Transpulmonary thermodilution in a pediatric patient with an intracardiac left-to-right shunt
| Autor: | Geoffray Keller, Roland Henaine, Jean-Jacques Lehot, Olivier Desebbe |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Heart Septal Defects
Ventricular medicine.medical_specialty Cardiac output Thermodilution Indicator Dilution Techniques Hemodynamics Health Informatics Critical Care and Intensive Care Medicine Pediatrics Heart Septal Defects Atrial Intracardiac injection Monitoring Intraoperative Internal medicine Anesthesiology medicine Humans Cardiac Output business.industry Infant Perioperative respiratory system Pediatric patient Anesthesiology and Pain Medicine Anesthesia Extravascular Lung Water Circulatory system Cardiology business Shunt (electrical) |
| Zdroj: | Journal of Clinical Monitoring and Computing. 25:105-108 |
| ISSN: | 1573-2614 1387-1307 |
| DOI: | 10.1007/s10877-011-9281-5 |
| Popis: | Monitoring of cardiac output (CO) in the perioperative period and in seriously ill pediatric patients is of major importance for medical management. Hemodynamic monitoring, using transpulmonary thermodilution (TPTD) via a single thermal indicator injection, allows for measurements of CO, volumetric variables and extravascular lung water (EVLW). We describe and explain the influence of a left-to-right shunt on TPTD curve characteristics and EVLW measurements in a young child undergoing a surgical atrial septal defect repair. We suggest that these specific changes in the TPTD curve and the overestimation of EVLW detected by current device, in absence of gas exchange abnormalities, could be indicators of existing circulatory shunts in pediatric patients. |
| Databáze: | OpenAIRE |
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