (
r
= 0.789;
P
= 0.01).
Conclusions
Thoracic electrical bioimpedance cardiac output compares favorably with thermodilution method among post-cardiac surgery patients. Further studies are indi- cated with this instrument to validate its efficacy in various clinical situations and utility in monitoring hemodynamic interventions.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>18418719</pmid><doi>10.1007/s10877-008-9119-y</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Aged Aged, 80 and over Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anesthesiology Biological and medical sciences Cardiac Output Cardiography, Impedance - methods Critical Care Medicine Diagnosis, Computer-Assisted - methods Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care Female Health Sciences Heart Diseases - diagnosis Heart Diseases - physiopathology Heart Diseases - surgery Humans Intensive Intensive care medicine Male Medical sciences Medicine Medicine & Public Health Middle Aged Postoperative Care - methods Reproducibility of Results Sensitivity and Specificity Statistics for Life Sciences Thermodilution - methods Young Adult |
title | Non-invasive Cardiac Output by Transthoracic Electrical Bioimpedence in Post-cardiac Surgery Patients: Comparison with Thermodilution Method |
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