Bioimpedance hemodynamics compared to pulmonary artery catheter monitoring during orthotopic liver transplantation.
Simultaneous cardiac output measurements were obtained using bioimpedance (BI) and thermodilution (TD) methods in 10 patients undergoing orthotopic liver transplantation (OLT). BI and TD data were collected during five intraoperative phases of OLT. Linear regression revealed significant correlation between BI and TD (r = 0.8, P = 0.001) with a slope of regression of 0.64. Bias analysis demonstrated a negative of BI (-0.26) when compared with TD.Sv-O2 correlated poorly with cardiac index determined by TD (r = 0.41) or BI (r = .47). BI is an accurate reproducible method for measuring cardiac output and may be a useful adjunct to the pulmonary artery catheter for hemodynamic monitoring during OLT.
Spiess
B D
BD
Department of Anesthesiology, University of Washington, School of Medicine, Seattle 98195.
McCarthy
R J
RJ
Tuman
K J
KJ
Ivankovich
A D
AD
D000328:Adult; D002302:Cardiac Output; D002404:Catheterization; D017097:Electric Impedance; D006439:Hemodynamics; D006801:Humans; D016031:Liver Transplantation; D010092:Oximetry; D011651:Pulmonary Artery / Q000502:physiology*; D012044:Regression Analysis; D013815:Thermodilution