
Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
Introduction: the Swan Ganz catheter remains the gold standard for hemodynamic evaluation. Newer techniques offer less invasive alternatives. The objective of this study is to compare the calculated cardiac index versus echocardiogram by measuring the same with the Swan Ganz catheter. Materials and methods: prospective, observational and comparative study of patients over 18 years old admitted to the Intensive Care Unit of the Carlos Andrade Marin Hospital, for one year. Patients older than 18 were included in shock with hemodynamic monitoring using Swan Ganz catheter and had adequate echocardiographic windows, a total of 13 patients at that time. Exclusion criteria: patients without proper monitoring without echocardiographic windows or Swan Ganz catheter. The comparison analysis of the means was performed by Student t test, and for correlation between techniques, the Pearson coeffcient was used. Results: there were 13 patients with a mean age of 57, the main diagnosis was sepsis. Comparison of the averages of the test values using the Student t value 0.220 P = 0.829 was obtained. The Pearson correlation index between the two techniques was 0.94 p <0.001. Conclusions: echocardiography estimated cardiac index was strongly correlated with cardiac index measurement by Swan Ganz catheter, the differences between the averages of the two measurements did not show statistical difference.
REFERENCIAS BIBLIOGRÁFICAS
Rincón Salas J. Correlación entre ecocardiografía transtorácica y catéter de flotación de la arteria pulmonar. Rev Asoc Mex Med Crit y Ter Int 2012; 26(3):152-157
Chatterjee K. The Swan Ganz catheters: Past, present, and future. Circulation. 2009;119:147–52
Dexter L, Haynes FW, Burwell CS, Eppinger EC, Seibel RE, Evans JM. Studies of congenital heart disease. Techniques of venous catheterization as a diagnostic procedur. J Clin Invest. 1947;26: 547–553
Swan HJ, Ganz W, Forester J, Marcus H, Diamond G, Chonette D. Catheterizaton of the heart in manusing a flow directed balloon tipped catheter. N Engl J Med. 1970;283:447–51
Cook DJ, Sibbald WJ, Vincent JL, Cerra FB. Evidence based critical care medicine: What is it and what can it do forus? Crit Care Med. 1996;24:334–7
Srinivasan S., Cornell T. Bedside ultrasound in pediatric critical care: A review. Pediatr Crit Care Med. 2011; 12(6): 667–674
Allison J. Cardiac Output Assessed by Invasive and Minimally Invasive Techniques. Anesthesiology Research and Practice Volume 2011, Article ID 475151, 17
Carrillo López A, Fiol Sala M, Rodríguez Salgado A. El papel del catéter de Swan-Ganz en la actualidad. Med Intensiva 2010;34(3):203–214
Ayuela Azcaratea J, Clau Terréb F, Ochagavia A, Vicho Pereirad R. Papel de la ecocardiografía en la monitorización hemodinámica de los pacientes críticos. Med Intensiva. 2012;36(3):220-232
Dubin I, Wallerson DC, Cody RJ, et al. Exactitud comparativo de Doppler métodos ecocardiográficos para la determinación del volumen sistólico clínica. Am Heart J 1990, 120:116-123
The authors who publish in this journal accept the following conditions:
1. The authors retain the copyright and grant to the CAMbios MEDICAL-SCIENTIFIC JOURNAL HECAM the right of the first publication, with the work registered with the Creative Commons attribution license, which allows third parties to use the published material provided that they mention the authorship of the work and the first publication in this journal.
2. Authors can make other independent and additional contractual agreements for the non-exclusive distribution of the version of the article published in this journal (for example, include it in an institutional repository or publish it in a book) as long as it clearly indicates that the work was published. for the first time in the CAMbios MEDICAL-SCIENTIFIC JOURNAL HECAM.