Non-invasive continuous arterial pressure and cardiac index monitoring with Nexfin after cardiac surgery  M.O. Fischer, R. Avram, I. Cârjaliu, M. Massetti,

Slides:



Advertisements
Similar presentations
Comparison of continuous non-invasive finger arterial pressure monitoring with conventional intermittent automated arm arterial pressure measurement in.
Advertisements

Validation of non-invasive arterial pressure monitoring during carotid endarterectomy  J.F. Heusdens, S. Lof, C.W.A. Pennekamp, J.C. Specken-Welleweerd,
Reply from the authors British Journal of Anaesthesia
Prediction of fluid responsiveness by a continuous non-invasive assessment of arterial pressure in critically ill patients: comparison with four other.
Detection of hypotension during Caesarean section with continuous non-invasive arterial pressure device or intermittent oscillometric arterial pressure.
E. Langesæter, L.A. Rosseland, A. Stubhaug 
Comparison between pulse waveform analysis and thermodilution cardiac output determination in patients with severe pre-eclampsia  R.A. Dyer, J.L. Piercy,
Precision and accuracy of a new device (CNAP™) for continuous non-invasive arterial pressure monitoring: assessment during general anaesthesia  C Jeleazcov,
Bispectral index-guided induction of general anaesthesia in patients undergoing major abdominal surgery using propofol or etomidate: a double-blind, randomized,
Radial artery applanation tonometry for continuous non-invasive arterial pressure monitoring in intensive care unit patients: comparison with invasively.
Lidocaine use in ultrasound-guided femoral nerve block: what is the minimum effective anaesthetic concentration (MEAC90)?†  A.M. Taha, A.M. Abd-Elmaksoud 
Uncalibrated arterial pressure waveform analysis for cardiac output monitoring is biased by low peripheral resistance in patients with intracranial haemorrhage† 
M. Klein, L. Minkovich, M. Machina, M. Selzner, V. N. Spetzler, J. M
Comparison between an uncalibrated pulse contour method and thermodilution technique for cardiac output estimation in septic patients  F. Franchi, R.
AepEX monitor for the measurement of hypnotic depth in patients undergoing balanced xenon anaesthesia  C. Stoppe, D. Peters, A.V. Fahlenkamp, J. Cremer,
C. Stoppe, J. Cremer, S. Rex, G. Schälte, A. V. Fahlenkamp, R
Orthostatic function and the cardiovascular response to early mobilization after breast cancer surgery  R.G. Müller, M. Bundgaard-Nielsen, H. Kehlet 
Influence of lung injury on cardiac output measurement using transpulmonary ultrasound dilution: a validation study in neonatal lambs  S.L. Vrancken,
Thrombus in left ventricle discovered by transoesophageal echocardiography (TOE) in a patient with acute abdomen: how TOE can be crucial for decision-making.
E. Weiss, E. Gayat, V. Dumans-Nizard, M. Le Guen, M. Fischler 
Does motor block related to long-acting brachial plexus block cause patient dissatisfaction after minor wrist and hand surgery? A randomized observer-blinded.
Less invasive determination of cardiac output from the arterial pressure by aortic diameter-calibrated pulse contour  J.B. de Vaal, R.B.P. de Wilde, P.C.M.
Ultrasound visual image-guided vs Doppler auditory-assisted radial artery cannulation in infants and small children by non-expert anaesthesiologists:
O. Thom, D. M. Taylor, R. E. Wolfe, J. Cade, P. Myles, H. Krum, R
Validation of cardiac output monitoring based on uncalibrated pulse contour analysis vs transpulmonary thermodilution during off-pump coronary artery.
Pharmacokinetics and haemodynamics of ketamine in intensive care patients with brain or spinal cord injury  Y. Hijazi, C. Bodonian, M. Bolon, F. Salord,
The trend interchangeability method
Accuracy of non-invasive measurement of haemoglobin concentration by pulse co- oximetry during steady-state and dynamic conditions in liver surgery  J.J.
C. Hällsjö Sander, M. Hallbäck, M. Wallin, P. Emtell, A. Oldner, H
A. Absalom, D. Amutike, A. Lal, M. White, G.N.C. Kenny 
Cardiac output measurement with transpulmonary ultrasound dilution is feasible in the presence of a left-to-right shunt: a validation study in lambs 
Continuous and minimally invasive cardiac output monitoring by long time interval analysis of a radial arterial pressure waveform: assessment using a.
Transpulmonary thermodilution cardiac output measurement is not affected by severe pulmonary oedema: a newborn animal study  A Nusmeier, S Vrancken, W.P.
J. F. Olivier, N. Le, J. L. Choiniére, I. Prieto, F. Basile, T
