Clinical evaluation of a diameter sensing Doppler cardiac output meter.

A concentric beam Doppler ultrasonic flowmeter has been developed. This instrument has capacity for independent assessment of volumetric flow, as it determines flow cross-section area, stroke length, and pulse rate from the Doppler signals alone. The method is practically independent of the angle of interrogation. We used this device and obtained noninvasive estimates of cardiac output in 54 patients undergoing invasive assessment of cardiac output by thermodilution, Fick, or indicator dye methods (x). Correlations against pooled cardiac output reference standards ranged from r = .86 (y = .86x + 1.03) in 26 studies of high confidence to r = .45 (y = .30x + 2.62) in 17 studies under difficult conditions. The overall correlation was r = .68 (y = .63x + 1.49, n = 87). Noninvasive results of experienced and inexperienced operators were similar (r = .87). The instrument returned accurate assessments of heart rate (r = .83), but underestimated stroke length (r = .72) and appeared to be limited in the assessment of aortic diameters less than 28 or greater than 31 mm (r = .23). We conclude that stand-alone Doppler assessment of cardiac output is appealing and feasible, but difficult or impossible in many ICU scenarios. Further evolution of the concentric beam Doppler approach is needed and anticipated.