Comparison of thoracic electrical bioimpedance and thermodilution for the measurement of cardiac index in patients with severe sepsis.
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Key Findings
Abstract
Cardiac index was measured using thoracic bioimpedance (CIbi) and thermodilution (CItd) in 19 patients with proven sepsis, undergoing artificial ventilation of the lungs. There was a poor correlation between the techniques (r = 0.36, 242 data sets, regression line CIbi = 0.16 CItd + 2.56 litre min-1 m-2). The overall bias (CItd-CIbi) was 1.69 litre min-1 m-2 with limits of agreement (precision) of +4.17 to -0.79 litre min-1 m-2. In individual patients the bias was from -0.46 to 4.56 litre min-1 m-2 with the limits of agreement from +/- 0.29 to +/- 2.55 litre min-1 m-2 around the bias values. The two techniques cannot be used interchangeably in this group of patients.
Affiliation
Nuffield Department of Anaesthetics, John Radcliffe Hospital, Oxford.
External References
- PubMed ID:
- 8431335
- DOI:
- 10.1093/bja/70.1.58
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