PiCCO system con accesso arterioso brachio-ascellare nel monitoraggio emodinamico degli interventi per aneurisma dell'aorta addominale.

Translated title of the contribution: The PiCCO system with brachial-axillary artery access in hemodynamic monitoring during surgery of abdominal aortic aneurysm

M. Antonini, S. Meloncelli, C. Dantimi, S. Tosti, L. Ciotti, A. Gasparetto

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: The haemodynamic monitor PiCCO System, based on transpulmonary arterial thermodilution, has been used with a brachial-axillary access instead of the femoral arterial access during abdominal aortic aneurysm surgical repair. Accuracy and limitations of pulse contour continuous cardiac output (PCCO) were evaluated on the basis of arterial thermodilution cardiac output. The patterns of cardiac index, preload, afterload and cardiac function parameters were also studied in the different phases of the surgical procedure. METHODS: Twenty consecutive patients were studied. Mean differences (bias) between PCCO and arterial thermodilution cardiac output were calculated by the Bland-Altman test. Analysis of variance with multiple comparison test of haemodynamic variables in the different phases were performed. The correlation coefficients between cardiac index and the volumetric preload variables were also obtained. RESULTS: Brachial artery catheterization was achieved without any major complication. Pulse contour continuous cardiac index (CI) and arterial thermodilution CI values showed overall mean differences (bias) of -0.04 Lámin-1. m-2 (SD 0.8) but after aortic cross-clamping and aortic unclamping they were 0.64 Lámin-1. m-2 (SD 0.57) e -0.57 Lámin-1. m-2 (SD 0.85), respectively (p

Translated title of the contributionThe PiCCO system with brachial-axillary artery access in hemodynamic monitoring during surgery of abdominal aortic aneurysm
Original languageItalian
Pages (from-to)447-456
Number of pages10
JournalMinerva Anestesiologica
Volume67
Issue number6
Publication statusPublished - Jun 2001

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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