Cardiac output measurements with electrical velocimetry in patients undergoing CABG surgery: a comparison with intermittent thermodilution.
OBJECTIVE
The purpose was to study the agreement between cardiac output measurements with electrical velocimetry vs. intermittent thermodilution before and after coronary artery bypass graft surgery.


METHODS
Cardiac output was measured simultaneously with electrical velocimetry and intermittent thermodilution before and immediately after coronary artery bypass graft surgery, and in the intensive care unit. Measurements were performed in three different body positions. The results were analysed according to Bland and Altman.


RESULTS
The mean bias of all 150 paired measurements in 16 patients was 0.21 +/- 0.78 L min(-1), and the mean error was 40%. Before skin incision the mean bias was 0.04 +/- 0.41 L min(-1), and the mean error was 25%. After skin closure the mean bias was 0.57 +/- 0.92 L min(-1), and the mean error was 42%. In the intensive care unit the mean bias was 0.26 +/- 0.68 L min(-1), and the mean error was 32%.


CONCLUSIONS
The agreement between cardiac output measurements with electrical velocimetry and intermittent thermodilution was clinically acceptable only before skin incision in coronary artery bypass graft surgery. The mean error was unacceptably high immediately after skin closure and was at a borderline level in the intensive care unit. Thus, the overall accuracy of cardiac output measurements with the electrical velocimetry technique during coronary artery bypass graft surgery is not clinically unacceptable.
Mekis
D
D
Maribor Teaching Hospital, Department of Anaesthesiology, Intensive Care and Pain Management, Maribor, Slovenia.
Kamenik
M
M
Starc
V
V
Jeretin
S
S
D000368:Aged; D002302:Cardiac Output / Q000502:physiology*; D001026:Coronary Artery Bypass; D004562:Electrocardiography; D005260:Female; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods / Q000706:statistics & numerical data; D008991:Monitoring, Physiologic / Q000379:methods* / Q000706:statistics & numerical data*; D011184:Postoperative Period; D011187:Posture; D011300:Preoperative Care / Q000379:methods / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D012212:Rheology / Q000379:methods / Q000706:statistics & numerical data; D013815:Thermodilution / Q000379:methods / Q000706:statistics & numerical data; D013997:Time Factors
D006454:Hemoglobins