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学科主题: 临床医学
题名:
Correlation between supra-sternal Doppler cardiac output (USCOM) measurements and chest radiological features
作者: Huang, L.1; Critchley, L. A. H.1; Lok, R. L. K.2; Liu, Y.3
刊名: ANAESTHESIA
发表日期: 2013-11-01
DOI: 10.1111/anae.12422
卷: 68, 期:11, 页:1156-1160
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Anesthesiology
研究领域[WOS]: Anesthesiology
关键词[WOS]: LEFT-VENTRICULAR HYPERTROPHY ; CRITICAL CARE UNIT ; SURGICAL-PATIENTS ; ECHOCARDIOGRAPHY ; INTERVENTION ; METAANALYSIS ; DIMENSIONS ; AGE
英文摘要:

Cardiac output can be measured non-invasively using supra-sternal Doppler (USCOM, Sydney, NSW, Australia). However, scanning can be difficult in practice in older patients, the reason for which has not been elucidated previously. Chest radiographs from 60 previously studied anaesthetised patients were reviewed and scored for aortic unfolding, enlargement and calcification, and cardiac enlargement. Corresponding supra-sternal Doppler scans were graded as easy or difficult using the Cattermole scoring system. Twenty patients who were difficult to scan, aged 60-88years, had mean (SD) radiological scores of 5.9 (2.5) out of 12, while 20 adult controls, 40-60years, and 20 older patients who were easy to scan, 60-80years, had radiological scores of 0.9 (1.1) and 1.7 (1.4), respectively (p<0.001). Over 75% of the patients who were difficult to scan had two or more radiological features suggestive of aortic unfolding and cardiac enlargement. Morphological or anatomical changes associated with ageing within the upper chest play an important part in the success of using supra-sternal Doppler in older patients.

语种: 英语
WOS记录号: WOS:000328225100010
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/64360
Appears in Collections:北京大学第三临床医学院_放射科_期刊论文

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作者单位: 1.Chinese Univ Hong Kong, Prince Wales Hosp, Dept Anaesthesia & Intens Care, Hong Kong, Hong Kong, Peoples R China
2.Chinese Univ Hong Kong, Prince Wales Hosp, Dept Imaging & Intervent Radiol, Hong Kong, Hong Kong, Peoples R China
3.Peking Univ, Hosp 3, Dept Radiol, Beijing 100871, Peoples R China

Recommended Citation:
Huang, L.,Critchley, L. A. H.,Lok, R. L. K.,et al. Correlation between supra-sternal Doppler cardiac output (USCOM) measurements and chest radiological features[J]. ANAESTHESIA,2013,68(11):1156-1160.
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