Arterial pressure waveform derived cardiac output FloTrac/Vigileo system (third generation software): comparison of two monitoring sites with the thermodilution cardiac output
- 17 February 2012
- journal article
- research article
- Published by Springer Science and Business Media LLC in Journal of Clinical Monitoring and Computing
- Vol. 26 (2), 115-120
- https://doi.org/10.1007/s10877-012-9341-5
Abstract
The present study was conducted to study the effect of monitoring site, radial or femoral, for arterial pressure waveform derived cardiac output using FloTrac/Vigileo system with third generation software version 3.02 during cardiac surgery. The cardiac output derived from the two sites was also compared to the pulmonary artery catheter (PAC) derived cardiac output to reevaluate the relation between them using the newer software. The effect of cardiopulmonary bypass (CPB) was also studied by doing the sub analysis before and after bypass. Forty patients undergoing coronary artery bypass surgery with cardiopulmonary bypass were enrolled in the study. Cardiac output derived from radial artery (RADCO), femoral artery (FEMCO) using FloTrac/Vigileo system with third generation software version 3.02 and cardiac output using pulmonary artery catheter (PACCO) at predefined nine time points were recorded. Three hundred and forty two cardiac output data triplets were analysed. The Bland–Altman analysis of RADCO and FEMCO revealed a mean bias of −0.28 with percentage error of 20%. The pre CPB precision of both RADCO and FEMCO was 1.25 times as that of PACCO. The post CPB precision of FEMCO was 1.2 times of PACCO while that of RADCO was 1.7 times of PACCO. The third generation of FloTrac/Vigileo system shows good correlation between the radial and femoral derived cardiac outputs in both pre and post bypass periods. The newer software correlates better to PAC derived cardiac output in the post bypass period for femoral artery than radial artery.Keywords
This publication has 21 references indexed in Scilit:
- Minimally Invasive Measurement of Cardiac Output during Surgery and Critical CareAnesthesiology, 2010
- Validity of an Arterial Pressure Waveform Analysis Device: Does the Puncture Site Play a Role in the Agreement With Intermittent Pulmonary Artery Catheter Thermodilution Measurements?Journal of Cardiothoracic and Vascular Anesthesia, 2010
- Bench-to-bedside review: The importance of the precision of the reference technique in method comparison studies – with specific reference to the measurement of cardiac outputCritical Care, 2009
- Evaluation of a new arterial pressure-based cardiac output device requiring no external calibrationBMC Anesthesiology, 2007
- Uncalibrated Arterial Pulse Contour Analysis Versus Continuous Thermodilution Technique: Effects of Alterations in Arterial WaveformJournal of Cardiothoracic and Vascular Anesthesia, 2007
- Comparison of FloTrac™ cardiac output monitoring system in patients undergoing coronary artery bypass grafting with pulmonary artery cardiac output measurementsEuropean Journal of Anaesthesiology, 2007
- Cardiac Output Determination From the Arterial Pressure Wave: Clinical Testing of a Novel Algorithm That Does Not Require CalibrationJournal of Cardiothoracic and Vascular Anesthesia, 2007
- Minimally invasive hemodynamic monitoring for the intensivist: Current and emerging technologyCritical Care Medicine, 2002
- STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENTThe Lancet, 1986
- The pressure dependent dynamic elasticity of 35 thoracic and 16 abdominal human aortas in vitro described by a five component modelJournal of Biomechanics, 1985