Non-invasive cardiac output monitoring device "ICON" in trauma patients: a feasibility study

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Matthias KusterBeat Schnüriger

Abstract

Assessment of hemodynamics is crucial for the evaluation of major trauma patients. Cardiac output (CO) monitoring provides additional information and may improve volume resuscitation. The goal of this prospective pilot study was to evaluate the feasibility of a new non-invasive CO monitoring (NICOM) device in the emergency department (ED). Single-center prospective observational pilot study including 20 trauma patients admitted to a level 1 trauma center. CO was continuously monitored for 60 min after ED admission using the new NICOM device ICON®. This device measures changes of the thoracic bioimpedance to calculate CO. Conventional vital signs were recorded simultaneously. Feasibility, safety, reliability, user-friendliness, and impact of the device on standard ED procedures were assessed. Thirteen (65%) patients were male, median age was 57.5 (IQR 25), and median ISS was 10.5 (IQR 14.8). Median CO over time was 9.8 l/min (IQR 4.6). No adverse effects were recorded. The device proved to be user-friendly with no negative impact on routine ED care. In four patients, detachment of electrodes was observed, and in four patients, the CO recording was temporary discontinued. Short-term changes of the CO were observed 44 times after ...Continue Reading

References

Jul 1, 1996·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·M H BishopC C Wo
Jul 9, 1999·Critical Care Medicine·E RaaijmakersR M Heethaar
Jan 28, 2005·The Journal of Trauma·Carlos V R BrownDemetrios Demetriades
Dec 13, 2005·Journal of Pediatric Surgery·Matthew MartinWilliam Shoemaker
Oct 13, 2006·The Journal of Trauma·William C ShoemakerDemetrios Demetriades
Nov 23, 2006·Journal of the American College of Surgeons·Kevin Jun-Qiang LuWilliam C Shoemaker
Oct 20, 2007·Acta Anaesthesiologica Scandinavica·N ZorembaG Schälte
Nov 21, 2007·British Journal of Anaesthesia·K NoroziH Bertram
Jan 17, 2009·Seminars in Cardiothoracic and Vascular Anesthesia·Friederike Compton, Jürgen-Heiner Schäfer
Nov 10, 2010·Seminars in Cardiothoracic and Vascular Anesthesia·Jacob Pugsley, Adam B Lerner

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Citations

Jan 25, 2021·Journal of Clinical Monitoring and Computing·Cornelis SlagtLucas Theodorus van Eijk

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