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- Dokumenttyp:
- Journal Article; 7
- Autor(en):
- Huber, Wolfgang; Phillip, Veit; Höllthaler, Josef; Schultheiss, Caroline; Saugel, Bernd; Schmid, Roland M
- Titel:
- Femoral indicator injection for transpulmonary thermodilution using the EV1000/VolumeView(®): do the same criteria apply as for the PiCCO(®)?
- Abstract:
- Comparison of global end-diastolic volume index (GEDVI) obtained by femoral and jugular transpulmonary thermodilution (TPTD) indicator injections using the EV1000/VolumnView(®) device (Edwards Lifesciences, Irvine, USA).In an 87-year-old woman with hypovolemic shock and equipped with both jugular and femoral vein access and monitored with the EV1000/VolumeView(®) device, we recorded 10 datasets, each comprising duplicate TPTD via femoral access and duplicate TPTD (20 ml cold saline) via jugular access.Mean femoral GEDVI ((674.6±52.3) ml/m(2)) was significantly higher than jugular GEDVI ((552.3±69.7) ml/m(2)), with P=0.003. Bland-Altman analysis demonstrated a bias of (+122±61) ml/m(2), limits of agreement of -16 and +260 ml/m(2), and a percentage error of 22%. Use of the correction-formula recently suggested for the PiCCO(®) device significantly reduced bias and percentage error. Similarly, mean values of parameters derived from GEDVI such as pulmonary vascular permeability index (PVPI; 1.244±0.101 vs. 1.522±0.139; P<0.001) and global ejection fraction (GEF; (24.7±1.6)% vs. (28.1±1.8)%; P<0.001) were significantly different in the case of femoral compared to jugular indicator injection. Furthermore, the mean cardiac index derived from femoral indicator injection ((4.50±0.36) L/(min·m²)) was significantly higher (P=0.02) than that derived from jugular indicator injection ((4.12±0.44) L/(min·m²)), resulting in a bias of (+0.38±0.37) L/(min·m²) and a percentage error of 19.4%.Femoral access for indicator injection results in markedly altered values provided by the EV1000/VolumeView(®), particularly for GEDVI, PVPI, and GEF.
- Zeitschriftentitel:
- J Zhejiang Univ Sci B
- Jahr:
- 2016
- Band / Volume:
- 17
- Heft / Issue:
- 7
- Seitenangaben Beitrag:
- 561-7
- Sprache:
- eng
- Volltext / DOI:
- doi:10.1631/jzus.B1500244
- PubMed:
- http://view.ncbi.nlm.nih.gov/pubmed/27381733
- Print-ISSN:
- 1673-1581
- TUM Einrichtung:
- II. Medizinische Klinik und Poliklinik (Gastroenterologie)
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