Continuous non-invasive cardiac output monitoring during exercise: validation of electrical cardiometry with Fick and thermodilution methods  Y.H. Liu,
Comparison of esCCO and transthoracic echocardiography for non-invasive measurement of cardiac output intensive care  B. Bataille, M. Bertuit, M. Mora,
Continuous spinal anaesthesia and non-invasive ventilation for total knee replacement in a patient on home ventilation  J. Dawson, M. Jones, N. Hirschauer,
A comparison of cardiac output derived from the arterial pressure wave against thermodilution in cardiac surgery patients†  J.R.C. Jansen, J.J. Schreuder,
Do team processes really have an effect on clinical performance
Incidence of postoperative nausea and vomiting after paediatric strabismus surgery with sevoflurane or remifentanil–sevoflurane  A.Y. Oh, J.H. Kim, J.W.
Stroke volume optimization in elective bowel surgery: a comparison between pulse power wave analysis (LiDCOrapid) and oesophageal Doppler (CardioQ)  J.
D. Jee, D. Lee, S. Yun, C. Lee  British Journal of Anaesthesia 
Pharmacodynamic response modelling of arterial blood pressure in adult volunteers during propofol anaesthesia  C. Jeleazcov, M. Lavielle, J. Schüttler,
Left ventricular volume and ejection fraction assessment with transoesophageal echocardiography: 2D vs 3D imaging  B. Cowie, R. Kluger, M. Kalpokas  British.
Preoperative evaluation of patients with, or at risk of, coronary artery disease undergoing non-cardiac surgery  P.-G. Chassot, A. Delabays, D.R. Spahn 
Clinical evaluation of the FloTrac/VigileoTM system and two established continuous cardiac output monitoring devices in patients undergoing cardiac surgery†‡ 
Non-invasive continuous arterial pressure measurement based on radial artery tonometry in the intensive care unit: a method comparison study using the.
Distraction and interruption in anaesthetic practice
Do old pharmacokinetic parameter estimates predict new data?
Bioreactance is not reliable for estimating cardiac output and the effects of passive leg raising in critically ill patients  E. Kupersztych-Hagege, J.-L.
S.G. Sakka, K. Reinhart, A. Meier-Hellmann 
E. Saraceni, S. Rossi, P. Persona, M. Dan, S. Rizzi, M. Meroni, C. Ori 
Delta down compared with delta pulse pressure as an indicator of volaemia during intracranial surgery  E. Deflandre, V. Bonhomme, P. Hans  British Journal.
Visual metaphors on anaesthesia monitors do not improve anaesthetists' performance in the operating theatre  K. van Amsterdam, F. Cnossen, A. Ballast,
Non-invasive assessment of fluid responsiveness using CNAP™ technology is interchangeable with invasive arterial measurements during major open abdominal.
Pressure recording analytical method for measuring cardiac output in critically ill children: a validation study  R. Saxena, A. Durward, N.K. Puppala,
Systemic vascular resistance has an impact on the reliability of the Vigileo-FloTrac system in measuring cardiac output and tracking cardiac output changes 
Effect of phenylephrine on the haemodynamic state and cerebral oxygen saturation during anaesthesia in the upright position  P.F. Soeding, S Hoy, G Hoy,
Intraoperative tissue oxygenation and postoperative outcomes after major non-cardiac surgery: an observational study†  B.B. Abdelmalak, J.P. Cata, A.
Bibliometrics of anaesthesia researchers in the UK
Influence of increased left ventricular myocardial mass on early and late mortality after cardiac surgery  M.M. Weiner, D.L. Reich, H.M. Lin, M. Krol,
Non-invasive continuous arterial pressure monitoring with Nexfin® does not sufficiently replace invasive measurements in critically ill patients  A Hohn,
Teamwork, communication, and anaesthetic assistance in Scotland
Validity of the 6 min walk test in prediction of the anaerobic threshold before major non- cardiac surgery  R.C.F. Sinclair, A.M. Batterham, S. Davies,
Effects of remifentanil on cardiovascular and bispectral index responses to endotracheal intubation in severe pre-eclamptic patients undergoing Caesarean.
C. Bergek, J.H. Zdolsek, R.G. Hahn  British Journal of Anaesthesia 
A.J. Ross, N. Kodate, J.E. Anderson, L. Thomas, P. Jaye 
Accuracy of impedance cardiography for evaluating trends in cardiac output: a comparison with oesophageal Doppler  E. Lorne, Y. Mahjoub, M. Diouf, J.
Reduction of vasopressor requirement by hydrocortisone administration in a patient with cerebral vasospasm  J.A. Alhashemi  British Journal of Anaesthesia 
Ability of esCCO to track changes in cardiac output†
Presentation transcript:

