Skip to main content
  • Poster presentation
  • Open access
  • Published:

Comparison of bioimpedance and oesophageal Doppler cardiac output monitoring during abdominal aortic surgery


Abdominal aortic surgery is a high-risk procedure. Cardiac output monitoring allowing haemodynamic optimisation may reduce the complication rate. Minimally invasive, continuous techniques are preferable. Cardiac output using oesophageal Doppler has been validated in several studies, showing good agreement with the gold standard. The aim of this study was to assess the degree of correlation and agreement between cardiac output measured by oesophageal Doppler and bioimpedance obtained from an endotracheal tube.


Twelve patients scheduled for elective abdominal aortic surgery were included. Patients were intubated with an ECOM™ endotracheal tube (ConMed Corporation, NY, USA) which was connected to the ECOM™ monitoring system. An oesophageal Doppler probe (CardioQ™; Deltex Medical, UK) was inserted, connected to the CardioQ-ODM™ monitoring system and correct positioning verified. Simultaneous determination of cardiac output by ODM and ECOM™ was performed before and after cross-clamping of the aorta.


Cardiac output ranged from 1.4 to 13.1 l/minute. Linear regression is represented by the equation y = 0.30x + 2.2 and the correlation coefficient r2 = 0.15. The bias was +1.5 l/minute with 95% limits of agreement between -2.1 and 5.1 l/minute (Figure 1).

Figure 1
figure 1

abstract P220


Using the CardioQ™ as a reference, the ECOM™ system cannot be recommended as a clinical cardiac output measurement technique in abdominal aortic surgery, due to its poor correlation and wide limits of agreement.

Author information

Authors and Affiliations


Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Reprints and permissions

About this article

Cite this article

Jørgensen, H., Bisgaard, J. & Gilsaa, T. Comparison of bioimpedance and oesophageal Doppler cardiac output monitoring during abdominal aortic surgery. Crit Care 16 (Suppl 1), P218 (2012).

Download citation

  • Published:

  • DOI: