Correlation between PiCCO and ThDCO in monitoring perioperative hemodynamics in patients undergoing orthotopic liver transplantation
- VernacularTitle:PiCCO和ThDCO监测原位肝移植患者围术期血流动力学变化的相关性
- Author:
zhen-zhou, HE
;
yi-wen, GU
;
xiang-rui, WANG
;
qiang, XIA
- Publication Type:Journal Article
- Keywords:
pulse indicator continuous cardiac output;
orthotopic liver transplantation;
perioperation;
hemodynamics
- From:Journal of Shanghai Jiaotong University(Medical Science)
2006;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the correlation between the two methods of pulmonary arterial thermodilution technique(ThDCO)and pulse indicator continuous cardiac output(PiCCO)in determining hemodynamic changes in patients undergoing orthotopic liver transplantation(OLT).Methods Eighteen patients with end-stage liver disease(ASAⅡ-IV)were performed OLT and monitored hemodynamic changes by PiCCO method and ThDCO method simultaneously.The hemodynamic parameters including mean arterial pressure(MAP),cardiac output(CO)and systemic vascular resistance(SVR)were measured at different time points before anesthesia induction,after tracheal intubation,after the beginning of operation,at anhepatic phase,at neohepatic phase,at the end of operation,and after operation.Results Good correlation was found between the two methods for the determination of CO and SVR(r=0.987,P0.05).Conclusion The hemodynamics change dramatically in patients undergoing OLT.There is good correlation between the two methods of PiCCO and ThDCO for perioperative hemodynamic monitoring in patients undergone OLT,and PiCCO detection can be used conveniently for real-time continuous monitoring.
