Non-Invasive Hemodynamic Monitoring in Critically Ill Patients
Author Information
Author(s): Van de Vijver K, Verstraeten A, Gillebert C, Maniewski U, Gabrovska M, Viskens D, Van Regenmortel N, De laet I, Schoonheydt K, Dits H, Malbrain M
Primary Institution: ZNA Stuivenberg, Antwerp, Belgium
Hypothesis
This study will compare intermittent bolus transpulmonary TDCO with continuous CO obtained by pulse contour analysis and non-invasive CO measurement.
Conclusion
Nexfin technology can reliably monitor cardiac output and mean arterial pressure non-invasively in unstable critically ill patients.
Supporting Evidence
- 585 cardiac output values were obtained from the study.
- Nexfin correlated well with traditional methods of measuring cardiac output.
- The mean bias for NexCO compared to TDCO was 0.4 ± 2.32 l/minute.
Takeaway
Doctors can use a special device called Nexfin to check how well blood is flowing in sick patients without needing to do any painful procedures.
Methodology
A prospective study measuring cardiac output using different methods in critically ill patients over an 8-hour period.
Participant Demographics
43 mechanically ventilated patients, 32 male, average age 57.6 years.
Digital Object Identifier (DOI)
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