Please use this identifier to cite or link to this item:
Full metadata record
DC FieldValueLanguage
dc.contributor.authorJones, Daryl Aen
dc.contributor.authorStory, David Aen
dc.contributor.authorPeyton, Philip Jen
dc.contributor.authorBellomo, Rinaldoen
dc.identifier.citationAnaesthesia and Intensive Care; 34(1): 97-101en
dc.description.abstractWe describe a patient with severe left ventricular dysfunction simultaneously monitored with pulse contour cardiac output (PiCCO) analysis, a continuous cardiac output pulmonary artery catheter (continuous COPAC) and intraoperative transoesophageal echocardiography (TOE). There was good agreement between cardiac output (CO) measurements obtained by the three techniques prior to cardiopulmonary bypass (CPB). Agreement of CO measurements following CPB was initially pool; but improved following recalibration of PiCCO. PiCCO-derived global end-diastolic volume index (GEDVI) and cardiac function index (CFI), were assessed as markers of left ventricular preload and myocardial contractility, respectively. GEDVI correlated well with CO in the postoperative period. CFI increased more than two-fold following coronary revascularization and milrinone administration, and there was also a temporal relationship between the CFI and the dose of milrinone in the first 24 hours of treatment. Global end-diastolic volume and cardiac function index may be useful additional measures of left ventricular preload and myocardial contractility in patients with severe left ventricular dysfunction.en
dc.subject.otherCardiac Output.physiologyen
dc.subject.otherCardiopulmonary Bypass.adverse effects.methodsen
dc.subject.otherCoronary Angiographyen
dc.subject.otherCoronary Artery Bypass.adverse effects.methodsen
dc.subject.otherEchocardiography, Transesophagealen
dc.subject.otherFollow-Up Studiesen
dc.subject.otherIntraoperative Complications.diagnosis.therapyen
dc.subject.otherMiddle Ageden
dc.subject.otherMonitoring, Intraoperative.methodsen
dc.subject.otherMonitoring, Physiologic.methodsen
dc.subject.otherMyocardial Infarction.diagnosis.surgeryen
dc.subject.otherPerioperative Care.methodsen
dc.subject.otherRisk Assessmenten
dc.subject.otherSeverity of Illness Indexen
dc.subject.otherVentricular Dysfunction, Left.diagnosis.therapyen
dc.titlePerioperative pulse contour cardiac output analysis in a patient with severe cardiac dysfunction.en
dc.typeJournal Articleen
dc.identifier.journaltitleAnaesthesia and Intensive Careen
dc.identifier.affiliationDepartment of Intensive Care, The Alfred Hospital, Departments of Anaesthesia and Surgery, Austin Hospital, Departments of Intensive Care and Medicine, Austin Hospital, Melboume, Victoria.en
dc.type.austinJournal Articleen
item.fulltextNo Fulltext-
item.openairetypeJournal Article- Care- for Breathing and Sleep- Care- Analytics Research and Evaluation (DARE) Centre-
Appears in Collections:Journal articles
Show simple item record

Page view(s)

checked on Feb 5, 2023

Google ScholarTM


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.