Measurement of cardiac output by transpulmonary arterial thermodilution using a long radial artery catheter. A comparison with intermittent pulmonary artery thermodilution.

Abstract:

:Cardiac output can be measured accurately by transpulmonary arterial thermodilution using the PiCCO (Pulsion Medical Systems, Munich, Germany) system with a femoral artery catheter. We have investigated the accuracy of a new 50 cm 4 French gauge radial artery catheter and the ability to use the system with a shorter radial catheter. We studied 18 patients who had undergone coronary artery surgery and made three simultaneous measurements of cardiac output by arterial thermodilution and with a pulmonary artery catheter. The radial catheter was withdrawn in 5 cm increments and the measurements were repeated. We found close agreement between arterial thermodilution and pulmonary artery thermodilution with a mean (SD) bias of 0.38 (0.77) l x min(-1). Arterial thermodilution became unreliable once the catheter had been withdrawn by more than 5 cm. We conclude that cardiac output measurement with arterial thermodilution with a radial catheter is interchangeable with that derived from a pulmonary artery catheter, and that a centrally sited arterial catheter is required for accurate determination of cardiac output by transpulmonary arterial thermodilution.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Orme RM,Pigott DW,Mihm FG

doi

10.1111/j.1365-2044.2004.03710.x

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

590-4

issue

6

eissn

0003-2409

issn

1365-2044

pii

ANA3710

journal_volume

59

pub_type

杂志文章
  • Validation of a pre-anaesthetic screening questionnaire.

    abstract::We developed a screening questionnaire to be used by nurses to decide which patients should see an anaesthetist for further evaluation before the day of surgery. Our objective was to measure the accuracy of responses to the questionnaire. Agreement between questionnaire responses and the anaesthetist's assessment was ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2003.03335.x

    authors: Hilditch WG,Asbury AJ,Jack E,McGrane S

    更新日期:2003-09-01 00:00:00

  • Comparative study of limited intentional normovolaemic haemodilution in patients with left main coronary artery stenosis.

    abstract::Intentional normovolaemic haemodilution is a blood saving technique which can be performed when major blood loss is expected. Severe coronary artery disease and particularly left main stenosis are considered a contraindication for intentional normovolaemic haemodilution. The effects and complications of limited intent...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1995.tb05926.x

    authors: Herregods L,Foubert L,Moerman A,François K,Rolly G

    更新日期:1995-11-01 00:00:00

  • Comparison of sevoflurane and propofol with rocuronium for modified rapid-sequence induction of anaesthesia.

    abstract::We compared the use of sevoflurane and propofol with three different doses of rocuronium for modified rapid-sequence induction of anaesthesia. One hundred and forty adult patients were randomly allocated to have a rapid-sequence intravenous induction with propofol 2-3 mg.kg-1 (group P) or an inhalational induction wit...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.1999.00745.x

    authors: Lowry DW,Carroll MT,Mirakhur RK,Hayes A,Hughes D,O'Hare R

    更新日期:1999-03-01 00:00:00

  • Extending a pipecuronium neuromuscular block. Increments of atracurium or vecuronium as an alternative to pipecuronium.

    abstract::Ten patients received increasing doses of pipecuronium at induction of anaesthesia. A dose response relationship was then constructed from which ED90 and ED95 values were measured as 43.4 micrograms.kg-1 and 50.5 micrograms.kg-1 respectively. A further 30 patients received pipecuronium in a dose sufficient to produce ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb06899.x

    authors: Roberts SP,Ramsay TM,Healy TE,Wilson A,Pollard BJ

    更新日期:1993-03-01 00:00:00

  • Pulse oximetry. An assessment in anaesthetised dental patients.

    abstract::The applications of a pulse oximeter were studied in dental day case surgery using nasal mask anaesthesia. Changes in arterial oxygen saturation were sensitively and rapidly detected, in the absence of cyanosis. Impaired oxygenation can be detected before cyanosis develops. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb12750.x

    authors: Clapham MC,Mackie AM

    更新日期:1986-10-01 00:00:00

  • Communication skills for the anaesthetist.

    abstract::Anaesthetists have traditionally focused on technological and pharmacological advances when considering the provision of anaesthetic care. Anaesthetists are expected to be able to communicate effectively with peers, patients, their families and others in the medical community; however, few details are provided regardi...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2009.05887.x

    authors: Cyna AM,Andrew MI,Tan SG

    更新日期:2009-06-01 00:00:00

  • Vecuronium--a variable dose technique.

