Evidence map›Paper›PMID 35544253›Full record

ArticleTurkish journal of anaesthesiology and reanimation2022

Correlation of Cardiac Output by Arterial Contour-Derived Cardiac Output Monitor Versus Pulmonary Artery Catheter in Liver Transplant: Experience at an Indian Center.

Kusuma Halemani, Lakshmi Kumar, Bhadrinath Narayanan, Sunil Rajan, Pavithra Ramamurthi, Abish Sudhakar

Abstract read
In one paragraph

Article in Turkish journal of anaesthesiology and reanimation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Pediatric acute liver failure: Current perspective in etiology and management.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kusuma HalemaniDepartment of Anaesthesia, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Lakshmi KumarDepartment of Anaesthesia, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Bhadrinath NarayananDepartment of Anaesthesia, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Sunil RajanDepartment of Anaesthesia, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Pavithra RamamurthiDepartment of Anaesthesia, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Abish SudhakarDepartment of Pediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveArterial pulse-derived cardiac output monitors are routinely employed to guide hemodynamic management during liver transplant surgery. In this study, we sought to assess the reliability by evaluating the agreement of the cardiac output measured by the FloTrac Vigileo versus pulmonary artery catheter (continuous cardiac output) at specified times during liver transplant.

methodsLiver transplant database with cardiac output values measured by FloTrac Vigileo and continuous cardiac output was analyzed retrospectively at a tertiary care hospital. Data were compared at T0: baseline, T1: 1 hour in dissection phase, T2: anhepatic phase, T3: portosystemic shunt, T4: reperfusion, T5: 1 hour after reperfusion, and T6: skin closure. Statistical analysis was done using Bland-Altman analysis and percentage error (<30%) to assess the agreement between cardiac output measured by 2 techniques, Lin's concordance correlation coefficient for quantifying the agreement and 4-quadrant plots to compare the trends of cardiac output.

resultsBland-Altman analysis showed mean cardiac output ± standard deviation L min-1 (95% CI) at T0: 0.2 ± 2.09 (-3.9 to 4.3), T1: 0.53 ± 3.0 (-5.4 to 6.4), T2: 0.47 ± 2.1(-3.7 to 4.6), T3: 0.31 ± 1.9 (-3.4 to 4.0), T4: 0.44 ± 2.15 (-3.8 to 4.7), T 5:0.69 ± 1.9. (-2.9 to 4.3), and at T6: 0.43 ± 2.25 (-4.0 to 4.8). Percentage error was 44%-72% and concordance correlation coefficient was poor (<0.65) at all points.

conclusionsThere is poor agreement between the cardiac output measured by FloTrac and pulmonary artery catheter among liver transplant recipients. The need for superior hemodynamic monitoring is mandated in liver transplant.

Identifiers

PMID35544253
PMCPMC9361166

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.