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Arterielle Pulskonturanalyse zur Messung des Herzindex unter Veränderungen der Vorlast und der aortalen Impedanz

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Arterielle Pulskonturanalyse zur Messung des Herzindex unter Veränderungen der Vorlast und der aortalen Impedanz. / Felbinger, T W; Goepfert, M S; Goresch, T; Goetz, A E; Reuter, D A.

In: ANAESTHESIST, Vol. 54, No. 8, 01.08.2005, p. 755-62.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Felbinger, TW, Goepfert, MS, Goresch, T, Goetz, AE & Reuter, DA 2005, 'Arterielle Pulskonturanalyse zur Messung des Herzindex unter Veränderungen der Vorlast und der aortalen Impedanz', ANAESTHESIST, vol. 54, no. 8, pp. 755-62. https://doi.org/10.1007/s00101-005-0847-9

APA

Felbinger, T. W., Goepfert, M. S., Goresch, T., Goetz, A. E., & Reuter, D. A. (2005). Arterielle Pulskonturanalyse zur Messung des Herzindex unter Veränderungen der Vorlast und der aortalen Impedanz. ANAESTHESIST, 54(8), 755-62. https://doi.org/10.1007/s00101-005-0847-9

Vancouver

Felbinger TW, Goepfert MS, Goresch T, Goetz AE, Reuter DA. Arterielle Pulskonturanalyse zur Messung des Herzindex unter Veränderungen der Vorlast und der aortalen Impedanz. ANAESTHESIST. 2005 Aug 1;54(8):755-62. https://doi.org/10.1007/s00101-005-0847-9

Bibtex

@article{9891096bb698402ca86eb93d62de3007,
title = "Arterielle Pulskonturanalyse zur Messung des Herzindex unter Ver{\"a}nderungen der Vorlast und der aortalen Impedanz",
abstract = "BACKGROUND: Cardiac index obtained by arterial pulse contour analysis (CI(PC)) demonstrated good agreement with arterial or pulmonary arterial thermodilution derived cardiac index (CI(TD), CI(PA)) in cardiac surgical or critically ill patients. However as the accuracy of pulse contour analysis during changes of the aortic impedance is unclear, we compared CI(PC), CI(TD) and CI(PA) during changes of preload and the aortic impedance as occurring during sternotomy.PATIENTS AND METHODS: CI(PC) und CI(TD), were compared in 28 patients, (and CI(PA) in 6 patients) undergoing elective coronary artery bypass grafting, before and after sternotomy. The relative changes DeltaCI(PC) und DeltaCI(PC) were calculated.RESULTS: Sternotomy resulted in a significant increase in CI in 25 out of 28 patients. Regression analysis was performed between CI(PC) and CI(TD) before and after sternotomy (r(2) = 0.87, p<0.0001, r(2) = 0.88, p<0.0001) as well as between CI(PC) and CI(PA), before and after sternotomy (r(2) = 0.85, p<0.0001, r(2) = 0.93, p<0.01) and between DeltaCI(PC) and DeltaCI(TD) (r(2) = 0.72, p<0.0001). Bland Altman-Analysis for determining bias (m) and precision (2SD) between CI(PC) and CI(TD) before and after sternotomy and between DeltaCI(PC) and DeltaCI(TD) resulted in m = -0.03 L/min/m(2), 2SD = -0.34 to 0.28 L/min/m(2), m = -0.06 L/min/m(2), 2SD = -0.45 to 0.33 L/min/m(2) and m = -0.02 L/min/m(2), SD = -0.47 to 0.44 L/min/m(2).CONCLUSION: Pulse contour analysis derived CI(PC) accurately reflects thermodilution derived CI(TD) or CI(PA) during changes of preload and the aortic impedance as occurring during sternotomy.",
keywords = "Aged, Algorithms, Aorta, Cardiac Output, Catheterization, Swan-Ganz, Coronary Artery Bypass, Female, Heart Function Tests, Hemodynamics, Humans, Male, Middle Aged, Regression Analysis, Reproducibility of Results, Thermodilution, Vascular Resistance",
author = "Felbinger, {T W} and Goepfert, {M S} and T Goresch and Goetz, {A E} and Reuter, {D A}",
year = "2005",
month = aug,
day = "1",
doi = "10.1007/s00101-005-0847-9",
language = "Deutsch",
volume = "54",
pages = "755--62",
journal = "ANAESTHESIST",
issn = "0003-2417",
publisher = "Springer",
number = "8",

}

RIS

TY - JOUR

T1 - Arterielle Pulskonturanalyse zur Messung des Herzindex unter Veränderungen der Vorlast und der aortalen Impedanz

