Consistency of Carotid Doppler Blood Flow and Thermodilution Technique
The Consistency of Tracking Changes of Cardiac Output by Carotid Doppler Blood Flow and Thermodilution Technique in Cardiac Surgery Patients
Shanghai Zhongshan Hospital
200 participants
May 31, 2023
INTERVENTIONAL
Conditions
Summary
Currently, the gold standard method to estimate CO is the thermodilution technique, pulmonary artery catheter (PAC) and PiCCO system included, however, the invasiveness and complexity of the thermodilution technique have limited their usefulness in many clinical scenarios. By measuring the carotid blood flow, continuous carotid doppler technique has been reported to noninvasively estimate cardiac output (CO) and other parameters related to cardiac contractility and fluid status in various cardiovascular disorders. However, to the best of our knowledge, few study has been reported to evaluate the consistency of this technique in cardiac surgery patients. The aim of this study is to evaluate the tracking ability of CO changes measured by continuous carotid doppler technique in cardiac surgery patients, use the thermodilution technique as the referenced.
Eligibility
Inclusion Criteria3
- adult cardiac surgery patients
- with thermodilution technique monitoring
- mechanical ventilation
Exclusion Criteria4
- life threatening arrhythmia
- severe valve regurgitation
- left ventricular ejection fraction less than 30%
- patients with mechanical circulatory support
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Interventions
transfer a patient from semi-recumbent position to supine position with a 45° leg lifting
infusion dobutamine
Locations(1)
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NCT05944146