Non-invasive continuous arterial pressure and cardiac index monitoring with Nexfin after cardiac surgery  M.O. Fischer, R. Avram, I. Cârjaliu, M. Massetti, J.L. Gérard, J.L. Hanouz, J.L. Fellahi  British Journal of Anaesthesia  Volume 109, Issue 4, Pages 514-521 (October 2012) DOI: 10.1093/bja/aes215 Copyright © 2012 The Author(s) Terms and Conditions

Fig 1 The relationship between absolute values of (a) arterial invasive and photoplethysmographic systolic arterial pressure (220 paired data points); (b) arterial invasive and photoplethysmographic diastolic arterial pressure (220 paired data points); (c) arterial invasive and photoplethysmographic mean arterial pressure (220 paired data points); and (d) transpulmonary thermodilution and photoplethysmographic CI (120 paired data points). AI, arterial invasive; CI, cardiac index; DAP, diastolic arterial pressure; MAP, mean arterial pressure; NF, Nexfin; SAP, systolic arterial pressure; TD, transpulmonary thermodilution. British Journal of Anaesthesia 2012 109, 514-521DOI: (10.1093/bja/aes215) Copyright © 2012 The Author(s) Terms and Conditions

Fig 2 Bland–Altman analysis between (a) arterial invasive and photoplethysmographic systolic arterial pressure (220 paired data points); (b) arterial invasive and photoplethysmographic diastolic arterial pressure (220 paired data points); (c) arterial invasive and photoplethysmographic mean arterial pressure (220 paired data points); and (d) transpulmonary thermodilution and photoplethysmographic CI (120 paired data points). Symbols and colours refer to each patient (five observations per individual). AI, arterial invasive; CI, cardiac index; DAP, diastolic arterial pressure; MAP, mean arterial pressure; NF, Nexfin; SAP, systolic arterial pressure; TD, transpulmonary thermodilution. British Journal of Anaesthesia 2012 109, 514-521DOI: (10.1093/bja/aes215) Copyright © 2012 The Author(s) Terms and Conditions

Fig 3 A polar plot comparing changes in CI among data points T0, T1, T2, T3, and T4 (n=96) by bolus transpulmonary thermodilution and digital photoplethysmography (Nexfin) CI. The distance from the centre of the plot represents the mean change in CI and the angle with the horizontal (0° radial) axis represents agreement. 99% of CI changes were within 0.4 litre min−1 m−2 limits of agreement (20%). British Journal of Anaesthesia 2012 109, 514-521DOI: (10.1093/bja/aes215) Copyright © 2012 The Author(s) Terms and Conditions