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Recalibration of CCO parameters based on arterial waveform analysis should be done before any major change in therapy is initiated.
The clinician therefore needs to consequently recalibrate the CCO based on arterial waveform analysis before any major change in therapy is initiated.
There are limitations, however, in the ability of uncalibrated continuous CO methods based on arterial waveform analysis to accurately track changes in CO after fluid loading during IAH.
In contrast, IAH affects CO methods based on arterial waveform analysis in their ability to accurately indicate an increase in CO following fluid loading.
Methods based on arterial waveform analysis are consequently prone to error in reflecting abrupt changes in CO, without an implemented algorithm to detect and correct for changes in vascular impedance as induced by IAH.
Several studies have shown that less invasive devices for CO assessment based on arterial waveform analysis, such as PiCCO plus® or LiDCO™ plus, are valuable alternatives to the intermittent thermodilution technique by the PAC [ 4- 10].
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An additional comparison was performed using the FloTrac/Vigileo System (Edwards, USA), which does not need manual recalibration and instead recalibrates itself every 60 seconds based on the arterial waveform.
Rather, it bases its calculations on arterial waveform characteristics in conjunction with patient demographic data.
It does not require calibration (thermodilution or any) but rather bases its calculations on arterial waveform characteristics in conjunction with patient demographic data.
Arterial compliance and vascular resistance contribution was estimated every minute based on individual patient demographic data (age, gender, body weight and height) and the arterial waveform analysis, respectively.
Alternatively, a less-invasive method for monitoring cardiac output based on the waveform of arterial blood pressure (ABP) has been introduced for clinical use [8].
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