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Bioreactance: A New Method for Non-invasive Cardiac Output Monitoring

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Book cover Yearbook of Intensive Care and Emergency Medicine

Part of the book series: Yearbook of Intensive Care and Emergency Medicine ((YEARBOOK,volume 2008))

Abstract

Although measurement of oxygen consumption in the clinical setting is hampered by numerous technical difficulties, the objective of hemodynamic resuscitation is to ensure that oxygen consumption balances the metabolic needs of the body [1]–[3]. When the hemoglobin level is stable, oxygen consumption is determined by three interrelated variables: Cardiac output, arterial oxygen saturation, and mixed venous oxygen saturation (SvO2). This explains the considerable efforts that have been devoted to develop tools to measure and monitor each of these three variables. Such tools are important for diagnosis, optimization of treatment, and tracking progress of patients with hemodynamic compromise [4].

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References

  1. Gilbert EM, Haupt MT, Mandanas RY, Huaringa AJ, Carlson RW (1986) The effect of fluid loading, blood transfusion, and catecholamine infusion on oxygen delivery and consumption in patients with sepsis. Am Rev Respir Dis 134:873–878

    CAS  PubMed  Google Scholar 

  2. Russell JA, Phang PT (1994) The oxygen delivery/consumption controversy. Approaches to management of the critically ill. Am J Respir Crit Care Med 149:533–537

    CAS  PubMed  Google Scholar 

  3. Squara P (2004) Matching total body oxygen consumption and delivery: a crucial objective? Intensive Care Med 30:2170–2179

    Article  PubMed  Google Scholar 

  4. Cruz K, Franklin C (2001) The pulmonary artery catheter: uses and controversies. Crit Care Clin 17:271–291

    Article  CAS  PubMed  Google Scholar 

  5. Boldt J, Menges T, Wollbruck M, Hammermann H, Hempelmann G (1994) Is continuous cardiac output measurement using thermodilution reliable in the critically ill patient? Crit Care Med 22:1913–1918

    Article  CAS  PubMed  Google Scholar 

  6. Rubini A, Del Monte D, Catena V, et al (1995) Cardiac output measurement by the thermodilution method: an in vitro test of accuracy of three commercially available automatic cardiac output computers. Intensive Care Med 21:154–158

    Article  CAS  PubMed  Google Scholar 

  7. Haller M, Zollner C, Briegel J, Forst H (1995) Evaluation of a new continuous thermodilution cardiac output monitor in critically ill patients: a prospective criterion standard study. Crit Care Med 23:860–866

    Article  CAS  PubMed  Google Scholar 

  8. Sandham JD, Hull RD, Brant RF, et al (2003) A randomized, controlled trial of the use of pulmonary-artery catheters in high-risk surgical patients. N Engl J Med 348:5–14

    Article  PubMed  Google Scholar 

  9. Frezza EE, Mezghebe H (1998) Indications and complications of arterial catheter use in surgical or medical intensive care units: analysis of 4932 patients. Am Surg 64:127–131

    CAS  PubMed  Google Scholar 

  10. Kac G, Durain E, Amrein C, Herisson E, Fiemeyer A, Buu-Hoi A (2001) Colonization and infection of pulmonary artery catheter in cardiac surgery patients: epidemiology and multivariate analysis of risk factors. Crit Care Med 29:971–975

    Article  CAS  PubMed  Google Scholar 

  11. Gratz I, Kraidin J, Jacobi AG, deCastro NG, Spagna P, Larijani GE (1992) Continuous noninvasive cardiac output as estimated from the pulse contour curve. J Clin Monit 8:20–27

    Article  CAS  PubMed  Google Scholar 

  12. Spohr F, Hettrich P, Bauer H, Haas U, Martin E, Bottiger BW (2007) Comparison of two methods for enhanced continuous circulatory monitoring in patients with septic shock. Intensive Care Med 33:1805–1810

