PMID: 8949812Sep 1, 1996Paper

On-line estimation of left ventricular stroke volume using transoesophageal echocardiography and acoustic quantification

British Journal of Anaesthesia
C A GreimJ Schulte am Esch

Abstract

We have examined the usefulness of transoesophageal echocardiography (TOE) and automated endocardium detection for on-line calculation of left ventricular stroke volume. In 12 of 15 patients undergoing abdominal surgery, stroke volume was derived continuously from the multiple discs (MD) and area-length (AL) methods and compared with stroke volume calculated by thermodilution. In 10 patients (80%), more than three manipulations of the ultrasound transducer were required before measurements. Linear regression analysis of automated TOE methods and thermodilution revealed weak correlations (r < 0.75) for stroke volume (114 matched pairs) and its changes (105 matched pairs). Correlation of percentage changes in stroke volume calculated by thermodilution with those derived from MD (r = 0.85) and AL (r = 0.79) was better. Changes in MD (AL) derived stroke volume by more than 20% identified changes in thermodilution-derived stroke volume greater than 20% (n = 57) with a sensitivity of 74% (70%) and a specificity of 82% (79%). Signal instability, lack of accuracy and only a moderate trend capability currently limit the intraoperative usefulness of automated TOE techniques for continuous estimation of stroke volume from a single long-ax...Continue Reading

Citations

Jun 20, 2002·Critical Care Medicine·Julian M Brown
Mar 10, 2001·Cardiology Clinics·J A Skiles, B P Griffin
Dec 4, 2003·Echocardiography·R Parker Ward, Roberto M Lang

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