Autor según el artículo: Villavicencio C; Leache J; Marin J; Oliva I; Rodriguez A; Bodí M; Soni NJ
Departamento: Medicina i Cirurgia
Autor/es de la URV: Bodi Saera, Maria Amparo
Palabras clave: Pulsed-wave doppler Pulmonary artery catheter Critical care echocardiography Cardiac output pulmonary artery catheter critical care echocardiography cardiac output
Resumen: © The Author(s) 2019. Background: Although pulmonary artery catheters (PACs) have been the reference standard for calculating cardiac output, echocardiographic estimation of cardiac output (CO) by cardiologists has shown high accuracy compared to PAC measurements. A few studies have assessed the accuracy of echocardiographic estimation of CO in critically ill patients by intensivists with basic training. The aim of this study was to evaluate the accuracy of CO measurements by intensivists with basic training using pulsed-wave Doppler ultrasound vs. PACs in critically ill patients. Methods: Critically ill patients who required hemodynamic monitoring with a PAC were eligible for the study. Three different intensivists with basic critical care echocardiography training obtained three measurements of CO on each patient. The maximum of three separate left-ventricular outflow tract diameter measurements and the mean of three LVOT velocity time integral measurements were used. The inter-observer reliability and correlation of CO measured by PACs vs. critical care echocardiography were assessed. Results: A total of 20 patients were included. Data were analyzed comparing the measurements of CO by PAC vs. echocardiography. The inter-observer reliability for measuring CO by echocardiography was good based on a coefficient of intraclass correlation of 0.6 (95% CI 0.48–0.86, p < 0.001). Bias and limits of agreement between the two techniques were acceptable (0.64 ± 1.18 L/min, 95% limits of agreement of − 1.73 to 3.01 L/min). In patients with CO < 6.5 L/min, the agreement between CO measured by PAC vs. echocardiography improved (0.13 ± 0.89 L/min; 95% limits of agreement of − 1.64 to 2.22 L/min). The mean percentage of error between the two methods was 17%. Conclusions: Critical care echocardiography performed at the bedside by intensivists with basic critical care echo-cardiography training is an accurate and reproducible technique to measure cardiac output in critically ill patients.
Áreas temáticas: Radiology, nuclear medicine and imaging Radiology, nuclear medicine & medical imaging Radiological and ultrasound technology Interdisciplinar
Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
ISSN: 20367902
Direcció de correo del autor: mariaamparo.bodi@urv.cat mariaamparo.bodi@urv.cat
Identificador del autor: 0000-0001-7652-8379 0000-0001-7652-8379
Fecha de alta del registro: 2023-03-11
Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
Referencia al articulo segun fuente origial: Critical Ultrasound Journal. 11 (1): 5-
Referencia de l'ítem segons les normes APA: Villavicencio C; Leache J; Marin J; Oliva I; Rodriguez A; Bodí M; Soni NJ (2019). Basic critical care echocardiography training of intensivists allows reproducible and reliable measurements of cardiac output. Critical Ultrasound Journal, 11(1), 5-. DOI: 10.1186/s13089-019-0120-0
URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
Entidad: Universitat Rovira i Virgili
Año de publicación de la revista: 2019
Tipo de publicación: Journal Publications
Repositori URV