VALIDITY OF PULSE CONTOUR METHOD FOR CALCULATING CARDIAC OUTPUT OF THE DOG, WITH NOTES ON EFFECT OF VARIOUS ANESTHETICS

Introduction: During veno-venous extracorporeal membrane oxygenation, cardiac output monitoring is essential to assess tissue oxygen delivery. Adequate arterial oxygenation depends on the ratio between the extracorporeal pump blood flow and the cardiac output. The aim of this study was to compare estimates of cardiac output and blood flow/cardiac output ratios made using an uncalibrated pulse contour method with those made using echocardiography in patients treated with veno-venous extracorporeal membrane oxygenation. Methods: Cardiac output was estimated simultaneously using a pulse contour method (MostCareUp; Vygon, Encouen, France) and echocardiography in 17 hemodynamically stable patients treated with veno-venous extracorporeal membrane oxygenation. Comparisons were made using Bland–Altman and linear regression analysis. Results: There were significant correlations between cardiac output estimated using pulse contour method and echocardiography and between blood flow/cardiac output estimated using pulse contour method and blood flow/cardiac output estimated using echocardiography (r = 0.84, p < 0.001 and r = 0.87, p < 0.001, respectively). Bland–Altman analysis showed a good agreement (bias −0.20 ± 0.50 L/min) and a low percentage of error (25%) for the cardiac output values estimated by the two methods. The bias between the blood flow/cardiac output ratios obtained with the two methods was 5.19% ± 12.3% (percentage of error = 28.1%). Conclusions: The pulse contour method is a valuable alternative to echocardiography for the assessment of cardiac output and the blood flow/cardiac output ratio in patients treated with veno-venous extracorporeal membrane oxygenation.

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The ‘left’ ventricle during pulsatile mechanical assistance: reliability of cardiac output monitoring with an uncalibrated pulse contour method

European Heart Journal ◽

10.1093/eurheartj/ehp461 ◽

2009 ◽

Vol 31 (2) ◽

pp. 148-148 ◽

Cited By ~ 4

Author(s):

Sabino Scolletta ◽

Luigi Muzzi ◽

Salvatore Mario Romano ◽

Igor D. Gregoric ◽

Howard O. Frazier

Keyword(s):

Cardiac Output ◽

Left Ventricle ◽

Pulse Contour ◽

Contour Method ◽

Cardiac Output Monitoring ◽

Output Monitoring ◽

Pulse Contour Method ◽

Mechanical Assistance

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Cardiac output monitoring with uncalibrated pulse contour method (PROAQT/PULSIOFLEX®) after major cardiac surgery

Journal of Cardiothoracic and Vascular Anesthesia ◽

10.1053/j.jvca.2020.09.064 ◽

2020 ◽

Vol 34 ◽

pp. S45-S46

Author(s):

C. Esteve ◽

L. Guillet ◽

P.H. Moury ◽

M. Durand ◽

P. Albaladejo

Keyword(s):

Cardiac Output ◽

Cardiac Surgery ◽

Pulse Contour ◽

Contour Method ◽

Cardiac Output Monitoring ◽

Output Monitoring ◽

Pulse Contour Method

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Experimental evaluation of a pulse contour method for calculation of cardiac output

American Journal of Physiology-Legacy Content ◽

10.1152/ajplegacy.1962.202.4.622 ◽

1962 ◽

Vol 202 (4) ◽

pp. 622-630 ◽

Cited By ~ 4

Author(s):

Eugene F. Bernstein ◽

Robert L. Evans

Keyword(s):

Cardiac Output ◽

Pressure Change ◽

Pulse Contour ◽

Contour Method ◽

Dilution Method ◽

Velocity Change ◽

Simultaneous Comparisons ◽

Pulse Contour Method ◽

The Relationship ◽

Better Than

A method of estimating cardiac output which depends on the analysis of a single propagated pressure wave and the relationship between pressure change and velocity change: Δ p = ρ c0 Δ v, has been evaluated experimentally in 84 almost simultaneous comparisons with dye dilution method measurements and 22 almost simultaneous comparisons with direct Fick measurements. A deviation of 13.4 ± 22.9% between the dye and pulse contour measurements was observed. In comparison with direct Fick measurements, the deviation was 19.1 ± 33.0%. The ability of this pulse contour method to follow changes in cardiac output was better than its ability to estimate absolute output, as indicated by these deviations. The usefulness of this pulse contour technique in estimating cardiac output in clinical and laboratory situations, with a beat-to-beat indication of changes in output, is discussed. In general, this method appears to have a useful degree of accuracy and offers a relatively simple approach to an important problem.

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