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Intensive Care Medicine
Published in: Intensive Care Medicine 6/2010

01-06-2010 | Physiological and Technical Notes

Transpulmonary thermodilution curves for detection of shunt

Authors: Raphael Giraud, Nils Siegenthaler, Chan Park, Sascha Beutler, Karim Bendjelid

Published in: Intensive Care Medicine | Issue 6/2010

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Abstract

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.
Appendix
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Literature
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Metadata
Title
Transpulmonary thermodilution curves for detection of shunt
Authors
Raphael Giraud
Nils Siegenthaler
Chan Park
Sascha Beutler
Karim Bendjelid
Publication date
01-06-2010
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 6/2010
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-010-1876-7

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