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弗洛特拉克/ VigileoTM心输出量验证试验:是否有可靠的结论?

Cardiac output by Flotrac/VigileoTM validation trials: are there reliable conclusions?

作者信息

Giustiniano Enrico, Morenghi Emanuela, Ruggieri Nadia, Pellegrino Francesco, Balazova Jana, Dominoni Cristina, Marinelli Gian Luca

机构信息

Department of Anesthesia and Intensive Care - IRCCS Humanitas Clinical Institute, Rozzano, Milan (Italy).

出版信息

Rev Recent Clin Trials. 2012 Aug;7(3):181-6. doi: 10.2174/157488712802281367.

DOI:10.2174/157488712802281367
PMID:22540905
Abstract

We reviewed the comparative trials of the Flotrac/VigileoTM versus the thermodilution method, published in the last five years. The results about the agreement between the two methods measuring cardiac output are contrasting. We also noticed that almost the whole pertinent literature include studies conducted without a correct statistical design, particularly about the sample size. For this reason we consider that results of the published studies about the agreement between pulse contour analysis for cardiac output measurement and thermodilution method may be not reliable.

摘要

我们回顾了过去五年发表的关于Flotrac/VigileoTM与热稀释法的对比试验。关于这两种测量心输出量方法之间一致性的结果存在差异。我们还注意到,几乎所有相关文献中的研究都没有正确的统计设计,尤其是样本量方面。因此,我们认为已发表的关于心输出量测量的脉搏轮廓分析与热稀释法之间一致性的研究结果可能不可靠。

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Cardiac output by Flotrac/VigileoTM validation trials: are there reliable conclusions?弗洛特拉克/ VigileoTM心输出量验证试验:是否有可靠的结论?
Rev Recent Clin Trials. 2012 Aug;7(3):181-6. doi: 10.2174/157488712802281367.
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[Comparison between continuous and intermittent thermodilution measurement of cardiac output during coronary artery bypass operation].[冠状动脉搭桥手术期间心输出量连续与间断热稀释测量的比较]
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Continuous cardiac output monitoring by pulse contour during cardiac surgery.心脏手术期间通过脉搏轮廓进行连续心输出量监测。
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Con: the FloTrac device should not be used to follow cardiac output in cardiac surgical patients.反对意见:在心脏外科手术患者中,不应使用FloTrac设备来监测心输出量。
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FloTrac/Vigileo(TM) (third generation) and MostCare(®)/PRAM versus echocardiography for cardiac output estimation in vascular surgery.第三代 FloTrac/Vigileo(TM) 和 MostCare(®)/PRAM 与超声心动图用于血管手术心输出量估计的比较。
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