caa a22 4500 605510008 CHVBK 20210128100643.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s10877-014-9609-z doi (NATIONALLICENCE)springer-10.1007/s10877-014-9609-z The ability of the Vigileo-FloTrac system to measure cardiac output and track cardiac output changes during one-lung ventilation [Elektronische Daten] [Koichi Suehiro, Katsuaki Tanaka, Tokuhiro Yamada, Tadashi Matsuura, Takashi Mori, Tomoharu Funao, Kiyonobu Nishikawa] This study was aimed at comparing the cardiac output (CO) measured by the Vigileo™-FloTrac™ system with that estimated by the thermodilution pulmonary artery catheter (PAC) during one-lung ventilation (OLV) and determining the reliability of this system in tracking phenylephrine-induced CO changes during OLV. Sixteen patients scheduled for descending aorta replacement were enrolled. The study was performed 30min after starting OLV under stable hemodynamic conditions. We recorded hemodynamic variables, CO measured by PAC thermodilution (ICO), CO measured by Vigileo™-FloTrac™ system (Version 3.02, Edwards Lifesciences, Irvine, CA, USA) (APCO), and systemic vascular resistance index (SVRI) before (T0) and after (T1) phenylephrine (100μg) administration. We used Bland-Altman analysis to compare ICO and APCO. Polar plot and four-quadrant plot were used to assess the tracking ability of the Vigileo™-FloTrac™ system against ICO after administration of phenylephrine. Ninety hemodynamic interventions were performed. Bland-Altman analysis revealed that the mean bias between APCO and ICO was 0.05L/min and the percentage error, 46.9%. Four-quadrant plot analysis showed a concordance rate of 24.7%, while polar plot analysis showed that the concordance rate was 13.3%; the angular bias, −45.9°; radial limit of agreement, 85.3°. The bias between APCO and ICO was significantly correlated with the SVRI value (p<0.001, r2=0.822). The reliability of the Vigileo™-FloTrac™ system during OLV to estimate CO and track phenylephrine-induced CO changes was not acceptable. Springer Science+Business Media New York, 2014 Cardiac output nationallicence One-lung ventilation nationallicence Systemic vascular resistance nationallicence Vigileo-FloTrac system nationallicence Suehiro Koichi Department of Anesthesiology, Osaka City University Graduate School of Medicine, 1-5-7 Asahimachi, Abenoku, 545-8586, Osaka City, Osaka, Japan aut Tanaka Katsuaki Department of Anesthesiology, Osaka City University Graduate School of Medicine, 1-5-7 Asahimachi, Abenoku, 545-8586, Osaka City, Osaka, Japan aut Yamada Tokuhiro Department of Anesthesiology, Osaka City University Graduate School of Medicine, 1-5-7 Asahimachi, Abenoku, 545-8586, Osaka City, Osaka, Japan aut Matsuura Tadashi Department of Anesthesiology, Osaka City University Graduate School of Medicine, 1-5-7 Asahimachi, Abenoku, 545-8586, Osaka City, Osaka, Japan aut Mori Takashi Department of Anesthesiology, Osaka City University Graduate School of Medicine, 1-5-7 Asahimachi, Abenoku, 545-8586, Osaka City, Osaka, Japan aut Funao Tomoharu Department of Anesthesiology, Osaka City University Graduate School of Medicine, 1-5-7 Asahimachi, Abenoku, 545-8586, Osaka City, Osaka, Japan aut Nishikawa Kiyonobu Department of Anesthesiology, Osaka City University Graduate School of Medicine, 1-5-7 Asahimachi, Abenoku, 545-8586, Osaka City, Osaka, Japan aut Journal of Clinical Monitoring and Computing Springer Netherlands 29/3(2015-06-01), 333-339 1387-1307 29:3<333 2015 29 10877 https://doi.org/10.1007/s10877-014-9609-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10877-014-9609-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Suehiro Koichi Department of Anesthesiology, Osaka City University Graduate School of Medicine, 1-5-7 Asahimachi, Abenoku, 545-8586, Osaka City, Osaka, Japan aut NATIONALLICENCE 700 1- Tanaka Katsuaki Department of Anesthesiology, Osaka City University Graduate School of Medicine, 1-5-7 Asahimachi, Abenoku, 545-8586, Osaka City, Osaka, Japan aut NATIONALLICENCE 700 1- Yamada Tokuhiro Department of Anesthesiology, Osaka City University Graduate School of Medicine, 1-5-7 Asahimachi, Abenoku, 545-8586, Osaka City, Osaka, Japan aut NATIONALLICENCE 700 1- Matsuura Tadashi Department of Anesthesiology, Osaka City University Graduate School of Medicine, 1-5-7 Asahimachi, Abenoku, 545-8586, Osaka City, Osaka, Japan aut NATIONALLICENCE 700 1- Mori Takashi Department of Anesthesiology, Osaka City University Graduate School of Medicine, 1-5-7 Asahimachi, Abenoku, 545-8586, Osaka City, Osaka, Japan aut NATIONALLICENCE 700 1- Funao Tomoharu Department of Anesthesiology, Osaka City University Graduate School of Medicine, 1-5-7 Asahimachi, Abenoku, 545-8586, Osaka City, Osaka, Japan aut NATIONALLICENCE 700 1- Nishikawa Kiyonobu Department of Anesthesiology, Osaka City University Graduate School of Medicine, 1-5-7 Asahimachi, Abenoku, 545-8586, Osaka City, Osaka, Japan aut NATIONALLICENCE 773 0- Journal of Clinical Monitoring and Computing Springer Netherlands 29/3(2015-06-01), 333-339 1387-1307 29:3<333 2015 29 10877