• Takashi Terada, Sayaka Kessoku, Aki Suzuki, Akiko Kurosawa, Shoko Nakagomi, Ayano Oiwa, Miwako Arai, Noriaki Sakamoto, Wataru Idemitsu, and Ryoichi Ochiai.
• Department of Anaesthesiology, Toho University Omori Medical Centre, Tokyo, Japan
• Asian J Anesthesiol. 2019 Sep 1; 57 (3): 85-92.

ObjectivePerioperative intravascular volume can be optimised by identifying predictors of fluid responsiveness. This study compared the estimated continuous cardiac output (esCCO) system for non- invasive measurement and an arterial pressure-based cardiac output (APCO) system for detecting exact changes in cardiac output (CO) among patients undergoing laparotomy without postural change.MethodsThis study was performed at Toho University Omori Medical Centre in Japan from April 2016 to July 2016 and included 26 adult patients undergoing elective laparotomy lasting > 2 h without postural change. We evaluated both interchangeability and dynamic trend. After entering the biometric data (age, sex, height, weight, heart rate, pulse wave transit time, and blood pressure), the esCCO device was calibrated. All patients were also monitored with the APCO system. Data were analysed and compared for 12 adult patients using Bland–Altman analysis and polar plots.ResultsThe CO value obtained with esCCO was 0.75 ± 0.86 L/min (percentage error: 41%) lower than that obtained with the APCO system. Polar plotting revealed that the mean angular bias was 3.5°, and the radial limit of agreement was 28.3°.ConclusionThis study demonstrated that data obtained using esCCO are not interchangeable with those obtained using the APCO system. The trending ability of the esCCO device was deemed good among patients undergoing laparotomy without postural change.

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