26-2 DELTA/DELTA XL/KAPPA VF8
26 P
ULSE CONTOUR CARDIAC OUTPUT (PICCO) MONITORING
Overview
The Infinity PiCCO pod monitors cardiopulmonary and circulatory variables. Cardiac
output is determined both continuously through arterial pulse contour analysis and
intermittently through transpulmonary thermodilution technique. In addition, the
PiCCO pod measures systolic, diastolic and mean arterial pressure. Analysis of the
thermodilution curve is used to determine the intra- and extra- vascular fluid volumes.
If a patient’s weight and height are entered, the PiCCO pod indexes the derived
parameters to body surface area (BSA) and body weight (BW) respectively. The
PiCCO pod monitors adult and pediatric patients (it is not available for neonatal
patients).
The pulse contour PiCCO parameters are listed in the following table.
Pulse Contour parameters
Label Parameter
Measurement
Range
Normal Value
PCCO Pulse Contour Cardiac Output - uses a
calibration factor (cal) determined by the
thermodilution cardiac output
measurement and the heart rate, as well as
the integrated values for the area under the
systolic part of the pressure curve, the
aortic compliance and the shape of the
pressure curve, represented by change of
pressure over change of time.
0.25 to 25 L/min Not applicable
PCCI Continuous Cardiac Index - Pulse Contour
Cardiac Output normalized to body surface
area.
0.01 to 15
L/min/m
2
3.00 to 5.00
L/min/m
2
p-SV Stroke Volume 1 to 250 ml Not applicable
p-SVI Stroke Volume Index - Stroke Volume
normalized to body surface area.
1 to 125 ml/m
2
40 to 60 ml/m
2
p-SVR Systemic Vascular Resistance - The
quotient of driving pressure and cardiac
output over the last 12 seconds. Here the
driving pressure represents the difference
between mean arterial pressure (MAP) and
central venous pressure (CVP).
0 to 30000
dynes x sec x cm
-5
Not applicable
NOTE:
• Normal values reflect clinical experience and may vary from patient to patient. They are without
guarantee.
• The prefix of “p-” before SV, SVI, SVR, SVRI is an indication that these parameters are derived
by the PiCCO pod.