Cardiac Output Clinical Trial
Official title:
Estimation of Cardiac Output by Nine Different Pulse Contour Algorithms Compared With Transpulmonary Thermodilution
The aim of the present study is to compare accuracy and precision of Cardiac Output (CO) by nine different pulse contour algorithms with transpulmonary thermodilution before and after cardiopulmonary bypass (CPB).
After induction of anesthesia, a central venous catheter and a transpulmonary thermodilution
catheter (Pulsion Medical Systems, Munich, Germany) are introduced in the right internal
jugular vein and in the femoral artery, respectively. The thermodilution catheter is
connected to a PiCCO2 monitor (Software version 1.3.0.8). Thereafter, placement of an
esophageal doppler probe is performed and the probe is connected to a unique Monitoring
System (Deltex Medical, Chichester, UK) with nine different pulse contour algorithms.
Cardiac Output by esophageal doppler is used to calibrate the nine different pulse contour
algorithms.
After induction of anesthesia and establishment of all monitoring devices, a passive leg
raising maneouvre (PLR) is performed and hemodynamic variables including CO by
transpulmonary thermodilution (COTPTD) and CO by nine different pulse contour algorithms
(COX1-9) are recorded before, during and after PLR. Subsequently, measurements of COTPTD and
COX1-9 are carried out every 10 minutes until the beginning of CPB. Fifteen minutes after
weaning from cardiopulmonary bypass calibration of nine different pulse contour algorithms
by esophageal doppler are performed again and measurements of CITPTD and CIPFX are restarted
up to the end of the surgical Intervention.
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Intervention Model: Single Group Assignment, Masking: Open Label
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