Transpulmonary thermodilution curves for detection of shunt.
- Giraud R Médecin Adjoint Agrégé, Intensive Care Unit, Geneva University Hospitals, Rue Micheli-du-Crest 24, 1205, Geneva, Switzerland.
- Siegenthaler N
- Park C
- Beutler S
- Bendjelid K
- 2010-04-17
Published in:
- Intensive care medicine. - 2010
Aged
Arteriovenous Fistula
Cardiac Output
Critical Illness
Extravascular Lung Water
Female
Heart Septal Defects, Ventricular
Hemodynamics
Humans
Male
Monitoring, Physiologic
Pulmonary Circulation
Pulmonary Edema
Thermodilution
Young Adult
English
PURPOSE
Monitoring using transpulmonary thermodilution (TPTD) via a single thermal indicator technique allows measurement of cardiac output, extravascular lung water (EVLW) and volumetric variables.
METHODS AND RESULTS
This report describes two cases of systemic-venous circulation shunt generating early recirculation of thermal indicator with overestimation of EVLW.
CONCLUSION
In the case of recirculation of thermal indicator, the observed overestimated EVLW in absence of gas exchanges abnormality could be an indicator suggesting the search for a circulatory shunt.
Monitoring using transpulmonary thermodilution (TPTD) via a single thermal indicator technique allows measurement of cardiac output, extravascular lung water (EVLW) and volumetric variables.
METHODS AND RESULTS
This report describes two cases of systemic-venous circulation shunt generating early recirculation of thermal indicator with overestimation of EVLW.
CONCLUSION
In the case of recirculation of thermal indicator, the observed overestimated EVLW in absence of gas exchanges abnormality could be an indicator suggesting the search for a circulatory shunt.
- Language
-
- English
- Open access status
- green
- Identifiers
-
- DOI 10.1007/s00134-010-1876-7
- PMID 20397008
- Persistent URL
- https://sonar.ch/global/documents/89618
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