A comparison of Thoracic Bioimpedance and Pulse Contour analysis in cardiac output monitoring in critically ill

The latest invention of Thoracic Bioimpedance (TBE) has shown promising results in multiple areas but lacking in the study with gold standard cardiac output monitoring. This study compared cardiac output monitoring between TBE and the latest technology ICG and PiCCO in the critically ill. All patien...

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Main Authors: Ghazali, Abdul Majid, Mat Nor, Mohd Basri, Md Ralib, Azrina
Format: Conference or Workshop Item
Language:English
Published: Universiti Kebangsaan Malaysia 2021
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Online Access:http://irep.iium.edu.my/97006/1/97006_A%20comparison%20of%20Thoracic%20Bioimpedance.pdf
http://irep.iium.edu.my/97006/
https://medicineandhealthukm.com/sites/medicineandhealthukm.com/files/article/2021/msa_asc_final_pdf_20084.pdf
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Institution: Universiti Islam Antarabangsa Malaysia
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spelling my.iium.irep.970062022-03-03T00:56:42Z http://irep.iium.edu.my/97006/ A comparison of Thoracic Bioimpedance and Pulse Contour analysis in cardiac output monitoring in critically ill Ghazali, Abdul Majid Mat Nor, Mohd Basri Md Ralib, Azrina RC82 Medical Emergencies, Critical Care, Intensive Care, First Aid The latest invention of Thoracic Bioimpedance (TBE) has shown promising results in multiple areas but lacking in the study with gold standard cardiac output monitoring. This study compared cardiac output monitoring between TBE and the latest technology ICG and PiCCO in the critically ill. All patients were in septic shock with a SOFA score of > 4. Cardiac output parameters were taken at four intervals. Parameters taken were CO, CI, SV, SVi, SVR and SVRI. Pearson’s r correlation coefficient showed significant results for SVR with R of R: 0.92 at 1 hour, 0.543 at 6 hour, 0.638 at 12 hour, and 0.551 at 24 hour (P-value of <0.05). There was a moderate correlation of stroke volume r: 0.426 with a P-value <0.005. moderation correlation was seen in stroke volume index at stage 2 (R 0.383), stage 3 (R 0.504) and stage 4 (R 0.411) with stroke volume also showed moderate correlation at stage 3 (R 0.426) and stage 4 (R 0.411), even though both parameters showed no significant correlation. In mean difference, there were significant differences at stages 3 and 4 (p-value <0.05) in stroke volume index, while the Cardiac index only showed significant differences in stage 4. Bland Altman showed a discrepancy result between both tools and the presence of bias. All cardiac output parameters were statistically not significant except SVR. Haemodynamic parameters from Physioflow were not interchangeable with PiCCO. Universiti Kebangsaan Malaysia 2021-11 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/97006/1/97006_A%20comparison%20of%20Thoracic%20Bioimpedance.pdf Ghazali, Abdul Majid and Mat Nor, Mohd Basri and Md Ralib, Azrina (2021) A comparison of Thoracic Bioimpedance and Pulse Contour analysis in cardiac output monitoring in critically ill. In: Annual Scientific Congress for the Malaysian Society of Anaesthesiologists & College of Anaesthesiologists, 6-8 August 2021, Virtual. https://medicineandhealthukm.com/sites/medicineandhealthukm.com/files/article/2021/msa_asc_final_pdf_20084.pdf 10.17576/MH.2021.s1603
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
topic RC82 Medical Emergencies, Critical Care, Intensive Care, First Aid
spellingShingle RC82 Medical Emergencies, Critical Care, Intensive Care, First Aid
Ghazali, Abdul Majid
Mat Nor, Mohd Basri
Md Ralib, Azrina
A comparison of Thoracic Bioimpedance and Pulse Contour analysis in cardiac output monitoring in critically ill
description The latest invention of Thoracic Bioimpedance (TBE) has shown promising results in multiple areas but lacking in the study with gold standard cardiac output monitoring. This study compared cardiac output monitoring between TBE and the latest technology ICG and PiCCO in the critically ill. All patients were in septic shock with a SOFA score of > 4. Cardiac output parameters were taken at four intervals. Parameters taken were CO, CI, SV, SVi, SVR and SVRI. Pearson’s r correlation coefficient showed significant results for SVR with R of R: 0.92 at 1 hour, 0.543 at 6 hour, 0.638 at 12 hour, and 0.551 at 24 hour (P-value of <0.05). There was a moderate correlation of stroke volume r: 0.426 with a P-value <0.005. moderation correlation was seen in stroke volume index at stage 2 (R 0.383), stage 3 (R 0.504) and stage 4 (R 0.411) with stroke volume also showed moderate correlation at stage 3 (R 0.426) and stage 4 (R 0.411), even though both parameters showed no significant correlation. In mean difference, there were significant differences at stages 3 and 4 (p-value <0.05) in stroke volume index, while the Cardiac index only showed significant differences in stage 4. Bland Altman showed a discrepancy result between both tools and the presence of bias. All cardiac output parameters were statistically not significant except SVR. Haemodynamic parameters from Physioflow were not interchangeable with PiCCO.
format Conference or Workshop Item
author Ghazali, Abdul Majid
Mat Nor, Mohd Basri
Md Ralib, Azrina
author_facet Ghazali, Abdul Majid
Mat Nor, Mohd Basri
Md Ralib, Azrina
author_sort Ghazali, Abdul Majid
title A comparison of Thoracic Bioimpedance and Pulse Contour analysis in cardiac output monitoring in critically ill
title_short A comparison of Thoracic Bioimpedance and Pulse Contour analysis in cardiac output monitoring in critically ill
title_full A comparison of Thoracic Bioimpedance and Pulse Contour analysis in cardiac output monitoring in critically ill
title_fullStr A comparison of Thoracic Bioimpedance and Pulse Contour analysis in cardiac output monitoring in critically ill
title_full_unstemmed A comparison of Thoracic Bioimpedance and Pulse Contour analysis in cardiac output monitoring in critically ill
title_sort comparison of thoracic bioimpedance and pulse contour analysis in cardiac output monitoring in critically ill
publisher Universiti Kebangsaan Malaysia
publishDate 2021
url http://irep.iium.edu.my/97006/1/97006_A%20comparison%20of%20Thoracic%20Bioimpedance.pdf
http://irep.iium.edu.my/97006/
https://medicineandhealthukm.com/sites/medicineandhealthukm.com/files/article/2021/msa_asc_final_pdf_20084.pdf
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