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Cardiac surgery is at high risk of low cardiac output syndrome after procedure. Monitoring cardiac function, and especially cardiac output, is important to identify cardiovascular dysfunction and to introduce and adjust optimal therapies. Invasive monitor such as pulmonary arterial catheter or transpulmonary thermodilution provide precise measurements but need an invasive access to arterial and central venous route, with possible complications.
Cardiographic bioimpedencemetry (Niccomo device, Imedex Corp) allows a non invasive measurement of cardiac output and some other parameters of cardiovascular function. Nevertheless, the reliability of this device has been little studied after cardiac surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| cardiac surgery | patients benefiting from pulmonary arterial catheter monitoring after cardiac surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Niccomo | Device | Niccomo monitoring added to pulmonary arterial catheter monitoring |
|
| Measure | Description | Time Frame |
|---|---|---|
| agreement between cardiac outputs measured by Pulmonary Arterial Catheter (PAC) and Niccomo | Cardiac outputs and systolic ejection volumes are measured at 10 different time-points and agreement between the 2 devices are explored | 48 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Systolic Time Ratio | Niccomo values at 10 different time-points | 48 hours |
| Pre-ejection Period | Niccomo values at 10 different time-points |
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Inclusion Criteria:
Exclusion Criteria:
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All patients bénéfiting from cardiac surgery and pulmonary arterial catheter at the discretion of the physician
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Emmanuel Besnier, MD PhD | Contact | +33232881705 | emmanuel.besnier@chu-rouen.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rouen University Hospital | Recruiting | Rouen | 76000 | France |
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| ID | Term |
|---|---|
| D012770 | Shock, Cardiogenic |
| D002303 | Cardiac Output, Low |
| ID | Term |
|---|---|
| D009203 | Myocardial Infarction |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| 48 hours |
| Velocity Index | Niccomo values at 10 different time-points | 48 hours |
| Left Ventricular Ratio | Niccomo values at 10 different time-points | 48 hours |
| D014652 |
| Vascular Diseases |
| D007238 | Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |
| D012769 | Shock |
| D012816 | Signs and Symptoms |