Use of Ultrasonic Cardiac Output Monitoring for Patients after Coronary Artery Bypass Grafting_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

MENGQing-tao ,  WANGHui-shan , HANHong-guang , JIANGHui , TAODeng-shun , WUHai-bo , HANJin-song

Department of Cardiovascular Surgery, General Hospital of Shenyang Military Region, Shenyang 110016, P. R. China;

Corresponding?author：

WANGHui-shan, Email: huishanwang@hotmail.com

Keywords：

Ultrasonic cardiac output monitoring; Coronary artery bypass grafting; Cardiac output; Pulmonary artery catheterization

DOI：

10.7507/1007-4848.20140059

Video：

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Objective To evaluate the feasibility to use ultrasonic cardiac output monitoring (USCOM) for patients after coronary artery bypass grafting. Methods Clinical data of 32 patients undergoing off-pump coronary artery bypass grafting in General Hospital of Shenyang Military Region between April and June 2013 were retrospectively analyzed. There were 17 male and 15 female patients with their age of 46-76 (63.2±7.6) years. USCOM and pulmonary artery catheterization (PAC) were used to measure cardiac output (CO) synchronously,and the results were compared between USCOM and PAC. Results Sixty-four pairs of data were collected from those 32 patients. No adverse event was observed with either USCOM or PAC. Mean CO was 4.27±0.92 L/min with USCOM and 4.49±0.75 L/min with PAC respectively,which were not statistically different (P=0.12) but significantly correlated (r=0.84,P<0.001). Conclusion There is close correlation between USCOM and PAC for CO measurement. USCOM can not only measure CO accurately,but also has the advantages of being noninvasive,easy to perform and low cost.

Citation： MENGQing-tao, WANGHui-shan, HANHong-guang, JIANGHui, TAODeng-shun, WUHai-bo, HANJin-song. Use of Ultrasonic Cardiac Output Monitoring for Patients after Coronary Artery Bypass Grafting. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2014, 21(2): 203-206. doi: 10.7507/1007-4848.20140059 Copy

