Concordance in the measurement of cardiac output. Vigileo vs. Capstesia
Keywords:
Cardiac Output, Hemodynamic Monitoring, Thoracic SurgeryAbstract
Background: Capstesia is an app for smartphones that can serve as a simple, accessible and affordable alternative to current advanced hemodynamic monitoring devices. The aim of this paper was to establish the degree of concordance between the Vigileo monitor and the Capstesia app in the measurement of cardiac output in patients undergoing cardiac surgery.
Methods: A process study was conducted that included 30 patients whose cardiac output was measured simultaneously with the Capstesia app and the Vigileo monitor. The analysis was done using the Lin's concordance correlation coefficient and Student's t - test. A p < 0.05 was considered significant. The information was processed in SPSS v. 22.0.
Results: 332 paired samples were taken. The cardiac output values obtained were 4.43 ± 1.37 L/min for the Vigileo monitor and 4.45 ± 1.38 L/min for the Capstesia app. Lin's concordance correlation coefficient yielded a value of 0.966 with a confidence range of 0.958-0.973.
Conclusions: There is substantial concordance between the cardiac output values yielded by the Vigileo monitor and the Capstesia app in patients undergoing cardiac surgery.
Downloads
References
Díaz-Esquivel A, Monares-Zepeda E, Aguirre-Sánchez J, Poblano-Moreno M, Camarena-Alejo G, Franco-Granillo J. Correlación entre el gasto cardiaco por termodilución y el medido a través de VCO2. Rev Asoc Mex Med Crit y Ter Int. 2012;26:36-41.
Brienza N, Giglio MT, Marucci M, Fiore T. Does perioperative hemodynamic optimization protect renal function in surgical patients? A meta-analytic study. Crit Care Med. 2009;37:2079-90.
Cecconi M, Fasano N, Langiano N, Divella M, Costa MG, Rhodes A, et al. Goal-directed haemodynamic therapy during elective total hip arthroplasty under regional anaesthesia. Crit Care. 2011;15:R132.
Mythen MG, Swart M, Acheson N, Crawford R, Jones K, Kuper M, et al. Perioperative fluid management: Consensus statement from the enhanced recovery partnership. Perioper Med (Lond). 2012;1:2.
Gustafsson UO, Scott MJ, Schwenk W, Demartines N, Roulin D, Francis N, et al. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations. World J Surg. 2013;37:259-84.
McGee WT, Raghunathan K. Physiologic goal-directed therapy in the perioperative period: the volume prescription for high-risk patients. J Cardiothorac Vasc Anesth. 2013;27(6):1079-86.
Langesæter E, Gibbs M, Dyer RA. The role of cardiac output monitoring in obstetric anesthesia. Curr Opin Anaesthesiol. 2015;28(3):247-53.
Wittkowski U, Spies C, Sander M, Erb J, Feldheiser A, von Heymann C. Haemodynamic monitoring in the perioperative phase. Available systems, practical application and clinical data. Anaesthesist. 2009;58(8):764-78, 780-6.
Weyland A, Scheeren T. Effects of advanced haemodynamic monitoring on perioperative outcome in high-risk patients. Anasthesiol Intensivmed Notfallmed Schmerzther. 2012;47(2):92-100.
Mathews L, Singh RK. Cardiac output monitoring. Ann Card Anaesth. 2008;11(1):56-68.
García X, Mateu L, Maynar J, Mercadal J, Ochagavia A, Ferrandiz A. Estimación del gasto cardiaco. Utilidad en la práctica clínica. Monitorización disponible invasiva y no invasiva. Med Intensiva. 2011:35:552-561.
Tsai Y-F, Liu F-C, Yu H-P. FloTrac/Vigileo system monitoring in acute-care surgery: current and future trends. Expert Rev Med Devices. 2013;10:717-28.
Button D, Weibel L, Reuthebuch O, Genoni M, Zollinger A, Hofer CK. Clinical evaluation of the FloTrac/Vigileo system and two established continuous cardiac output monitoring devices in patients undergoing cardiac surgery. Br J Anaesth. 2007;99(3):329-36.
Senn A, Button D, Zollinger A, Hofer CK. Assessment of cardiac output changes using a modified FloTrac/Vigileo algorithm in cardiac surgery patients. Crit Care. 2009;13(2):R32.
Seo K. Arterial pressure-based cardiac output monitoring: 1. FloTrac sensor and SVV. Masui. 2009;58(7):838-47.
Mayer J, Boldt J, Poland R, Peterson A, Manecke GR. Continuous arterial pressure waveform-based cardiac output using the FloTrac/Vigileo: a review and meta-analysis. J Cardiothorac Vasc Anesth. 2009;23(3):401-6.
Slagt C, Malagon I, Groeneveld ABJ. Systematic review of uncalibrated arterial pressure waveform analysis to determine cardiac output and stroke volume variation. Br J Anaesth. 2014;112(4):626-37.
Dalfino L, Giglio MT, Puntillo F, Marucci M, Brienza N. Haemodynamic goal-directed therapy and postoperative infections: earlier is better. A systematic review and meta-analysis. Crit Care. 2011;15(3):R154.
Borraci RA, Rubio MJ, Caviglia DF, Fuks J, et al. Costo-beneficio de un programa de recuperación posoperatoria rápida en cirugía cardíaca. Rev Arg Cardiol. 1996;64:505-10.
Bernardo A. eHealth: tecnología móvil que revoluciona la medicina. Blogthinkbig. (27 de marzo de 2013). Disponible en: http://blogthinkbig.com/ehealth-tecnologia-movil-medicina/
de la Quintana-Gordon F, López-López E, de la Quintana-Gordon E, Zaballos-Bustingorri J. Capítulo 10: Presión arterial invasiva. Disponible en: https://es.scribd.com/doc/131354403/PRESION-ARTERIAL-INVASIVA-pdf
Barrachina-Larraza B, Álvarez-Guerras O, Lopez-Picado A. Capstesia, una nueva APP para la monitorización hemodinámica avanzada. Rev Esp Anestesiol Reanim. 2014;61(9):535-536.
Desebbe O, Joosten A, Suehiro K, Lahham S, Essiet M, Rinehart J, et al. A novel mobile phone application for pulse pressure variation monitoring based on feature extraction technology: A method comparison study in a simulated environment. Anesth Analg. 2016;123(1):105-13.
Lin LI. A concordance correlation coefficient to evaluate reproducibility. Biometrics. 1989;45(1):255-68.
Downloads
Published
Issue
Section
License
Authors retain their copyright and grant the Revista Médica del IMSS the right of first publication. Articles are distributed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which allows sharing as long as the author and the original source are properly credited.
