MedPath

Validity of Cardiac Output Measurement Using Niccomo Device After Cardiac Surgery

Conditions
Shock, Cardiogenic
Surgery
Output, Low Cardiac
Interventions
Device: Niccomo
Registration Number
NCT04643509
Lead Sponsor
University Hospital, Rouen
Brief Summary

Cardiac surgery is at high risk of low cardiac output syndrome after procedure. Monitoring cardiac function, and especially cardiac output, is important to identify cardiovascular dysfunction and to introduce and adjust optimal therapies. Invasive monitor such as pulmonary arterial catheter or transpulmonary thermodilution provide precise measurements but need an invasive access to arterial and central venous route, with possible complications.

Cardiographic bioimpedencemetry (Niccomo device, Imedex Corp) allows a non invasive measurement of cardiac output and some other parameters of cardiovascular function. Nevertheless, the reliability of this device has been little studied after cardiac surgery.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
100
Inclusion Criteria
  • age > 18 y/o
  • Patients benefiting from cardiac surgery AND pulmonary arterial catheter monitoring
Exclusion Criteria
  • Aortic regurgitation grade 3-4
  • Uncontrolled Hypertension (MAP > 130 mmHg)
  • Circulatory or cardiac assistance
  • Active pacemaker

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
cardiac surgeryNiccomopatients benefiting from pulmonary arterial catheter monitoring after cardiac surgery
Primary Outcome Measures
NameTimeMethod
agreement between cardiac outputs measured by Pulmonary Arterial Catheter (PAC) and Niccomo48 hours

Cardiac outputs and systolic ejection volumes are measured at 10 different time-points and agreement between the 2 devices are explored

Secondary Outcome Measures
NameTimeMethod
Systolic Time Ratio48 hours

Niccomo values at 10 different time-points

Left Ventricular Ratio48 hours

Niccomo values at 10 different time-points

Pre-ejection Period48 hours

Niccomo values at 10 different time-points

Velocity Index48 hours

Niccomo values at 10 different time-points

Trial Locations

Locations (1)

Rouen University Hospital

🇫🇷

Rouen, France

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