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大学・研究所にある論文を検索できる 「Experience of using a non-invasive pulse-wave transit time-based cardiac output monitoring in patients undergoing robot-assisted surgery with pneumoperitoneum in a head-down position」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

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Experience of using a non-invasive pulse-wave transit time-based cardiac output monitoring in patients undergoing robot-assisted surgery with pneumoperitoneum in a head-down position

Kurota Misato Takahashi Tatsuro Akimoto Ryo Nakane Masaki Kawamae Kaneyuki 山形大学

2020.02.15

概要

Background: Estimated continuous cardiac output(esCCO)is a non-invasive technique for monitoring continuous cardiac output(CCO)that is based on pulse-wave transit time. In this study, we report the use of CCO monitoring for patients undergoing robot-assisted surgery with pneumoperitoneum in a head-down position.
Method: Thirteen patients undergoing radical robot-assisted prostatectomy under general anesthesia were enrolled. Intraoperatively, esCCO and arterial pressure-based cardiac output(APCO)were simultaneously recorded. The association between esCCO and APCO was then evaluated using correlation analysis and Bland-Altman analysis. The trending ability of esCCO was evaluated by 4-quadrant plot analysis.
Results: The correlation coefficient between esCCO and APCO was 0.54(P < 0.0001). According to the Bland-Altman plot, the bias and precision values were 1.38 and 0.79 L/min, respectively. The concordance analysis showed the concordance rate of 92.3%.
Conclusion: These results indicate that esCCO is capable of tracking hemodynamic changes associated with pneumoperitoneum in the head-down position.

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