1.	?He SR,Sun X,Zhang C,et al.Measurement of systemic oxygen delivery and inotropy in healthy term neonates with the ultrasonic cardiac output monitor (USCOM).Early Hum Dev,2013,89 (5):289-294.
2.	王輝山,汪曾煒,朱洪玉,等.嚴重左心室功能不全冠心病患者的外科治療.中國胸心血管外科臨床雜志,2005,12 (3):202-203.
3.	Critchley LA,Peng ZY,Fok BS,et al.Testing the reliability of a new ultrasonic cardiac output monitor,the USCOM,by using aortic flowprobes in anesthetized dogs.Anesth Analg,2005,100 (3):748-753.
4.	Pantin EJ,Kraidin JL,Ginsberg SH,et al.The Swan-Ganz catheter as a teaching tool for the anesthesiologist learning minimally invasive cardiac surgery.Innovations (Phila),2012,7 (3):204-207.
5.	Tukey MH,Wiener RS.The current state of fellowship training in pulmonary artery catheter placement and data interpretation:a National survey of pulmonary and critical care fellowship program directors.J Crit Care,2013,28 (5):857-861.
6.	Siu L,Tucker A,Manikappa SK,et al.Does patient position influence Doppler signal quality from the USCOM ultrasonic cardiac output monitor? Anesth Analg,2008,106 (6):1798-1802.
7.	Trinkmann F,Doesch C,Papavassiliu T,et al.A novel noninvasive ultrasonic cardiac output monitor:comparison with cardiac magnetic resonance.Clin Cardiol,2010,33 (2):e8-e14.
8.	李京倖,顧承雄,韋華,等.心功能不全冠心病患者非體外循環冠狀動脈旁路移植術的療效分析.中國胸心血管外科臨床雜志,2011,18 (2):157-159.
9.	許成芳,許道營.無創血流動力學指標在慢性心力衰竭診治中的臨床應用.濱州醫學院學報,2009,32 (4):272-274.
10.	劉健,袁忠祥.合并嚴重左心功能不全冠心病患者行冠狀動脈旁路移植術的臨床分析.中國胸心血管外科臨床雜志,2011,18 (6):574-575.
11.	崔云飛,宋東慶,周佩夏.胸阻抗法無創血流動力學監測在ICU的應用及進展.中國實用醫藥,2012,7 (12):256-257.
12.	Zilinski JL,Shah RV,Gaggin HK,et al.Measurement of multiple biomarkers in advanced stage heart failure patients treated with pulmonary artery catheter guided therapy.Crit Care,2012,16 (4):135.
13.	張勁濤,陳宇,王超,等.漂浮導管技術在危重癥患者圍術期的臨床應用.實用臨床醫藥雜志,2013,17 (7):72-73.
14.	Hessel EA,Apostolidou I.Pulmonary artery catheter for coronary artery bypass graft:does it harm our patients? Primum non nocere.Anesth Analg,2011,113 (5):987-989.
15.	Huang L CL,Precision of the USCOM.Does a meta-analysis provide the answer.Anaesthesia,2013,68 (4):431-432.
16.	金巖,王輝山,姜輝,等.主動脈瓣置換術患者合并冠心病的臨床特點.中國胸心血管外科臨床雜志,2013,20 (1):15-19.
17.	Bendjelid K.Continuous thermodilution cardiac output monitoring during therapeutic hypothermia.Anesth Analg,2011,112 (1):250-251.
18.	Tan HL,Pinder M,Parsons R,et al.Clinical evaluation of USCOM ultrasonic cardiac output monitor in cardiac surgical patients in intensive care unit.Br J Anaesth,2005,94 (3):287-291.
19.	Chikhani M,Moppett IK.Minimally invasive cardiac output monitoring:what evidence do we need.Br J Anaesth,2011,106 (4):451-453.
20.	Siu CW,Tse HF,Lee K,et al.Cardiac resynchronization therapy optimization by ultrasonic cardiac output monitoring (USCOM) device.Pacing Clin Electrophysiol,2007,30 (1):50-55.
21.	Chan JS,Segara D,Nair P.Measurement of cardiac output with a non-invasive continuous wave Doppler device versus the pulmonary artery catheter:a comparative study.Crit Care Resusc,2006,8 (4):309-314.
22.	Wong LS,Yong BH,Young KK,et al.Comparison of the USCOM ultrasound cardiac output monitor with pulmonary artery catheter thermodilution in patients undergoing liver transplantation.Liver Transpl,2008,14 (7):1038-1043.
23.	褚銘肄,廖紹芳,李旭軍,等.USCOM與二維超聲心動圖測量心排血量的相關性分析.中國誤診學雜志,2008,8 (36):8862-8863.
24.	Horster S,Stemmler HJ,Sparrer J,et al.Mechanical ventilation with positive end-expiratory pressure in critically ill patients:comparison of CW-Doppler ultrasound cardiac output monitoring (USCOM) and thermodilution (PiCCO).Acta Cardiol,2012,67 (2):177-185.
25.	Phillips R,Lichtenthal P,Sloniger J,et al.Noninvasive cardiac output measurement in heart failure subjects on circulatory support.Anesth Analg,2009,108 (3):881-886.

