%0 Journal Article
%T Can endotracheal bioimpedance cardiography assess hemodynamic response to passive leg raising following cardiac surgery?
%A Jean-Luc Fellahi
%A Marc-Olivier Fischer
%A Audrey Dalbera
%A Massimo Massetti
%A Jean-Louis G¨¦rard
%A Jean-Luc Hanouz
%J Annals of Intensive Care
%D 2012
%I Springer
%R 10.1186/2110-5820-2-26
%X Twenty-five consecutive adult patients admitted to the intensive care unit following conventional cardiac surgery were prospectively included and investigated at baseline, during passive leg raising, and after fluid challenge. Comparative cardiac index data points were collected from pulse contour analysis (CIPC) and ECOM (CIECOM). Correlations were determined by linear regression. Bland-Altman analysis was used to compare the bias, precision, and limits of agreement. Percentage error was calculated. Changes in CIPC (¦¤CIPC) and CIECOM (¦¤CIECOM) during passive leg raising were collected to assess their discrimination in predicting fluid responsiveness.A significant relationship was found between CIPC and CIECOM (r£¿=£¿0.45; P£¿<£¿0.001). Bias, precision, and limits of agreement were 0.44 L.min-1.m-2 (95% confidence interval, 0.33-0.56), 0.59 L.min-1.m-2, and £¿0.73 to 1.62 L.min-1.m-2, respectively. Percentage error was 45%. A significant relationship was found between percent changes in CIPC and CIECOM after fluid challenge (r£¿=£¿0.42; P£¿=£¿0.035). Areas under the ROC curves for ¦¤CIPC and ¦¤CIECOM to predict fluid responsiveness were 0.72 (95% confidence interval, 0.5¨C0.88) and 0.81 (95% confidence interval, 0.61-0.94), respectively.ECOM is not interchangeable with pulse contour analysis but seems consistent to monitor cardiac index continuously and could help to predict fluid responsiveness by using passive leg raising.
%K Cardiac surgery
%K Cardiac monitoring
%K Bioimpedance cardiography
%K Passive leg raising
%K Fluid responsiveness
%U http://www.annalsofintensivecare.com/content/2/1/26/abstract