AU - Felbinger, T W

AU - Goepfert, M S

AU - Goresch, T

AU - Goetz, A E

AU - Reuter, D A

PY - 2005/8/1

Y1 - 2005/8/1

N2 - BACKGROUND: Cardiac index obtained by arterial pulse contour analysis (CI(PC)) demonstrated good agreement with arterial or pulmonary arterial thermodilution derived cardiac index (CI(TD), CI(PA)) in cardiac surgical or critically ill patients. However as the accuracy of pulse contour analysis during changes of the aortic impedance is unclear, we compared CI(PC), CI(TD) and CI(PA) during changes of preload and the aortic impedance as occurring during sternotomy.PATIENTS AND METHODS: CI(PC) und CI(TD), were compared in 28 patients, (and CI(PA) in 6 patients) undergoing elective coronary artery bypass grafting, before and after sternotomy. The relative changes DeltaCI(PC) und DeltaCI(PC) were calculated.RESULTS: Sternotomy resulted in a significant increase in CI in 25 out of 28 patients. Regression analysis was performed between CI(PC) and CI(TD) before and after sternotomy (r(2) = 0.87, p<0.0001, r(2) = 0.88, p<0.0001) as well as between CI(PC) and CI(PA), before and after sternotomy (r(2) = 0.85, p<0.0001, r(2) = 0.93, p<0.01) and between DeltaCI(PC) and DeltaCI(TD) (r(2) = 0.72, p<0.0001). Bland Altman-Analysis for determining bias (m) and precision (2SD) between CI(PC) and CI(TD) before and after sternotomy and between DeltaCI(PC) and DeltaCI(TD) resulted in m = -0.03 L/min/m(2), 2SD = -0.34 to 0.28 L/min/m(2), m = -0.06 L/min/m(2), 2SD = -0.45 to 0.33 L/min/m(2) and m = -0.02 L/min/m(2), SD = -0.47 to 0.44 L/min/m(2).CONCLUSION: Pulse contour analysis derived CI(PC) accurately reflects thermodilution derived CI(TD) or CI(PA) during changes of preload and the aortic impedance as occurring during sternotomy.

AB - BACKGROUND: Cardiac index obtained by arterial pulse contour analysis (CI(PC)) demonstrated good agreement with arterial or pulmonary arterial thermodilution derived cardiac index (CI(TD), CI(PA)) in cardiac surgical or critically ill patients. However as the accuracy of pulse contour analysis during changes of the aortic impedance is unclear, we compared CI(PC), CI(TD) and CI(PA) during changes of preload and the aortic impedance as occurring during sternotomy.PATIENTS AND METHODS: CI(PC) und CI(TD), were compared in 28 patients, (and CI(PA) in 6 patients) undergoing elective coronary artery bypass grafting, before and after sternotomy. The relative changes DeltaCI(PC) und DeltaCI(PC) were calculated.RESULTS: Sternotomy resulted in a significant increase in CI in 25 out of 28 patients. Regression analysis was performed between CI(PC) and CI(TD) before and after sternotomy (r(2) = 0.87, p<0.0001, r(2) = 0.88, p<0.0001) as well as between CI(PC) and CI(PA), before and after sternotomy (r(2) = 0.85, p<0.0001, r(2) = 0.93, p<0.01) and between DeltaCI(PC) and DeltaCI(TD) (r(2) = 0.72, p<0.0001). Bland Altman-Analysis for determining bias (m) and precision (2SD) between CI(PC) and CI(TD) before and after sternotomy and between DeltaCI(PC) and DeltaCI(TD) resulted in m = -0.03 L/min/m(2), 2SD = -0.34 to 0.28 L/min/m(2), m = -0.06 L/min/m(2), 2SD = -0.45 to 0.33 L/min/m(2) and m = -0.02 L/min/m(2), SD = -0.47 to 0.44 L/min/m(2).CONCLUSION: Pulse contour analysis derived CI(PC) accurately reflects thermodilution derived CI(TD) or CI(PA) during changes of preload and the aortic impedance as occurring during sternotomy.

KW - Aged

KW - Algorithms

KW - Aorta

KW - Cardiac Output

KW - Catheterization, Swan-Ganz

KW - Coronary Artery Bypass

KW - Female

KW - Heart Function Tests

KW - Hemodynamics

KW - Humans

KW - Male

KW - Middle Aged

KW - Regression Analysis

KW - Reproducibility of Results

KW - Thermodilution

KW - Vascular Resistance

U2 - 10.1007/s00101-005-0847-9

DO - 10.1007/s00101-005-0847-9

M3 - SCORING: Zeitschriftenaufsatz

C2 - 16010518

VL - 54

SP - 755

EP - 762

JO - ANAESTHESIST

JF - ANAESTHESIST

SN - 0003-2417

IS - 8

ER -