The validity of trans-esophageal Doppler ultrasonography as a measure of cardiac output in critically ill adults

Intensive Care Medicine
Paul M Dark, M Singer

Abstract

To determine the validity of the esophageal Doppler monitor (EDM) and echo-esophageal Doppler (Echo-ED) in measuring cardiac output in the critically ill. Systematic search of relevant international literature and data synthesis. Literature search (1989-2003) using Ovid interface to Medline, Embase and Cochrane databases aimed at finding studies comparing EDM or Echo-ED cardiac output with that derived from simultaneous pulmonary artery thermodilution (PAC(TD)) with Bland Altman measures of validity. Critically ill adults in operating departments or intensive care units. Summary validity measures synthesized from Bland Altman analyses included pooled median bias and the median percentage of clinical agreement (PCA) derived from the limits of agreement. Eleven validation papers for EDM (21 studies) involving 314 patients and 2,400 paired measurements. The pooled median bias for PAC(TD) versus EDM was 0.19 l/min (range -0.69 to 2.00 l/min) for cardiac output (16 studies), and 0.6% (range 0-2.3%) for changes in cardiac output (5 studies). The pooled median percentage of clinical agreement for PAC(TD) versus EDM was 52% (interquartile range 42-69%) for cardiac output and 86% (interquartile range 55-93%) for changes in cardiac outpu...Continue Reading

References

Sep 1, 1991·Critical Care Medicine·M Singer, E D Bennett
May 1, 1989·Critical Care Medicine·M SingerE D Bennett
Jul 30, 1971·Nature·C D Side, R G Gosling
Jun 1, 1997·Critical Care Medicine·E C Rackow
Mar 26, 1998·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·S ColbertC Ecoffey
Jul 9, 1998·American Journal of Respiratory and Critical Care Medicine·B ValtierD M Payen
Sep 28, 2001·British Journal of Anaesthesia·H A Leather, P F Wouters
Dec 18, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·C ZöllnerM Haller
Apr 3, 2002·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Kevin B Laupland, Colin J Bands
Oct 24, 2002·Critical Care Medicine·John C Chaney, Stephen Derdak
Apr 17, 2003·Journal of Cardiothoracic and Vascular Anesthesia·Philip JaeggiAndreas Zollinger

❮ Previous
Next ❯

Citations

Apr 27, 2007·Intensive Care Medicine·Pierre SquaraClaude Dubois
Dec 8, 2011·Internal and Emergency Medicine·Jahan PorhomayonNader Djalal Nader
Mar 20, 2013·British Journal of Anaesthesia·H Bjorne
Jun 27, 2013·British Journal of Anaesthesia·X MonnetJ-L Teboul
Feb 18, 2006·Critical Care Medicine·Virginie Dumans-NizardBernard P Cholley
Mar 17, 2006·Critical Care Medicine·Xavier MonnetJean-Louis Teboul
Jan 6, 2007·Critical Care Medicine·Xavier MonnetJean-Louis Teboul
Jan 4, 2012·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Avihu Z Gazit, David S Cooper
Jul 22, 2011·Anesthesiology Research and Practice·Allison J LeeJ Sudharma Ranasinghe
Apr 26, 2012·International Journal of Emergency Medicine·Jahan PorhomayonNader D Nader
Oct 30, 2009·Critical Care : the Official Journal of the Critical Care Forum·Nicholas LeesAndrew Rhodes
Nov 26, 2009·Critical Care : the Official Journal of the Critical Care Forum·Sebastian BrandtStephan M Jakob
May 1, 2010·Critical Care : the Official Journal of the Critical Care Forum·Mervyn Singer
Jul 2, 2009·American Journal of Veterinary Research·Brian A ScansenWilliam W Muir
Jan 10, 2008·Annals of Cardiac Anaesthesia·Lailu Mathews, R K Kalyan Singh
Feb 2, 2010·Annales Françaises D'anesthèsie Et De Rèanimation·O BrissaudG Orliaguet
Sep 2, 2014·Seminars in Perinatology·Alan Gaffney
Jun 16, 2006·Der Anaesthesist·E E C de WaalW Buhre
Aug 30, 2014·Critical Care Nursing Clinics of North America·Alexander Johnson, Mehr Mohajer-Esfahani
Jul 20, 2014·Journal of Cardiac Failure·Mohamad AlkhouliAlfred A Bove
Jul 14, 2010·Current Heart Failure Reports·Jamal A AlhashemiChristoph K Hofer
Jul 6, 2014·Critical Care Clinics·Mohamad KenaanSascha N Goonewardena
Aug 2, 2005·Intensive Care Medicine·Xavier MonnetJean-Louis Teboul
Mar 15, 2008·Journal of Clinical Monitoring and Computing·Nirav Y RavalDaniel Burkhoff
Oct 22, 2008·Journal of Clinical Monitoring and Computing·John DiaperMarc Licker
Feb 14, 2016·Revista española de anestesiología y reanimación·J Ripollés-MelchorUNKNOWN EAR Group, Evidence Anesthesia Review Group
Mar 10, 2015·Journal of Clinical Monitoring and Computing·Shaun D GregoryJohn F Fraser
Dec 26, 2012·Advances in Chronic Kidney Disease·Laurence BusseLakhmir S Chawla
Jan 11, 2013·Kidney International·Kambiz KalantariMitchell H Rosner
Sep 20, 2011·International Journal of Obstetric Anesthesia·S ArmstrongM Columb
Feb 15, 2011·Critical Care Nursing Clinics of North America·Brian CasserlyMitchell M Levy
Sep 25, 2010·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Jan N HilberathHolger K Eltzschig

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.