1. ?He SR,Sun X,Zhang C,et al.Measurement of systemic oxygen delivery and inotropy in healthy term neonates with the ultrasonic cardiac output monitor (USCOM).Early Hum Dev,2013,89 (5):289-294.
2. 王輝山,汪曾煒,朱洪玉,等.嚴重左心室功能不全冠心病患者的外科治療.中國胸心血管外科臨床雜志,2005,12 (3):202-203.
3. Critchley LA,Peng ZY,Fok BS,et al.Testing the reliability of a new ultrasonic cardiac output monitor,the USCOM,by using aortic flowprobes in anesthetized dogs.Anesth Analg,2005,100 (3):748-753.
4. Pantin EJ,Kraidin JL,Ginsberg SH,et al.The Swan-Ganz catheter as a teaching tool for the anesthesiologist learning minimally invasive cardiac surgery.Innovations (Phila),2012,7 (3):204-207.
5. Tukey MH,Wiener RS.The current state of fellowship training in pulmonary artery catheter placement and data interpretation:a National survey of pulmonary and critical care fellowship program directors.J Crit Care,2013,28 (5):857-861.
6. Siu L,Tucker A,Manikappa SK,et al.Does patient position influence Doppler signal quality from the USCOM ultrasonic cardiac output monitor? Anesth Analg,2008,106 (6):1798-1802.
7. Trinkmann F,Doesch C,Papavassiliu T,et al.A novel noninvasive ultrasonic cardiac output monitor:comparison with cardiac magnetic resonance.Clin Cardiol,2010,33 (2):e8-e14.
8. 李京倖,顧承雄,韋華,等.心功能不全冠心病患者非體外循環冠狀動脈旁路移植術的療效分析.中國胸心血管外科臨床雜志,2011,18 (2):157-159.
9. 許成芳,許道營.無創血流動力學指標在慢性心力衰竭診治中的臨床應用.濱州醫學院學報,2009,32 (4):272-274.
10. 劉健,袁忠祥.合并嚴重左心功能不全冠心病患者行冠狀動脈旁路移植術的臨床分析.中國胸心血管外科臨床雜志,2011,18 (6):574-575.
11. 崔云飛,宋東慶,周佩夏.胸阻抗法無創血流動力學監測在ICU的應用及進展.中國實用醫藥,2012,7 (12):256-257.
12. Zilinski JL,Shah RV,Gaggin HK,et al.Measurement of multiple biomarkers in advanced stage heart failure patients treated with pulmonary artery catheter guided therapy.Crit Care,2012,16 (4):135.
13. 張勁濤,陳宇,王超,等.漂浮導管技術在危重癥患者圍術期的臨床應用.實用臨床醫藥雜志,2013,17 (7):72-73.
14. Hessel EA,Apostolidou I.Pulmonary artery catheter for coronary artery bypass graft:does it harm our patients? Primum non nocere.Anesth Analg,2011,113 (5):987-989.
15. Huang L CL,Precision of the USCOM.Does a meta-analysis provide the answer.Anaesthesia,2013,68 (4):431-432.
16. 金巖,王輝山,姜輝,等.主動脈瓣置換術患者合并冠心病的臨床特點.中國胸心血管外科臨床雜志,2013,20 (1):15-19.
17. Bendjelid K.Continuous thermodilution cardiac output monitoring during therapeutic hypothermia.Anesth Analg,2011,112 (1):250-251.
18. Tan HL,Pinder M,Parsons R,et al.Clinical evaluation of USCOM ultrasonic cardiac output monitor in cardiac surgical patients in intensive care unit.Br J Anaesth,2005,94 (3):287-291.
19. Chikhani M,Moppett IK.Minimally invasive cardiac output monitoring:what evidence do we need.Br J Anaesth,2011,106 (4):451-453.
20. Siu CW,Tse HF,Lee K,et al.Cardiac resynchronization therapy optimization by ultrasonic cardiac output monitoring (USCOM) device.Pacing Clin Electrophysiol,2007,30 (1):50-55.
21. Chan JS,Segara D,Nair P.Measurement of cardiac output with a non-invasive continuous wave Doppler device versus the pulmonary artery catheter:a comparative study.Crit Care Resusc,2006,8 (4):309-314.
22. Wong LS,Yong BH,Young KK,et al.Comparison of the USCOM ultrasound cardiac output monitor with pulmonary artery catheter thermodilution in patients undergoing liver transplantation.Liver Transpl,2008,14 (7):1038-1043.
23. 褚銘肄,廖紹芳,李旭軍,等.USCOM與二維超聲心動圖測量心排血量的相關性分析.中國誤診學雜志,2008,8 (36):8862-8863.
24. Horster S,Stemmler HJ,Sparrer J,et al.Mechanical ventilation with positive end-expiratory pressure in critically ill patients:comparison of CW-Doppler ultrasound cardiac output monitoring (USCOM) and thermodilution (PiCCO).Acta Cardiol,2012,67 (2):177-185.
25. Phillips R,Lichtenthal P,Sloniger J,et al.Noninvasive cardiac output measurement in heart failure subjects on circulatory support.Anesth Analg,2009,108 (3):881-886.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Use of Ultrasonic Cardiac Output Monitoring for Patients after Coronary Artery Bypass Grafting

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