دورية أكاديمية

Noninvasive cardiac output measurement using bioreactance in postoperative pediatric patients

التفاصيل البيبلوغرافية
العنوان: Noninvasive cardiac output measurement using bioreactance in postoperative pediatric patients
المؤلفون: Vergnaud, Estelle, Vidal, Charles, Montmayeur Verchere, Juliette, Taright, Hanna, Meyer, Philippe G., Carli, Pierre A., Orliaguet, Gilles A.
المساهمون: Anderson, Brian
المصدر: Pediatric Anesthesia ; volume 25, issue 2, page 160-166 ; ISSN 1155-5645 1460-9592
بيانات النشر: Wiley
سنة النشر: 2014
المجموعة: Wiley Online Library (Open Access Articles via Crossref)
الوصف: Summary Background Thoracic bioreactance is a noninvasive and continuous method of cardiac output ( CO ) measurement that is being developed in adult patients. Very little information is available on thoracic bioreactance use in children. Objective The aim of the study was to evaluate the ability of a bioreactance device ( NICOM ® ; Cheetah Medical, Tel Aviv, Israel) to estimate CO and to track changes in CO induced by volume expansion (VE) in children. Methods Cardiac output values obtained using the NICOM ® device ( CO NICOM ) and measured by trans‐thoracic echocardiography ( CO TTE ) were compared in pediatric neurosurgical patients during the postoperative period. Results Seventy‐three pairs of measurements of CO obtained in 30 children were available for analysis. The bias (lower and upper limits of agreement) between CO NICOM and CO TTE was −0.11 (−1.4 to 1.2) l·min −1 . The percentage error (PE) was 55%. The precision of the NICOM ® device was 45%. A significant correlation was observed between the CO values obtained using the two methods ( r = 0.89, <0.001). The concordance percentage between changes in CO TTE and CO N icom induced by VE was 84% following exclusion of patients with changes in CO <15% ( n = 5). Conclusions The PE observed is too large, and the limits of agreement too wide, to enable us to comment on the equivalence of the two techniques of CO measurements. However, the NICOM ® device performs well in tracking changes in CO following VE.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1111/pan.12412
الإتاحة: https://doi.org/10.1111/pan.12412Test
حقوق: http://onlinelibrary.wiley.com/termsAndConditions#vorTest
رقم الانضمام: edsbas.5DD0D402
قاعدة البيانات: BASE