391 422

Cited 0 times in

심장 수술 중 폐동맥 카테터를 이용한 지속적인 심박출량 감시의 정확성

Other Titles
 Comparison of continuous, stat, and intermittent bolus cardiac output measurements during cardiac surgery 
Authors
 이지연  ;  심재광  ;  최용선  ;  홍성욱  ;  박현민  ;  곽영란 
Citation
 KOREAN JOURNAL OF ANESTHESIOLOGY, Vol.54(6) : 603-608, 2008 
Journal Title
 KOREAN JOURNAL OF ANESTHESIOLOGY 
ISSN
 2005-6419 
Issue Date
2008
Keywords
cardiac surgery ; continuous cardiac index ; intermittent bolus cardiac index ; stat cardiac index ; volumetric pulmonary artery catheter.
Abstract
Background: Off-pump coronary artery bypass (OPCAB) patients often require fluid, vasopressor, or inotropic support. It is therefore important that vigilant monitoring be undertaken to guide intervention and monitor the effects of therapy. Continuous monitoring of cardiac output (CO) is advisable. The aim of this study was to compare continuous cardiac index (CCI) and stat cardiac index (SCI) with intermittent bolus cardiac index (ICI) in patients undergoing OPCAB surgery. Methods: Matched sets of CI measurements among CCI, SCI, and ICI were collected in 35 patients undergoing elective OPCAB at specific time periods. Bland-Altman analysis was used to compare the agreement among the different methods. Results: Bland-Altman analysis of CI measurements yielded a bias, precision, and percent error of 0.09 ± 0.63 L/min/m2 (46.2%) for CCI and 0.09 ± 0.60 L/min/m<SUP>2</SUP> (44.0%) for SCI, compared with ICI measurements. Conclusions: We found that the agreement of CCI, SCI, and ICI was poor. This disagreement increased during periods of open thorax and open pericardium when compared to the period of closed thorax. Continuous CO measurements through pulmonary artery catheter should be interpreted with caution during OPCAB
Files in This Item:
T200800019.pdf Download
DOI
10.4097/kjae.2008.54.6.603
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kwak, Young Lan(곽영란) ORCID logo https://orcid.org/0000-0002-2984-9927
Park, Hyeon Min(박현민)
Shim, Jae Kwang(심재광) ORCID logo https://orcid.org/0000-0001-9093-9692
Choi, Yong Seon(최용선) ORCID logo https://orcid.org/0000-0002-5348-864X
Hong, Seong Wook(홍성욱)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106143
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links