A correlation between combined cardiopulmonary ultrasound and pulse index continuous cardiac output monitoring in critically ill patients

doi:10.3877/cma.j.issn.2096-1537.2021.02.003

Abstract

Abstract:

Objective

To analyse the correlation of combined cardiopulmonary ultrasound and pulse index continuous cardiac output (PICCO) monitoring in critically ill patients.

Methods

Prospective self-controlled study was used. Patients who need hemodynamic monitoring from April to June 2020, Shanghai Tenth People's Hospital Emergency Intensive Care patients were enrolled. All patients received PICCO monitoring to get cardiac output (CO) and vascular lung water index (ELWI). Meanwhile, cardiopulmonary ultrasonic automatic monitoring was performed to get CO, the left ventricular outflow blood flow velocity time integral (VTI) and lung ultrasound B line.

Results

A total of 41 patients were enrolled, the male/female ratio was 26∶15 and average age was (73.6±8.85) years old. There was no statistical difference between PICCO and echocardiography in CO (t=1.01, P=0.316) with a correlation of 0.911 (95%CI=0.82-0.96, P＜0.001). Similarly, a correlation between pulmonary ultrasound and ELWI was also found (r=0.770, 95%CI=0.58-0.88, P＜0.001).

Conclusion

The monitoring results of critically ill patients between combined cardiopulmonary ultrasound and PICCO has correlation.

Key words: Acute critical illness monitoring, Pulse index continuous cardiac output, Combined cardiopulmonary ultrasound

Yi Fang, Di Lyu, Haidong Zhou, Yuanzhuo Chen, Xiaoxiao Sun, Yugang Zhuang. A correlation between combined cardiopulmonary ultrasound and pulse index continuous cardiac output monitoring in critically ill patients[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2021, 07(02): 110-114.

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