The Accuracy and Precision of the CONMED ECMTM in the Porcine Model (sus scrofa - Yorkshire cross)

Abstract

Background: The use of invasive monitoring is complicated by several factors. It is imperative for those wounded in battle that we explore potential technologies that can aid in the management of effective fluid resuscitation. Objectives: To explore the accuracy and precision of a FDA approved device, the CONMED by comparing it to the Edwards Vigilance II monitor pulmonary artery catheter under hypothermic and hemorrhagic conditions. Methods: 8 anesthetized, instrumented and stabilized in exp. 1 (hemorrhage), induced Type III hemorrhagic conditions. CO values were collected from the PAC and the ECOM over a 3 hour period. Exp. 2 (hypothermia), swine were cooled to a temperature of 33oC and CO values recorded from both instruments. Results: The curves from the ECOM data were significantly different from the PAC data curves under both conditions, but more pronounced differences were found under hemorrhagic conditions. Conclusion: The ECOM does not appear to reliably reproduce CO values acquired from a traditional PAC under hemorrhagic conditions.

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Document Details

Document Type
Technical Report
Publication Date
Jan 08, 2018
Accession Number
AD1046343

Entities

People

  • Joseph K Maddry
  • Maria G. Castaneda
  • Maureen Reilly
  • Normalynn Garrett
  • Susan M. Boudreau
  • Vikhyat S Bebarta

Organizations

  • 59th Medical Wing

Tags

DTIC Thesaurus Topics

  • Accuracy
  • Acquisition
  • Air Force
  • Arteries
  • Biological Sciences
  • Catheters
  • Emergencies
  • Hemorrhage
  • Hypothermia
  • Maryland
  • Medical Personnel
  • Monitoring
  • Personnel Management
  • Physicians
  • Precision
  • Resuscitation

Fields of Study

  • Medicine

Readers

  • Aerospace Test and Evaluation
  • Brain and Cognitive Science; Experimental Psychology; Cognitive Neuroscience
  • Trauma Surgery or Emergency Medicine.