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Noninvasive cardiac output measurement using bioreactance in postoperative pediatric patients.

Noninvasive cardiac output measurement using bioreactance in postoperative pediatric patients.

Authors :
Vergnaud, Estelle
Vidal, Charles
Montmayeur Verchere, Juliette
Taright, Hanna
Meyer, Philippe G.
Carli, Pierre A.
Orliaguet, Gilles A.
Anderson, Brian
Source :
Pediatric Anesthesia; Feb2015, Vol. 25 Issue 2, p160-166, 7p
Publication Year :
2015

Abstract

Background Thoracic bioreactance is a noninvasive and continuous method of cardiac output ( CO) measurement that is being developed in adult patients. Very little information is available on thoracic bioreactance use in children. Objective The aim of the study was to evaluate the ability of a bioreactance device ( NICOM<superscript>®</superscript>; Cheetah Medical, Tel Aviv, Israel) to estimate CO and to track changes in CO induced by volume expansion (VE) in children. Methods Cardiac output values obtained using the NICOM<superscript>®</superscript> device ( CO<subscript>NICOM</subscript>) and measured by trans-thoracic echocardiography ( CO<subscript>TTE</subscript>) were compared in pediatric neurosurgical patients during the postoperative period. Results Seventy-three pairs of measurements of CO obtained in 30 children were available for analysis. The bias (lower and upper limits of agreement) between CO<subscript>NICOM</subscript> and CO<subscript>TTE</subscript> was −0.11 (−1.4 to 1.2) l·min<superscript>−1</superscript>. The percentage error (PE) was 55%. The precision of the NICOM<superscript>®</superscript> device was 45%. A significant correlation was observed between the CO values obtained using the two methods ( r = 0.89, <0.001). The concordance percentage between changes in CO<subscript>TTE</subscript> and CO<subscript>N</subscript><subscript>icom</subscript> induced by VE was 84% following exclusion of patients with changes in CO <15% ( n = 5). Conclusions The PE observed is too large, and the limits of agreement too wide, to enable us to comment on the equivalence of the two techniques of CO measurements. However, the NICOM<superscript>®</superscript> device performs well in tracking changes in CO following VE. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
11555645
Volume :
25
Issue :
2
Database :
Complementary Index
Journal :
Pediatric Anesthesia
Publication Type :
Academic Journal
Accession number :
100319357
Full Text :
https://doi.org/10.1111/pan.12412