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Evaluation of an oesophageal Doppler device for monitoring cardiac output in anaesthetised healthy normotensive dogs

Canfrán, S., Cediel, R., Sández, I., Caro‐Vadillo, A., Gómez de Segura, I. A.
The journal of small animal practice 2015 v.56 no.7 pp. 450-455
Beagle, acepromazine, adults, anesthesia, cardiac output, dogs, dopamine, hypotension, intravenous injection, isoflurane, methadone, monitoring, oxygen
OBJECTIVES: To compare cardiac output measured by oesophageal Doppler and by thermodilution monitoring and to correlate the Doppler cardiac output‐generated minute distance with thermodilution cardiac output in healthy anaesthetised beagle dogs. MATERIALS AND METHODS: Prospective experimental study. Six healthy adult beagle dogs were pre‐medicated with intramuscular acepromazine (0 · 05 mg/kg) and methadone (0 · 3 mg/kg). Anaesthesia was induced with intravenous propofol (dose‐effect) and maintained with isoflurane in oxygen. Simultaneously, a constant rate infusion of dopamine (3 µg/kg/minute) was administered to the dogs to prevent hypotension. The minute distance, Doppler and thermodilution cardiac outputs were assessed at three different end‐tidal concentrations of isoflurane (1 · 0, 1 · 3 and 2 · 0%). RESULTS: Correlation between Doppler and thermodilution cardiac output (r² = 0 · 582) and between minute distance and thermodilution cardiac output (r² = 0 · 658) were moderately good, but the limits of agreement between Doppler and thermodilution cardiac outputs were above the recommended values (±39%, for a recommended value up to 30%). CLINICAL SIGNIFICANCE: Doppler and minute distance cannot be considered as an alternative method to thermodilution to monitor cardiac output in the healthy anaesthetised dog.