Rapid response team review of hemodynamically unstable ward patients: The accuracy of cardiac index assessment
Christopher T Eyeington, Patryck Lloyd-Donald, Matthew J Chan, Glenn M Eastwood, Helen Youn, Leah Peck, Daryl A Jones, Rinaldo Bellomo
JOURNAL OF CRITICAL CARE | W B SAUNDERS CO-ELSEVIER INC | Published : 2019
PURPOSE: Intensive care doctors commonly attend rapid response team (RRT) reviews of hospital-ward patients with hemodynamic instability and estimate the patient's likely cardiac index (CI). We aimed to non-invasively measure the CI of such patients and assess the level of agreement between such measurements and clinically estimated CI categories (low 100BPM or hypotension < 90mmHg or both). RESULTS: The CI was measured in 47/50(94%) patients and the mean CI was 3.5(95% CI 3.2-3.7) L/min/m2. Overall, 30(64%) patients had a high CI, 13(28%) and 4(9%) had a normal and a low CI, respectively. The level of agreement between measured and clinically estimated CI categories was low(19.2%). Sensiti..View full abstract
This study was supported by a0,000 (AUD) unrestricted educational grant from Edwards Lifesciences, who also supplied some of the single-use finger probes. Edwards Lifesciences were not involved in any other capacity (study concept and design; data collection, analysis, and interpretation; writing and editing of the manuscript; decision to submit for publication). This work was supported by an unrestricted educational grant from the Austin Hospital Anesthesia and Intensive Care Trust Fund.