第四代FloTrac软件脉冲轮分析用于测量和趋势心脏输出:一种方法比较研究
Caroline Dinesen1,2, Simon Tilma Vistisen2, Rasmus Aagaard1,2,3
1Department of Cardiothoracic and Vascular Surgery, Anesthesia Section, Aarhus University Hospital, Aarhus, Denmark.
由于不可接受的百分比错误和有限的趋势能力,FloTrac方法,一种微创心脏输出监测器,在心脏手术后的患者中不能与热稀释方法互换.
科学领域:
- 心血管生理学心血管生理学
- 医疗器械评估 医疗器械评估
- 血液动力学监测 血液动力学监测
背景情况:
- 准确的心脏输出 (CO) 评估对于血液动力学管理至关重要.
- 在FloTrac系统提供最少侵入性,连续的CO估计.
- 这项研究将FloTrac方法与肺动脉导管热稀释进行了比较.
研究的目的:
- 为了评估FloTrac方法的准确性,精度和趋势性能.
- 为了比较FloTrac的CO测量与热稀释 (TD) 的CO测量.
- 确定FloTrac与TD在心脏手术患者中的可互换性.
主要方法:
- 对41名心脏手术患者进行前性干预研究.
- 使用FloTrac和TD在预加载干预前/后同时进行CO测量.
- 分析偏差,一致限度,百分比错误 (PE) 和一致率.
主要成果:
- 偏差在 -0.36 到 0.79 L/min 之间;一致性极限很宽.
- 百分比错误 (PE) 超过了30%的门 (35-42%).
- 符合率低于90%的标准 (72-85%).
结论:
- 该FloTrac方法没有满足与热稀释的可互换性标准.
- 无法接受的百分比错误和不良的趋势限制了FloTrac的临床效用.
- 对于这种患者群体,FloTrac的准确性和精度是不够的.
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