The Consistency of Tracking Changes of Cardiac Output by Carotid Doppler Blood Flow and Thermodilution Technique in Cardiac Surgery Patients
Overview
- Phase
- Not Applicable
- Intervention
- passive leg raising
- Conditions
- Cardiac Surgery
- Sponsor
- Shanghai Zhongshan Hospital
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- cardiac output by thermodilution method
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
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.
Investigators
Eligibility Criteria
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
Arms & Interventions
cardiac surgery patients with thermodilution technique monitoring
Intervention: passive leg raising
cardiac surgery patients with thermodilution technique monitoring
Intervention: Dobutamine
Outcomes
Primary Outcomes
cardiac output by thermodilution method
Time Frame: 30 minutes after dobutamine infusion
measuring cardiac output using thermodilution method
cardiac output by continuous carotid doppler blood flow
Time Frame: 30 minutes after dobutamine infusion
measuring cardiac output using continuous carotid doppler blood flow