caa a22 4500 44537456X CHVBK 20180317142958.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s00540-010-1087-y doi (NATIONALLICENCE)springer-10.1007/s00540-010-1087-y Accuracy of arterial pressure waveform analysis for cardiac output measurement in comparison with thermodilution methods in patients undergoing living donor liver transplantation [Elektronische Daten] [Kozaburo Akiyoshi, Tadashi Kandabashi, Junko Kaji, Ken Yamaura, Hayashi Yoshimura, Kazuo Irita, Sumio Hoka] Purpose: The aim of this study was to assess the accuracy of the first and third versions of arterial pressure waveform cardiac output (APCOv.1.0 and APCOv.3.0) measurements in comparison with thermodilution methods in patients undergoing living donor liver transplantation. Methods: Twenty patients were anesthetized and mechanically ventilated. A radial arterial line was connected to a dedicated transducer for the APCO evaluation (FloTrac™). A pulmonary artery catheter was placed and connected to a computer system (Vigilance™) to measure intermittent thermodilution cardiac output (COTD) and continuous cardiac output (CCO). Results: A total of 138 measurements were analyzed. Bland-Altman analysis showed that the mean biases for COTD-APCOv.3.0, COTD-APCOv.1.0, and COTD-CCO were 0.89, 1.73, and −0.79L/min, and the adjusted percentage errors were 37.5, 30.3, and 43%, respectively. While the variance for COTD-APCOv3.0 was greater, the accuracy (bias) improved by 0.8L/min as compared with COTD-APCOv1.0. The difference COTD-APCOv.3.0 became apparent when systemic vascular resistance was lower than 1000dyne×s/cm5, especially below 700dyne×s/cm5. Conclusion: These data suggest that the accuracy of APCOv.3.0 has improved compared to APCOv.1.0 due to the updated algorithm, but additional improvements should be evaluated, especially in patients undergoing living donor liver transplantation with low systemic vascular resistance. Japanese Society of Anesthesiologists, 2011 Cardiac output nationallicence Arterial pressure waveform cardiac output nationallicence Thermodilution nationallicence Systemic vascular resistance nationallicence Akiyoshi Kozaburo Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan aut Kandabashi Tadashi Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan aut Kaji Junko Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan aut Yamaura Ken Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan aut Yoshimura Hayashi Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan aut Irita Kazuo Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan aut Hoka Sumio Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan aut Journal of Anesthesia Springer Japan 25/2(2011-04-01), 178-183 0913-8668 25:2<178 2011 25 540 https://doi.org/10.1007/s00540-010-1087-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-010-1087-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Akiyoshi Kozaburo Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan aut NATIONALLICENCE 700 1- Kandabashi Tadashi Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan aut NATIONALLICENCE 700 1- Kaji Junko Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan aut NATIONALLICENCE 700 1- Yamaura Ken Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan aut NATIONALLICENCE 700 1- Yoshimura Hayashi Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan aut NATIONALLICENCE 700 1- Irita Kazuo Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan aut NATIONALLICENCE 700 1- Hoka Sumio Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/2(2011-04-01), 178-183 0913-8668 25:2<178 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer