PICCO monitoring heart rate variability and cardiac output vs. narcotrend anesthetic depth monitoring
10.3969/j.issn.1006-5725.2018.05.024
- VernacularTitle:PICCO监测心率变异性及心输出量与Narcotrend麻醉深度监测对比研究
- Author:
Yinzhou ZHAN
1
;
Xingan ZHANG
;
Chunming GUO
;
Chuyuan CAI
;
Chaoban CHEN
Author Information
1. 汕头市中心医院麻醉科 广东汕头515031
- Keywords:
PICCO;
heart rate variability;
cardiac output;
depth of anesthesia;
correlation
- From:
The Journal of Practical Medicine
2018;34(5):791-795,799
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the correlation of heart rate variability(HRV)and cardiac output by PICCO with anesthetic depth by Narcotrend monitoring. Methods 60 patients with radical resection of esophageal cancer were enrolled in the study. PICCO was used to monitor ECG and Narcotrend was use to monitor anesthetic depth.The NT value,NT grade,Cardiac index(CI),heart rate(HR),mean arterial pressure(MAP),cardiac output(CO),Poincare scattergram Scatter plot minor axis(SD1)and scatter plot major axis(SD2)were recorded and measured at the time points of pre-anesthesia induction(T1),post-successful intubation(T2),tracheal intu-bation moment(T3),lung collapse for 30 min(T4),post-lung ventilation(T5)and 10min after operation(T6). Results Person's correlation analysis showed that during the monitoring period(T1-T6),CI,CO,SD1 and NT showed a low linear correlation(P < 0.001);SD2 was significantly correlated with NT(P <0.001). There was a low linear correlation between CI,CO,SD1,SD2 and NT at the operation time(T2-T5). Conclusion During general anesthesia,heart rate variability(SD1,SD2)and cardiac output(CO)are correlated with the NT value of anesthesia depth.Collaborative monitoring could help to enhance the safety of anesthesia.
