Measuring cardiac output in children undergoing cardiac catheterization: comparison between the Fick method and PRAM (pressure recording analytical method)
Por:
Alonso-Iñigo JM, Escribá FJ, Carrasco JI, Fas MJ, Argente P, Galvis JM and Llopis JE
Publicada:
1 nov 2016
Resumen:
BackgroundPressure recording analytical method (PRAM) is a novel,
arterial pulse contour method for measuring cardiac output (CO).
Validation studies of PRAM in children are few, and have shown
contradictory results. The aim of the study was to compare the
MostCare((R))-PRAM vs the Fick method of cardiac output estimation
(reference method).
MethodsThis is a single-center, prospective observational study in 52
pediatric patients who underwent diagnostic right and left heart
catheterization. Cardiac index (CI) measurements with the
MostCare((R))-PRAM vs the Fick method were obtained under
hemodynamically stable conditions.
ResultsForty CI measurements were performed. The data showed good
agreement between CIFick and CIPRAM: r(2) = 0.90 (P < 0.001), mean bias
-0.075, limits of agreement from -0.56 to 0.41. The percentage error was
17%. Comparable results were obtained for patients <20 kg (r(2) = 0.87,
P < 0.001), mean bias -0.135, limits of agreement from -0.35 to 0.62,
percentage of error 17%.
ConclusionsIn pediatric patients undergoing diagnostic right and left
heart catheterization, the MostCare((R))-PRAM was shown to estimate CI
with a good level of agreement with the Fick method measurements.
Filiaciones:
Alonso-Iñigo JM:
Department of Anesthesia, Critical Care and Pain Medicine, Hospital Clínico Universitario, Valencia, Spain.
Escribá FJ:
Department of Anesthesia and Critical Care, Hospital Universitari i Politècnic La Fe, Valencia, Spain
Carrasco JI:
Department of Pediatric Cardiology, Hospital Universitari i Politècnic La Fe, Valencia, Spain
:
Department of Anesthesia, Critical Care and Pain Medicine, Hospital Universitari de la Ribera, Alzira, Spain
Argente P:
Department of Anesthesia and Critical Care, Hospital Universitari i Politècnic La Fe, Valencia, Spain
:
Department of Surgery, Research Unit, Hospital Universitari de la Ribera, Alzira, Spain
:
Department of Anesthesia, Critical Care and Pain Medicine, Hospital Universitari de la Ribera, Alzira, Spain
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