自校准脉搏轮廓心输出量：验证研究真的能证明其临床可靠性吗？
Self-calibrating pulse contour cardiac output: do validation studies really show its clinical reliability?
作者信息
Critchley Lester A H
机构信息
Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong, PR China.
出版信息
Crit Care. 2009;13(2):123. doi: 10.1186/cc7718. Epub 2009 Mar 4.
Abstract
The present study was performed to test a new software version of the FloTrac/Vigileo using head-up-head-down tilting in post-cardiac surgery patients. Impressive improvements in Bland and Altman limits of agreement from 37.5% to 21.6% were recorded. The results, however could be attributed to a failure to produce a wide enough range of test circulatory conditions. A more rigorous test of performance is needed before any real conclusion concerning use of the FloTrac/Vigileo in clinical practice can be made.
摘要
本研究旨在通过让心脏手术后患者进行头高脚低和头低脚高倾斜试验，来测试FloTrac/Vigileo的一个新软件版本。布兰德-奥特曼一致性界限从37.5%显著改善至21.6%。然而，这些结果可能归因于未能产生足够广泛的测试循环条件。在就FloTrac/Vigileo在临床实践中的使用得出任何实际结论之前，需要对其性能进行更严格的测试。
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本文引用的文献
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Assessment of cardiac output changes using a modified FloTrac/Vigileo algorithm in cardiac surgery patients.在心脏手术患者中使用改良的FloTrac/Vigileo算法评估心输出量变化
Crit Care. 2009;13(2):R32. doi: 10.1186/cc7739. Epub 2009 Mar 4.
2
Evaluation of an uncalibrated arterial pulse contour cardiac output monitoring system in cirrhotic patients undergoing liver surgery.未校准的动脉脉搏轮廓心输出量监测系统在接受肝脏手术的肝硬化患者中的评估
Br J Anaesth. 2009 Jan;102(1):47-54. doi: 10.1093/bja/aen343.
3
The reliability of pulse contour-derived cardiac output during hemorrhage and after vasopressor administration.出血期间及使用血管升压药后通过脉搏轮廓分析法得出的心输出量的可靠性。
Anesth Analg. 2007 Jul;105(1):107-13. doi: 10.1213/01.ane.0000268140.02147.ed.
4
A meta-analysis of studies using bias and precision statistics to compare cardiac output measurement techniques.一项使用偏倚和精密度统计数据来比较心输出量测量技术的研究的荟萃分析。
J Clin Monit Comput. 1999 Feb;15(2):85-91. doi: 10.1023/a:1009982611386.
5
Non-invasive continuous arterial pressure, heart rate and stroke volume measurements during graded head-up tilt in normal man.正常男性在分级头高位倾斜过程中的无创连续动脉压、心率和每搏量测量
Clin Auton Res. 1997 Apr;7(2):97-101. doi: 10.1007/BF02267754.
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