Cardiac Surgery
Conditions
Keywords
carotid doppler; hemodynamic
Brief summary
Currently, the gold standard method to estimate CO is the thermodilution technique, pulmonary artery catheter (PAC) and PiCCO system included, however, the invasiveness and complexity of the thermodilution technique have limited their usefulness in many clinical scenarios. By measuring the carotid blood flow, continuous carotid doppler technique has been reported to noninvasively estimate cardiac output (CO) and other parameters related to cardiac contractility and fluid status in various cardiovascular disorders. However, to the best of our knowledge, few study has been reported to evaluate the consistency of this technique in cardiac surgery patients. The aim of this study is to evaluate the tracking ability of CO changes measured by continuous carotid doppler technique in cardiac surgery patients, use the thermodilution technique as the referenced.
Interventions
transfer a patient from semi-recumbent position to supine position with a 45° leg lifting
infusion dobutamine
Sponsors
Study design
Eligibility
Inclusion criteria
* adult cardiac surgery patients * with thermodilution technique monitoring * mechanical ventilation
Exclusion criteria
* life threatening arrhythmia * severe valve regurgitation * left ventricular ejection fraction less than 30% * patients with mechanical circulatory support
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| cardiac output by continuous carotid doppler blood flow | 5minutes after the patients was sedated | measuring cardiac output using continuous carotid doppler blood flow |
| cardiac output by thermodilution method | 5 minutes after the patients was sedated | measuring cardiac output using thermodilution method |
Countries
China