Evaluation of the utility of the Vigileo FloTrac, LiDCO, USCOM and CardioQ to detect hypovolaemia in conscious volunteers: A proof of concept study

E. O'Loughlin, M. Ward, A. Crossley, R. Hughes, A. P. Bremner, T. Corcoran

Research output: Contribution to journalArticleResearchpeer-review

19 Citations (Scopus)

Abstract

It is important to detect and treat hypovolaemia; however, detection is particularly challenging in the conscious, spontaneously breathing patient. Eight healthy male volunteers were monitored using four minimally invasive monitors: Vigileo FloTrac; LiDCOrapid; USCOM 1A; and CardioQ oesophageal Doppler. Monitor output and clinical signs were recorded during incremental venesection of 2.5% estimated blood volume aliquots to a total of 20% blood volume removed. A statistically significant difference from baseline stroke volume was detected after 2.5% blood loss using the LiDCO (p = 0.007), 7.5% blood loss using the USCOM (p = 0.019), and 12.5% blood loss using the CardioQ (p = 0.046) and the FloTrac (p = 0.028). Receiver operator characteristic curves for predicting > 10% blood loss had areas under the curve of 0.68-0.82. The minimally invasive cardiac output devices tested can detect blood loss by a reduction in stroke volume in awake volunteers, and may have a role in guiding fluid replacement in conscious patients with suspected hypovolaemia.

Original languageEnglish
Pages (from-to)142-149
Number of pages8
JournalAnaesthesia
Volume70
Issue number2
DOIs
Publication statusPublished - Feb 2015
Externally publishedYes

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