Transpulmonary thermodilution in a pediatric patient with an intracardiac left-to-right shunt

被引：0
作者：
Geoffray Keller
Olivier Desebbe
Roland Henaine
Jean-Jacques Lehot
机构：
[1] Louis Pradel Hospital and Claude Bernard Lyon 1 University,Hospices Civils de Lyon, Groupement Hospitalier Est, Department of Anesthesiology and Intensive Care
[2] Department of cardiac surgery,Hospices Civils de Lyon, Groupement Hospitalier Est
来源：
Journal of Clinical Monitoring and Computing | 2011年 / 25卷
关键词：
hemodynamic monitoring; shunt; pediatric patient; transpulmonary thermodilution; hemodynamic monitoring; extravascular lung water;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
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.
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页码：105 / 108
页数：3
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