    Article  CAS  PubMed  Google Scholar 

  13. de Wilde RB, Schreuder JJ, van den Berg PC, Jansen JR (2007) An evaluation of cardiac output by five arterial pulse contour techniques during cardiac surgery. Anaesthesia 62:760–768

    Article  PubMed  Google Scholar 

  14. de Waal EE, Kalkman CJ, Rex S, Buhre WF (2007) Validation of a new arterial pulse contourbased cardiac output device. Crit Care Med 35:1904–1909

    Article  PubMed  Google Scholar 

  15. Rocco M, Spadetta G, Morelli A, et al (2004) A comparative evaluation of thermodilution and partial CO2 rebreathing techniques for cardiac output assessment in critically ill patients during assisted ventilation. Intensive Care Med 30:82–87

    Article  PubMed  Google Scholar 

  16. Su NY, Huang CJ, Tsai P, Hsu YW, Hung YC, Cheng CR (2002) Cardiac output measurement during cardiac surgery: esophageal Doppler versus pulmonary artery catheter. Acta Anaesthesiol Sin 40:127–133.

    PubMed  Google Scholar 

  17. Bernstein DP (1986) Continuous noninvasive real-time monitoring of stroke volume and cardiac output by thoracic electrical bioimpedance. Crit Care Med 14:898–901

    Article  CAS  PubMed  Google Scholar 

  18. Kubicek W, Patterson R, Witsoe D (1966) Development and evaluation of an impedance cardiac output system. Aerosp Med 37:1208–1212

    CAS  PubMed  Google Scholar 

  19. Barin E, Haryadi D, Schookin S, et al (2000) Evaluation of a thoracic bioimpedance cardiac output monitor during cardiac catheterization. Crit Care Med 28:698–702

    Article  CAS  PubMed  Google Scholar 

  20. Spiess B, Patel M, Soltow L, Wright I (2001) Comparison of bioimpedance versus thermodilution cardiac output during cardiac surgery: evaluation of a second-generation bioimpedance device. J Cardiothorac Vasc Anesth 15:567–573

    Article  CAS  PubMed  Google Scholar 

  21. Leslien S, McKee S, Newby D, Webb D, Denvir M (2004) Non-invasive measurement of cardiac output in patients with chronic heart failure. Blood Press Monit 9:277–280

    Article  Google Scholar 

  22. Engoren M, Barbee D (2005) Comparison of cardiac output determined by bioimpedance, thermodilution, and the Fick method. Am J Crit Care 14:40–45

    PubMed  Google Scholar 

  23. Keren H, Burkhoff D, Squara P (2007) Evaluation of a noninvasive continuous cardiac output monitoring system based on thoracic bioreactance. Am J Physiol Heart Circ Physiol 293:H583–589

    Article  CAS  PubMed  Google Scholar 

  24. Squara P, Denjean D, Estagnasie P, Brusset A, Dib JC, Dubois C (2007) Noninvasive cardiac output monitoring (NICOM): a clinical validation. Intensive Care Med 33:1191–1194

    Article  PubMed  Google Scholar 

  25. Sramek B (1981) Non invasive technique for measurements of cardiac output by mean of electrical impedance. Proceedings of the fifith international conference on electric bioimpedance, Tokyo, 39–42

    Google Scholar 

  26. Squara P, Marqué S, Cariou A, Chiche JD (2007) Non invasive cardiac output monitoring (NICOM) compared to minimally invasive monitoring (VIGILEO). Anesthesiology 107:A1527 (abst)

    Google Scholar 

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© 2008 Springer-Verlag Berlin Heidelberg

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Squara, P. (2008). Bioreactance: A New Method for Non-invasive Cardiac Output Monitoring. In: Yearbook of Intensive Care and Emergency Medicine. Yearbook of Intensive Care and Emergency Medicine, vol 2008. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-77290-3_58

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  • DOI: https://doi.org/10.1007/978-3-540-77290-3_58

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-77289-7

  • Online ISBN: 978-3-540-77290-3

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