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.	王辉山,汪曾炜,朱洪玉,等.严重左心室功能不全冠心病患者的外科治疗.中国胸心血管外科临床杂志,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,顾承雄,韦华,等.心功能不全冠心病患者非体外循环冠状动脉旁路移植术的疗效分析.中国胸心血管外科临床杂志,2011,18 (2):157-159.
9.	许成芳,许道营.无创血流动力学指标在慢性心力衰竭诊治中的临床应用.滨州医学院学报,2009,32 (4):272-274.
10.	刘健,袁忠祥.合并严重左心功能不全冠心病患者行冠状动脉旁路移植术的临床分析.中国胸心血管外科临床杂志,2011,18 (6):574-575.
11.	崔云飞,宋东庆,周佩夏.胸阻抗法无创血流动力学监测在ICU的应用及进展.中国实用医药,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.	张劲涛,陈宇,王超,等.漂浮导管技术在危重症患者围术期的临床应用.实用临床医药杂志,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.	金岩,王辉山,姜辉,等.主动脉瓣置换术患者合并冠心病的临床特点.中国胸心血管外科临床杂志,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.	褚铭肄,廖绍芳,李旭军,等.USCOM与二维超声心动图测量心排血量的相关性分析.中国误诊学杂志,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. 王辉山,汪曾炜,朱洪玉,等.严重左心室功能不全冠心病患者的外科治疗.中国胸心血管外科临床杂志,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,顾承雄,韦华,等.心功能不全冠心病患者非体外循环冠状动脉旁路移植术的疗效分析.中国胸心血管外科临床杂志,2011,18 (2):157-159.
9. 许成芳,许道营.无创血流动力学指标在慢性心力衰竭诊治中的临床应用.滨州医学院学报,2009,32 (4):272-274.
10. 刘健,袁忠祥.合并严重左心功能不全冠心病患者行冠状动脉旁路移植术的临床分析.中国胸心血管外科临床杂志,2011,18 (6):574-575.
11. 崔云飞,宋东庆,周佩夏.胸阻抗法无创血流动力学监测在ICU的应用及进展.中国实用医药,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. 张劲涛,陈宇,王超,等.漂浮导管技术在危重症患者围术期的临床应用.实用临床医药杂志,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. 金岩,王辉山,姜辉,等.主动脉瓣置换术患者合并冠心病的临床特点.中国胸心血管外科临床杂志,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. 褚铭肄,廖绍芳,李旭军,等.USCOM与二维超声心动图测量心排血量的相关性分析.中国误诊学杂志,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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