    abstract::Vecuronium was administered to patients in doses of 100, 150, 200 and 250 micrograms/kg and the duration of action recorded by noting the time to recovery of the first twitch in a train-of-four to 10% of the control twitch. The recovery times ranged from a mean of 28.4 minutes (100 micrograms/kg) to 72.4 minutes (250 ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1987.tb03000.x

    authors: Feldman SA,Liban JB

    更新日期:1987-02-01 00:00:00

  • Pressure support ventilation during isoflurane anaesthesia.

    abstract::We have studied the respiratory effects of 5 and 10 cmH2O pressure support ventilation during anaesthesia with 1.5% end-tidal concentration of isoflurane in nine healthy, spontaneously breathing, adult patients. Some of the patients demonstrated an irregular respiratory pattern with periods of apnoea and we therefore ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1995.tb05944.x

    authors: Bhatt SB,Chui PT,Gin T,Tam YH,Oh TE

    更新日期:1995-12-01 00:00:00

  • Efficacy of microfiltration in decreasing propofol-induced pain.

    abstract::In a randomised, double-blinded, two-centre trial we evaluated the effect of a microbiological filter (Supor, Pall Life Sciences) on propofol injection pain. We studied 336 unpremedicated adult patients, who graded pain experienced during induction of anaesthesia with propofol on a 4-point verbal rating scale. Use of ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1046/j.1365-2044.2002.02602.x

    authors: Davies AF,Vadodaria B,Hopwood B,Dexter T,Conn D

    更新日期:2002-06-01 00:00:00

  • Lumbar epidurography with multi-orifice and single orifice epidural catheters.

    abstract::The spread of iohexol in the epidural space was studied using two types of epidural catheter. Twenty pre-menopausal women undergoing hysterectomy received lumbar epidural analgesia via either multi-orifice or single orifice catheters. Twenty-four hours after surgery, iohexol was injected before catheter removal with t...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1996.tb07891.x

    authors: Magides AD,Sprigg A,Richmond MN

    更新日期:1996-08-01 00:00:00

  • Neural inertia and differences between loss of and recovery from consciousness during total intravenous anaesthesia: a narrative review.

    abstract::Most anaesthetists using target-controlled infusion systems will have observed that the calculated effect-site concentration at loss of consciousness is usually higher than the concentration at emergence. Inertia is the ability of biological systems to keep a functional state at rest or in activity and is an active pr...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/anae.14609

    authors: Sepúlveda PO,Tapia LF,Monsalves S

    更新日期:2019-06-01 00:00:00

  • Anaphylactic reaction after atropine.

    abstract::A 38-year-old woman developed symptoms of anaphylactic shock after intravenous atropine and required adrenaline to maintain perfusion pressure. A strongly positive response was obtained on intradermal testing. The Prausnitz-Kuestner test was also positive, which indicated the presence of drug specific IgE antibodies. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1988.tb05661.x

    authors: Aguilera L,Martinez-Bourio R,Cid C,Arino JJ,Saez de Eguilaz JL,Arizaga A

    更新日期:1988-11-01 00:00:00

  • The incidence of Horner's syndrome during lumbar extradural for elective Caesarean section and provision of analgesia during labour.

    abstract::One hundred and fifty women in labour provided with extradural analgesia were monitored and an incidence of Horner's syndrome of 1.33% was noted. Fifty women undergoing Caesarean section under extradural analgesia were also monitored and an incidence of Horner's syndrome of 4% was noted. From the results we found it i...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:

    authors: Clayton KC

    更新日期:1983-06-01 00:00:00

  • Patient-controlled epidural analgesia with sufentanil following caesarean section: the effect of adrenaline and clonidine admixture.

    abstract::Sixty patients, scheduled for Caesarean section were randomly allocated to receive by the epidural route in a double-blind fashion one of the following patient-controlled analgesia mixtures for the relief of postoperative pain: sufentanil 2 micrograms.ml-1 in 0.9% sodium chloride, sufentanil 2 micrograms.ml-1 + adrena...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1994.tb04447.x

    authors: Vercauteren MP,Vandeput DM,Meert TF,Adriaensen HA

    更新日期:1994-09-01 00:00:00

  • Prospective survey of the use of the laryngeal mask airway in 2359 patients.

