Clinical significance of right ventricular end diastolic volume monitoring for management of cardiac output

• Nagao Ken

  The department of emergency and critical care medicine, Nihon university school of Medicine

• Hayashi Nariyuki

  The department of emergency and critical care medicine, Nihon university school of Medicine

• Miki Takahiro

  the department of critical engineering, Nihon university school of Medicine

• Okamoto Kazuhiko

  the department of critical engineering, Nihon university school of Medicine

• Nitobe Eiji

  the department of critical engineering, Nihon university school of Medicine

• Kikuchi Satoru

  the department of cardiology, Nihon university school of Medicine

• Watanabe Kazuhiko

  the department of cardiology, Nihon university school of Medicine

• Kanmatsuse Katsuo

  the department of cardiology, Nihon university school of Medicine

Bibliographic Information

Other Title

• 心拍出量管理に対する右室拡張末期容量モニタリングの臨床的意義

Abstract

Background: A pulmonary artery balloon catheter is one of the most useful monitoring for the management of hemodynamics. We evaluated the relationship between right ventricular end diastolic volume index (RVEDVI) and cardiac index (CI) in patients of emergency cardiovascular diseases with hemodynamic instability using the CCO/CEDV thermodilution catheter. Methods: We measured the pressures, volumes, cardiac outputs, heart rates (HR) and oxygen (O₂) saturations in 9 patients meeting inclusion criteria. Factors relevant to CI were assessed by regression analysis. Results: In the 439 points of those parameters measured every 1 hour for 2 days, RVEDVI and O₂ extraction rate (O₂ER) were shown to be the factors associated with CI (R=0.3 P<0.0001, respectively). However, pulmonary artery wedge pressure and central venous pressure were not related to CI. Multiple regression analysis revealed that HR, RVEDVI, ejection fraction and O₂ER were related to CI (R²=0.4, P<0.0001). Conclusions: The monitoring of RVEDVI in patients of emergency cardiovascular diseases with hemodynamic instability is needed for the management of CI.

Journal

• Journal of the Japanese Society of Intensive Care Medicine

  Journal of the Japanese Society of Intensive Care Medicine 9 (2), 107-112, 2002

  The Japanese Society of Intensive Care Medicine

Keywords

• pulmonary artery balloon catheter
• hemodynamics
• right ventricular end diastolic volume
• cardiac output
• oxygen extraction ratio

Details

• CRID: 1390001204445074048
• NII Article ID: 130003641708
• NII Article ID: 10008940425
• NII Book ID: AN10474053
• DOI: 10.3918/jsicm.9.107
• ISSN: 1882966X
• ISSN: 13407988
• Web Site: https://search.jamas.or.jp/link/ui/2002272622
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed