Summary:
Objective: To determine the cross-correlation of two methods of cardiac output measurement: pulse contour
analysis (LiDCOTM plus) and partial rebreathing of carbon dioxide (NICO).
Design: Prospective comparative study.
Setting: Department of Anaesthesiology and Intensive Care, Pardubice Hospital.
Materials and Methods: The patient population consisted of adult patients admitted to our ICU for mechanical
ventilation and pharmacological vasopressor support with a clinical indication for cardiac output
(CO) monitoring by LiDCO. Additionally their CO was measured simultaneously by NICO for the duration
of the study.
Results: We studied 20 patients and performed 812 coupled measurements. The average and median cardiac
index (CI = 1. min-1 . m-2) by NICO was 3.7 and 3.5, the average and median CI by LiDCO 3.6 and 3.5
respectively.
Conclusion: Measurement of CO by pulse contour analysis (LiDCOTM plus) was comparable to the partial
rebreathing of carbon dioxide method (NICO) in our study.
Key words:
cardiac output – pulse contour analysis – lithium dilution – carbon dioxide rebreathing
|