    abstract::Patients undergoing anaesthesia in which the laryngeal mask airway was used were prospectively audited over a 6-month period. A simple record sheet was completed at the time of anaesthetic administration and 2359 completed forms were analysed to assess problems encountered with its use. It was used successfully in 235...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb06794.x

    authors: Verghese C,Smith TG,Young E

    更新日期:1993-01-01 00:00:00

  • Awareness during anaesthesia for implantable cardioverter defibrillator implantation. Recall of defibrillation shocks.

    abstract::Implantable cardioverter defibrillator implantation is performed under general anaesthesia. This report describes awareness or recall in two of 33 patients scheduled for implantation. After induction, anaesthesia was maintained using continuous infusions of propofol and atracurium and intermittent boluses of alfentani...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1995.tb06107.x

    authors: Moerman A,Herregods L,Foubert L,Poelaert J,Jordaens L,D'Hont L,Rolly G

    更新日期:1995-08-01 00:00:00

  • Awake fibreoptic intubation in the semi-prone position following facial trauma.

    abstract::A fit 27-year-old man presented with severe facial trauma following an industrial accident. Initial assessment showed severe swelling around the lower jaw and haemorrhage from the mouth, nose, scalp and left ear. The patient was conscious with a Glasgow Coma Score of 13 but in respiratory distress. Following adoption ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1996.tb15004.x

    authors: Neal MR,Groves J,Gell IR

    更新日期:1996-11-01 00:00:00

  • Convection warmers--not just hot air.

    abstract::We sought to determine whether the forced air convection warmers (nine Bair Huggers, Augustine Medical, and one Warm Touch, Mallinkrodt Medical) used in our operating theatres could be a source of microbial pathogens. Agar plates were placed directly in the air stream of the warmers. Four of these grew potentially pat...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.250-az0384.x

    authors: Avidan MS,Jones N,Ing R,Khoosal M,Lundgren C,Morrell DF

    更新日期:1997-11-01 00:00:00

  • Increase in prominence of electrocardiographic J waves after a single dose of propofol in a patient with early ventricular repolarisation.

    abstract::J waves appear on an electrocardiogram as an elevation of the J point in the terminal portion of the QRS complex. J waves are often benign, but may be associated with malignant ventricular arrhythmias. In some cases, such problems appear to have been precipitated by propofol infusions. We observed a sudden increase in...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.12448

    authors: Takaishi K,Kawahito S,Yamada H,Soeki T,Sata M,Kitahata H

    更新日期:2014-02-01 00:00:00

  • Impact of a physician-led pre-hospital critical care team on outcomes after major trauma.

    abstract::The deployment of physician-led pre-hospital enhanced care teams capable of critical care interventions at the scene of injury may confer a survival benefit to victims of major trauma. However, the evidence base for this widely adopted model is disputed. Failure to identify a clear survival benefit has been attributed...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.14501

    authors: Hepple DJ,Durrand JW,Bouamra O,Godfrey P

    更新日期:2019-04-01 00:00:00

  • Pain and clinical thrombophlebitis following intravenous diazepam and lorazepam.

    abstract::Eighty-seven per cent of surgical patients receiving undiluted diazepam experienced pain on injection while 6-16%, depending on the dose, manifested evidence of clinical thrombophlebitis. This was improved when diazepam, 10 mg, was diluted to 20-40 ml with intravenous solution. In contrast, lorazepam appeared to have ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2044.1978.tb08348.x

    authors: Graham CW,Pagano RR,Conner JT

    更新日期:1978-02-01 00:00:00

  • A comparison of four risk models for the prediction of cardiovascular complications in patients with a history of atrial fibrillation undergoing non-cardiac surgery.

    abstract::It is unclear how best to predict peri-operative cardiovascular risk in patients with atrial fibrillation undergoing non-cardiac surgery. This study examined the accuracy of the revised cardiac risk index and three atrial fibrillation thrombo-embolic risk models for predicting 30-day cardiovascular events after non-ca...

    journal_title:Anaesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/anae.14777

    authors: McAlister FA,Youngson E,Jacka M,Graham M,Conen D,Chan M,Szczeklik W,Alonso-Coello P,Devereaux PJ,vascular events in non-cardiac surgery patIents cohort evaluation (VISION) investigators.

