scholarly journals Clinical significance of pulse index contour continuous cardiac output monitoring in patients with constrictive pericarditis undergoing pericardiectomy

2020 ◽  
Vol 31 (3) ◽  
pp. 364-368
Author(s):  
Jinpeng Huang ◽  
Pengfei Zhu ◽  
Fangming Zhong ◽  
Guocan Yu ◽  
Bo Ye ◽  
...  

Abstract OBJECTIVES The efficacy of pulse index contour continuous cardiac output (PiCCO) monitoring in patients with constrictive pericarditis undergoing pericardiectomy remains unclear. The goal of this study was to explore whether PiCCO monitoring could improve clinical outcomes in these patients. METHODS We retrospectively studied 74 patients with constrictive pericarditis undergoing pericardiectomy and assigned them to a PiCCO group and a control group. Postoperative and survival outcomes were compared between the 2 groups. RESULTS There were 33 (44.6%) cases in the PiCCO group and 41 (55.4%) cases in the control group. The baseline characteristics were comparable between the 2 groups. In comparison to the control group, the PiCCO group showed more intraoperative fluid infusion (P = 0.003), higher postoperative central venous pressure (P = 0.007) and lower levels of postoperative brain natriuretic peptide (P = 0.021). The incidence of postoperative complications (P = 0.004) including cardiac complications (P = 0.033) was also lower in the PiCCO group. Despite no difference in survival outcomes, duration of chest drainage (P = 0.032), length of stay in the intensive care unit (P < 0.001) and the postoperative hospital stay (P = 0.044) were significantly shorter in the PiCCO group. CONCLUSIONS This study confirmed the clinical significance of PiCCO monitoring in the enhanced recovery of patients with constrictive pericarditis undergoing pericardiectomy and provided new evidence for applying PiCCO monitoring in these patients.

1989 ◽  
Vol 71 (Supplement) ◽  
pp. A388
Author(s):  
R. G. Pearl ◽  
A. Ford ◽  
M. Nassi ◽  
T. Schuenemeyer ◽  
L. Neumann ◽  
...  

1995 ◽  
Vol 4 (6) ◽  
pp. 460-465 ◽  
Author(s):  
CE Ditmyer ◽  
M Shively ◽  
DB Burns ◽  
RT Reichman

BACKGROUND: Few complete studies have been published to validate the agreement between continuous cardiac output and intermittent thermodilution cardiac output. OBJECTIVE: To analyze the agreement between cardiac output measurements by the continuous thermodilution method and the intermittent bolus thermodilution method, using a continuous cardiac output catheter in postoperative cardiothoracic surgery patients. METHODS: A convenience sample of 14 adult cardiothoracic surgical patients with thermodilution pulmonary artery catheters placed preoperatively was used. A total of 214 comparison measurements of cardiac output by both the continuous and intermittent thermodilution methods were taken on patient admission to the critical care unit, every 4 hours, and with any change greater than 10% from baseline readings. RESULTS: The intraclass correlation between continuous cardiac output and intermittent cardiac output was .89. The limits of agreement were -1.34 to 1.18 L/min, indicating that in 95% of readings the difference between continuous cardiac output and intermittent cardiac output were within this range. CONCLUSIONS: The continuous cardiac output monitoring method shows clinically acceptable agreement with the intermittent cardiac output method.


1997 ◽  
Vol 85 (3) ◽  
pp. 483-488 ◽  
Author(s):  
Clemens-A. Greim ◽  
Norbert Roewer ◽  
Holger Thiel ◽  
Georg Laux ◽  
Jochen Schulte Esch

Author(s):  
Yi Zhang ◽  
H. Harry Asada ◽  
Andrew T. Reisner

This paper presents a modal decomposition approach to continuous cardiac output (CO) monitoring via multi-channel blind system identification (BSI). The presented method estimates CO from multiple noninvasive sensors located at different branches of the systemic circulatory system.


2001 ◽  
Vol 39 (1) ◽  
pp. 101-104
Author(s):  
S. C. Tjin ◽  
Y. C. Ho ◽  
Y. -Z. Lam ◽  
J. Hao ◽  
B. K. Ng

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