Transpulmonary Thermodilution Versus Transthoracic Echocardiography for Cardiac Output Measurements in Severely Burned Children

Paul Wurzer, Ludwik Branski, Marc G. Jeschke, Arham Ali, Michael Kinsky, Fredrick J. Bohanon, Gabriel Hundeshagen, William Norbury, Felicia N. Williams, Lars P. Kamolz, Celeste Finnerty, David Herndon

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

INTRODUCTION:: Severe burns trigger a hyperdynamic state, necessitating accurate measurement of cardiac output (CO) for cardiovascular observation and guiding fluid resuscitation. However, itʼs unknown whether, in burned children, the increasingly popular transthoracic echocardiography (TTE) method of CO measurement is as accurate as the widely used transpulmonary thermodilution (TPTD) method. MATERIALS AND METHODS:: We retrospectively compared near-simultaneously performed CO measurements in severely burned children using TPTD with the PiCCO (Pulse index Continuous Cardiac Output) system or TTE. Outcomes were compared using t-tests, multiple linear regression, and a Bland-Altman plot. RESULTS:: Fifty-four children (9?±?5 years) with 68?±?18% total body surface area burns were studied. An analysis of 105 data pairs revealed that PiCCO yielded higher CO measurements than TTE (190?±?39% vs. 150?±?50% predicted values; p?

Original languageEnglish (US)
JournalShock
DOIs
StateAccepted/In press - Apr 4 2016

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Thermodilution
Cardiac Output
Echocardiography
Burns
High Cardiac Output
Body Surface Area
Resuscitation
Linear Models
Observation

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Emergency Medicine

Cite this

Transpulmonary Thermodilution Versus Transthoracic Echocardiography for Cardiac Output Measurements in Severely Burned Children. / Wurzer, Paul; Branski, Ludwik; Jeschke, Marc G.; Ali, Arham; Kinsky, Michael; Bohanon, Fredrick J.; Hundeshagen, Gabriel; Norbury, William; Williams, Felicia N.; Kamolz, Lars P.; Finnerty, Celeste; Herndon, David.

In: Shock, 04.04.2016.

Research output: Contribution to journalArticle

Wurzer, Paul ; Branski, Ludwik ; Jeschke, Marc G. ; Ali, Arham ; Kinsky, Michael ; Bohanon, Fredrick J. ; Hundeshagen, Gabriel ; Norbury, William ; Williams, Felicia N. ; Kamolz, Lars P. ; Finnerty, Celeste ; Herndon, David. / Transpulmonary Thermodilution Versus Transthoracic Echocardiography for Cardiac Output Measurements in Severely Burned Children. In: Shock. 2016.
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AU - Kinsky, Michael

AU - Bohanon, Fredrick J.

AU - Hundeshagen, Gabriel

AU - Norbury, William

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