Real-Time, Minimally Invasive, Beat-to-Beat Estimation of End-Systolic Volume Using a Modified End-Systolic Pressure-Volume Relation

Davidson, S. M.; Pretty, C.; Kamoi, S.; Balmer, J.; Desaive, Thomas; Geoffrey Chase, J.

doi:10.1016/j.ifacol.2017.08.1082

Paper published in a journal (Scientific congresses and symposiums)

Real-Time, Minimally Invasive, Beat-to-Beat Estimation of End-Systolic Volume Using a Modified End-Systolic Pressure-Volume Relation

Davidson, S. M.; Pretty, C.; Kamoi, S. et al.

2017 • In IFAC-PapersOnLine, 50 (1), p. 5456-5461

Peer Reviewed verified by ORBi

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https://hdl.handle.net/2268/248148

DOI
10.1016/j.ifacol.2017.08.1082

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Keywords :

Biomedical Control; Biomedical Systems; Least-Squares Estimation; Medical Applications; Medical Systems

Abstract :

[en] Intensive care management of cardiovascular disease and dysfunction, a major and growing issue, would benefit from improved synthesis of continuously monitored, information rich catheter waveforms into clear, relevant cardiac metrics. Volume measurements are rarely taken in intensive care, but advances have been made in approximating cardiac stroke volume using pressure measurements. This paper proposes a method for the minimally invasive, real-time, beat-to-beat estimation of end-systolic volume, with the goal of providing further insight into cardiac volume behavior and access to important metrics such as cardiac preload. This method relies on a modified end-systolic pressure-volume relation, aortic pressure and heart rate data and a brief echocardiography calibration. The method was validated across 11 pigs and 2 protocols, encompassing the progression of sepsis and a variety clinical procedures employed in the management of sepsis. The method demonstrated consistently strong correlation coefficients, with a mean of R = 0.82, and low estimation error, with a mean absolute percentage error of 13.3%. This method thus allows effective estimation of end-systolic volume, providing a more complete picture of cardiac behavior in an intensive care environment in which volume measurements are rarely taken. As such, the method has the potential to benefit clinical decision making and management of cardiovascular disease and dysfunction. © 2017

Disciplines :

Anesthesia & intensive care

Author, co-author :

Davidson, S. M.; Department of Mechanical Engineering, University of Canterbury, Christchurch, New Zealand

Pretty, C.; Department of Mechanical Engineering, University of Canterbury, Christchurch, New Zealand

Kamoi, S.; Department of Mechanical Engineering, University of Canterbury, Christchurch, New Zealand

Balmer, J.; Department of Mechanical Engineering, University of Canterbury, Christchurch, New Zealand

Desaive, Thomas ; Université de Liège - ULiège > Département d'astrophys., géophysique et océanographie (AGO) > Thermodynamique des phénomènes irréversibles

Geoffrey Chase, J.; Department of Mechanical Engineering, University of Canterbury, Christchurch, New Zealand

Language :

English

Title :

Real-Time, Minimally Invasive, Beat-to-Beat Estimation of End-Systolic Volume Using a Modified End-Systolic Pressure-Volume Relation

Publication date :

2017

Event name :

20th IFAC world congress

Event date :

11-17 juillet 2017

By request :

Yes

Audience :

International

Journal title :

IFAC-PapersOnLine

ISSN :

2405-8971

eISSN :

2405-8963

Publisher :

Elsevier B.V.

Volume :

Issue :

Pages :

5456-5461

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 08 June 2020

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