Hemodynamics, fluids & transfusion

Small changes in the transducer position cause a systematic change in cardiac output readings: implications for clinical practice

J Clin Monit ComputPublished Mechanistic study

Authors' conclusion

A four-centimeter change in vertical transducer position induced clinically significant changes in cardiac output measurements by 4th generation FloTrac software.

Study context

Population
Patients after cardiac surgery monitored with 4th generation FloTrac software
Participants
20 patients
Comparison
Transducer 4 cm higher or 4 cm lower vs midaxillary plane
Outcome
CO measured by 4th generation FloTrac software
Methodological detailsrandomised transducer position, Averages of three measurements used
  • Randomised transducer position
  • Averages of three measurements used

Main finding

As reported in the abstract

CO
Relative increase, % (95% CI)P value
4 cm higher vs MidaxillaryP across positions
4.1(3.1–5.0)
P < 0.001
Midaxillary vs 4 cm lower
relative decrease 3.4 % (95% CI 2.4–4.4)
Change in CO per 1 cm change in transducer position
≈ 1%

Further findings

MAP and systemic vascular resistance

Both changed significantly with transducer position
both P < 0.001

Stroke volume variation

No statistically or clinically significant effect
P = 0.98

Original publication

Small changes in the transducer position cause a systematic change in cardiac output readings: implications for clinical practice. J Clin Monit Comput. Published 10 October 2024. doi:10.1007/s10877-024-01230-6

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