Correlation Analysis Between Mostcare Parameters and Spontaneous Breathing Trial in Patients After Cardiac Surgery

Launched by PEKING UNION MEDICAL COLLEGE HOSPITAL · Jan 27, 2024

Keywords

ClinConnect Summary

Cardiac output (CO) monitoring is of primary importance in high-risk surgery and critically ill patients.

Intermittent thermodilution (ThD) by means of a pulmonary artery catheter (PAC) has been used as the reference method and to validate alternative monitoring systems. Its invasiveness, the occurrence of complications, and inability to estimate CO on a beat-by-beat basis may explain the reduction in routine use.

Echocardiography is now widely used in ICUs for the complete assessment of heart function, volume status, and CO measurement. Because it has been well accepted as a first-line d...

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Eligibility criteria

• Inclusion Criteria:
• • 1. Patients admitted to the ICU after cardiac surgery
• • 2. mechanically ventilated for more than 24 hours
• Exclusion Criteria:
• • 1. the presence of pathologies that could affect the quality and reliability of the arterial pulse transmission (aortic valve diseases, aortic aneurysm or dissection, thoracic outlet syndrome);
• • 2. arrhythmias;
• • 3. hemodynamic instability;
• • 4. age less than 18 years or more than 80 years