    更新日期:2020-01-01 00:00:00

  • Systematic review of the literature for the use of oesophageal Doppler monitor for fluid replacement in major abdominal surgery.

    abstract::The use of intra-operative Doppler oesophageal probes provides continuous monitoring of cardiac output. This enables optimisation of intravascular volume and tissue perfusion in major abdominal surgery, which is thought to reduce postoperative complications and shorten hospital stay. Medline and EMBASE were searched u...

    journal_title:Anaesthesia

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/j.1365-2044.2007.05233.x

    authors: Abbas SM,Hill AG

    更新日期:2008-01-01 00:00:00

  • Propofol and serum potassium.

    abstract::The aim of this study was to examine the effect of propofol and propofol with suxamethonium on serum potassium concentration during induction of general anaesthesia. Forty patients were studied during elective surgery and serum electrolytes were measured before and after the induction of anaesthesia. Patients were all...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1992.tb01959.x

    authors: Fogarty DJ,McCleane GJ

    更新日期:1992-01-01 00:00:00

  • Evaluation of a new continuous cardiac output monitor in off-pump coronary artery surgery.

    abstract::We evaluated a new, ultra-fast response continuous cardiac output monitor in 34 adult patients undergoing off-pump coronary artery bypass graft surgery. Cardiac output was measured with the TruCCOMS continuous cardiac output monitor (Aortech International plc, Lanarkshire, UK), using triplicate cold bolus thermodiluti...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2004.03668.x

    authors: Leather HA,Vuylsteke A,Bert C,M'Fam W,Segers P,Sergeant P,Vandermeersch E,Wouters PF

    更新日期:2004-04-01 00:00:00

  • Buscopan for the treatment of pain after laparoscopic sterilisation.

    abstract::We investigated the effect of Buscopan 20 mg, given at the end of surgery, on analgesic requirements in 44 ASA I and II patients presenting as day cases for laparoscopic sterilisation using Filshie clips. Patients were randomly allocated to receive either intravenous Buscopan 20 mg or saline placebo at the end of surg...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.2001.01528-2.x

    authors: Habib A,Sharpe P,Anderson S,Francis S,Davidson AC,Smith G

    更新日期:2001-02-01 00:00:00

  • Effect of orientation of a standard polyvinyl chloride tracheal tube on success rates during awake flexible fibreoptic intubation.

    abstract::We conducted a randomised study in 70 patients to assess the effect of orientation of a standard polyvinyl chloride tracheal tube on the ease of railroading the tube during awake fiberoptic orotracheal intubation. Conventional orientation of the tube (with the bevel of the tube directed to the patient's left) was comp...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2006.04750.x

    authors: Sharma D,Bithal PK,Rath GP,Pandia MP

    更新日期:2006-09-01 00:00:00

  • Sedation for oocyte retrieval using target controlled infusion of propofol and incremental alfentanil delivered by non-anaesthetists.

    abstract::Oocyte retrieval is a procedure where sedation is recommended. This paper presents the process of setting up a new, non-anaesthetist delivered service in our institution, the development of safety systems and the audit data we have used to assure quality, effectiveness and safety. Logbook data were collected for 4342 ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2010.06264.x

    authors: Edwards JA,Kinsella J,Shaw A,Evans S,Anderson KJ

    更新日期:2010-05-01 00:00:00

  • Management of donors for heart and heart-lung transplantation.

    abstract::The quality of donor organs will determine the quality of life for the recipient and the importance of optimal management of the multi-organ donor is that the organs may benefit up to five, critically ill, patients. The basic principle is to maintain sufficient preload to minimise the need for inotropic support and it...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1990.tb14396.x

    authors: Ghosh S,Bethune DW,Hardy I,Kneeshaw J,Latimer RD,Oduro A

    更新日期:1990-08-01 00:00:00

  • Caudal block for postoperative analgesia in children.

    abstract::A clinical trial was performed to compare the effects of intramuscular dihydrocodeine with caudal bupivacaine on postoperative pain and recovery in 181 children who had undergone either circumcision, inguinal herniotomy or orchidopexy performed under general anaesthesia. Linear analogues were used in assess level of c...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1982.tb01717.x

    authors: Bramwell RG,Bullen C,Radford P

    更新日期:1982-10-01 00:00:00