Estimation of mean systemic filling pressure in postoperative cardiac surgery patients with three methods.

Intensive Care Medicine
Jacinta J MaasJos R C Jansen

Abstract

To assess the level of agreement between different bedside estimates of effective circulating blood volume-mean systemic filling pressure (Pmsf), arm equilibrium pressure (Parm) and model analog (Pmsa)-in ICU patients. Eleven mechanically ventilated postoperative cardiac surgery patients were studied. Sequential measures were made in the supine position, rotating the bed to a 30° head-up tilt and after fluid loading (500 ml colloid). During each condition four inspiratory hold maneuvers were done to determine Pmsf; arm stop-flow was created by inflating a cuff around the upper arm for 30 s to measure Parm, and Pmsa was estimated from a Guytonian model of the systemic circulation. Mean Pmsf, Parm and Pmsa across all three states were 20.9 ± 5.6, 19.8 ± 5.7 and 14.9 ± 4.0 mmHg, respectively. Bland-Altman analysis for the difference between Parm and Pmsf showed a non-significant bias of -1.0 ± 3.08 mmHg (p = 0.062), a coefficient of variation (COV) of 15 %, and limits of agreement (LOA) of -7.3 and 5.2 mmHg. For the difference between Pmsf and Pmsa we found a bias of -6.0 ± 3.1 mmHg (p < 0.001), COV 17 % and LOA -12.4 and 0.3 mmHg. Changes in Pmsf and Parm and in Pmsf and Pmsa were directionally concordant in response to head-up t...Continue Reading

References

Oct 1, 1985·Pflügers Archiv : European journal of physiology·A Versprille, J R Jansen
Mar 1, 1984·Journal of Applied Physiology: Respiratory, Environmental and Exercise Physiology·M R Pinsky
Aug 1, 1983·Clinical Physics and Physiological Measurement : an Official Journal of the Hospital Physicists' Association, Deutsche Gesellschaft Für Medizinische Physik and the European Federation of Organisations for Medical Physics·A C Chu, D St Andrew
May 1, 1993·Journal of Applied Physiology·K H WesselingJ J Schreuder
Mar 10, 2000·Journal of Applied Physiology·H JellinekR D Fitzgerald
Feb 13, 2003·Journal of Clinical Monitoring and Computing·L A Critchley, J A Critchley
Aug 9, 2003·American Journal of Physiology. Heart and Circulatory Physiology·J D SchipkeJ Winter
Aug 30, 2003·American Journal of Physiology. Heart and Circulatory Physiology·Andrew C BetikRichard L Hughson
Nov 1, 1954·The American Journal of Physiology·A C GUYTONG G ARMSTRONG
Jun 1, 1957·The American Journal of Physiology·A C GUYTONT RICHARDSON
May 23, 2006·The New England Journal of Medicine·UNKNOWN National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome (ARDS) Clinical Trials NetworkAndrea L Harabin
Aug 16, 2006·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Sheng-Jean HuangYong-Kwang Tu
Nov 13, 2008·Journal of Clinical Monitoring and Computing·William Geoffrey Parkin, Mark Stephen Leaning
Feb 20, 2010·Current Opinion in Critical Care·Jos R C JansenMichael R Pinsky
Jun 28, 2011·Journal of Applied Physiology·Feras HatibMichael R Pinsky
Aug 11, 2011·Journal of Clinical Monitoring and Computing·Jacinta J MaasJos R C Jansen

❮ Previous
Next ❯

Citations

Jun 7, 2013·Intensive Care Medicine·Jean-Louis Teboul
Sep 28, 2013·Intensive Care Medicine·Geoffrey Parkin
Mar 10, 2015·Journal of Clinical Monitoring and Computing·Hollmann D AyaMaurizio Cecconi
Nov 26, 2015·Anesthesiology·Antonio Maria Dell'AnnaMassimo Antonelli
Jun 5, 2013·Journal of Critical Care·Jae Myeong LeeMichael R Pinsky
Jan 31, 2016·Current Opinion in Anaesthesiology·Soren SondergaardAnders Aneman
Feb 17, 2015·Acta Anaesthesiologica Scandinavica·S SondergaardA Aneman
Apr 19, 2015·Current Opinion in Critical Care·Hollmann D Aya, Maurizio Cecconi
May 7, 2015·Pregnancy Hypertension·Timothy M CrozierW Geoffrey Parkin
Feb 5, 2015·Intensive Care Medicine·Xavier Monnet, Michael R Pinsky
Dec 20, 2015·Critical Care Medicine·Hollmann D AyaMaurizio Cecconi
Aug 29, 2016·Journal of Clinical Monitoring and Computing·Bernardo Bollen PintoKarim Bendjelid
Jan 22, 2017·The Journal of Thoracic and Cardiovascular Surgery·Satoshi MasutaniHideaki Senzaki
Jan 17, 2019·Acta Anaesthesiologica Scandinavica·Konstantin YastrebovEvgeniy Polovnikov
Jul 17, 2016·American Journal of Physiology. Heart and Circulatory Physiology·David BergerJukka Takala
Oct 28, 2019·American Journal of Physiology. Heart and Circulatory Physiology·Rafael Dalmau
Mar 1, 2019·Journal of Applied Physiology·Per Werner-MollerDavid Berger
Mar 9, 2019·Journal of Clinical Monitoring and Computing·Bernd SaugelThomas W L Scheeren
Jul 3, 2020·Journal of Applied Physiology·Marije WijnbergeBart F Geerts
Jul 26, 2015·American Journal of Physiology. Heart and Circulatory Physiology·Xavier RepesséAntoine Vieillard-Baron
Mar 24, 2018·Journal of Clinical Monitoring and Computing·A F KalmarT W L Scheeren
Apr 21, 2018·Frontiers in Pediatrics·Sabine L VranckenWillem P de Boode
Nov 28, 2018·Journal of Clinical Monitoring and Computing·Rita JacobsManu L N G Malbrain
Sep 14, 2019·American Journal of Physiology. Heart and Circulatory Physiology·George L Brengelmann
May 6, 2020·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Alun D Hughes, Kim H Parker
Apr 1, 2017·Journal of Applied Physiology·Xavier RepesséAntoine Vieillard-Baron
Jul 1, 2018·Journal of Clinical Monitoring and Computing·Mathieu JozwiakKarim Bendjelid
Oct 4, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Federico MercoliniAlvise Tosoni
Apr 2, 2021·Journal of Clinical Monitoring and Computing·Loek P B MeijsJan Bakker
Feb 17, 2021·Critical Care Medicine·Christopher LaiXavier Monnet
Aug 17, 2021·Anesthesiology Clinics·Ilonka N de Keijzer, Thomas W L Scheeren
Aug 23, 2021·Critical Care : the Official Journal of the Critical Care Forum·Imane AddaXavier Monnet

❮ Previous
Next ❯

Software Mentioned

Modelflow
Evita
HUT

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Related Papers

The New England Journal of Medicine
National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome (ARDS) Clinical Trials NetworkAndrea L Harabin
Journal of Cardiothoracic and Vascular Anesthesia
D N ThrushR Vijayanagar
© 2021 Meta ULC. All rights reserved