Agreement between Electrical Cardiometry and Pulmonary Artery Thermodilution for Measuring Cardiac Output in Isoflurane-Anesthetized Dogs

dc.contributor.authorParanjape, Vaidehi V.en
dc.contributor.authorHenao-Guerrero, Nataliaen
dc.contributor.authorMenciotti, Giulioen
dc.contributor.authorSaksena, Siddharthen
dc.contributor.authorAgostinho, Manuelaen
dc.date.accessioned2023-04-27T14:51:39Zen
dc.date.available2023-04-27T14:51:39Zen
dc.date.issued2023-04-21en
dc.date.updated2023-04-27T13:50:39Zen
dc.description.abstractIn animals, invasive pulmonary artery thermodilution (PATD) is a gold standard for cardiac output (CO) monitoring, but it is impractical in clinical settings. This study evaluates the agreement between PATD and noninvasive electrical cardiometry (EC) for measuring CO and analyzes the other EC-derived hemodynamic variables in six healthy anesthetized dogs subjected to four different hemodynamic events in a sequential order: (1) euvolemia (baseline); (2) hemorrhage (33% blood volume loss); (3) autologous blood transfusion; and (4) 20 mL/kg colloid bolus. The CO measurements obtained using PATD and EC are compared using Bland&ndash;Altman analysis, Lin&rsquo;s concordance correlation (LCC), and polar plot analysis. Values of <i>p</i> &lt; 0.05 are considered significant. The EC measurements consistently underpredict the CO values as compared with PATD, and the LCC is 0.65. The EC&rsquo;s performance is better during hemorrhage, thus indicating its capability in detecting absolute hypovolemia in clinical settings. Even though the percentage error exhibited by EC is 49.4%, which is higher than the standard (&lt;30%), EC displays a good trending ability. Additionally, the EC-derived variables display a significant correlation with the CO measured using PATD. Noninvasive EC may have a potential in monitoring trends in hemodynamics in clinical settings.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationParanjape, V.V.; Henao-Guerrero, N.; Menciotti, G.; Saksena, S.; Agostinho, M. Agreement between Electrical Cardiometry and Pulmonary Artery Thermodilution for Measuring Cardiac Output in Isoflurane-Anesthetized Dogs. Animals 2023, 13, 1420.en
dc.identifier.doihttps://doi.org/10.3390/ani13081420en
dc.identifier.urihttp://hdl.handle.net/10919/114819en
dc.language.isoenen
dc.publisherMDPIen
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectcanineen
dc.subjectanesthesiaen
dc.subjecthemodynamicsen
dc.subjectmonitoringen
dc.subjecthemorrhageen
dc.subjecthypovolemiaen
dc.subjectcolloidsen
dc.subjectelectrical velocimetryen
dc.subjectnoninvasiveen
dc.subjectblood transfusionen
dc.titleAgreement between Electrical Cardiometry and Pulmonary Artery Thermodilution for Measuring Cardiac Output in Isoflurane-Anesthetized Dogsen
dc.title.serialAnimalsen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten

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