Jivegård L, Frid I, Haljamäe H, Holm J, Holm S, Wickström I
Department of Surgery, University of Gothenburg, Sahlgren's Hospital, Sweden.
Crit Care Med. 1990 Sep;18(9):995-8. doi: 10.1097/00003246-199009000-00018.
The accuracy of transthoracic electrical bioimpedance (TEB) for continuous, noninvasive measurement of cardiac output (Qt) in pigs was assessed in comparison with the thermodilution (TD) technique. Using the TEB technique, the different thoracic habitus of the pig had to be corrected for A good correlation with the TD technique was obtained (r = .87; p less than .001; n = 86) using thoracic length value (the measured value plus 25%) in an NCCOM3-R6 cardiodynamic computer for Qt values ranging from 2.9 to 9.8 L/min in pigs weighing from 40 to 75 kg. However, the Qt values given by the NCCOM3 were systematically 11% to 15% higher over the full range of values than the average of NCCOM-3 and TD Qt values. On the basis of the good agreement in the present study between the TEB and TD techniques over a broad range of Qt values, we conclude that TEB offers a valuable continuous, noninvasive alternative to TD for Qt determinations in experimental porcine models.
通过与热稀释(TD)技术比较,评估经胸电阻抗(TEB)在猪中连续、无创测量心输出量(Qt)的准确性。使用TEB技术时,必须校正猪不同的胸廓形态。在NCCOM3-R6心脏动力学计算机中,对于体重40至75千克的猪,心输出量(Qt)范围为2.9至9.8升/分钟,使用胸廓长度值(测量值加25%),与TD技术获得了良好的相关性(r = 0.87;p < 0.001;n = 86)。然而,在整个值范围内,NCCOM3给出的Qt值比NCCOM-3和TD Qt值的平均值系统地高11%至15%。基于本研究中TEB和TD技术在广泛的Qt值范围内具有良好的一致性,我们得出结论,对于实验性猪模型的心输出量测定,TEB为TD提供了一种有价值的连续、无创替代方法。