Transpulmonary thermodilution: advantages and limits
For complex patients in the intensive care unit or in the operating room, many questions regarding their haemodynamic management cannot be answered with simple clinical examination. In particular, arterial pressure allows only a rough estimation of cardiac output. Transpulmonary thermodilution is a technique that provides a full haemodynamic assessment
Xavier Monnet, Jean-Louis Teboul
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Transpulmonary thermodilution curves for detection of shunt [PDF]
Monitoring using transpulmonary thermodilution (TPTD) via a single thermal indicator technique allows measurement of cardiac output, extravascular lung water (EVLW) and volumetric variables.This report describes two cases of systemic-venous circulation shunt generating early recirculation of thermal indicator with overestimation of EVLW.In the case of ...
Giraud, Raphael+4 more
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Goal-directed therapy in intraoperative fluid and hemodynamic management. [PDF]
Intraoperative fluid management is pivotal to the outcome and success of surgery, especially in high-risk procedures. Empirical formula and invasive static monitoring have been traditionally used to guide intraoperative fluid management and assess volume
Gutierrez, Maria Cristina+2 more
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What every ICU clinician needs to know about the cardiovascular effects caused by abdominal hypertension [PDF]
The effects of increased intra-abdominal pressure (IAP) on cardiovascular function are well recognized and include a combined negative effect on preload, afterload and contractility.
De Keulenaer, Bart L+2 more
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Coronary thermodilution waveforms after acute reperfused stsegment-elevation myocardial infarction:Relation to microvascular obstruction and prognosis [PDF]
Background: Invasive measures of microvascular resistance in the culprit coronary artery have potential for risk stratification in acute ST‐segment–elevation myocardial infarction.
Ahmed, Nadeem+17 more
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Una compliance pulmonar disminuida incrementa los test dinámicos de precarga en un modelo pediátrico de lesión pulmonar aguda [PDF]
Indexación: Web of Science; Scielo.Background Preload dynamic tests, pulse pressure variation (PPV) and stroke volume variation (SVV) have emerged as powerful tools to predict response to fluid administration.
Carvajal, Cristóbal+6 more
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Safety of guidewire-based measurement of fractional flow reserve and the index of microvascular resistance using intravenous adenosine in patients with acute or recent myocardial infarction [PDF]
Aims: Coronary guidewire-based diagnostic assessments with hyperemia may cause iatrogenic complications. We assessed the safety of guidewire-based measurement of coronary physiology, using intravenous adenosine, in patients with an acute coronary ...
Ahmed, Nadeem+16 more
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The thermodilution method for the clinical assessment of cardiac output [PDF]
The application of the thermodilution method in conditions associated with variations in blood flow implies a misuse of the Stewart Hamilton equation. Therefore, we studied the reliability of the thermodilution method for the estimation of mean cardiac ...
Jansen, J.R.C. (Jos)
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In vitro and in vivo effects of salbutamol on neutrophil function in acute lung injury [PDF]
Background: Intravenous salbutamol (albuterol) reduces lung water in patients with the acute respiratory distress syndrome (ARDS). Experimental data show that it also reduces pulmonary neutrophil accumulation or activation and inflammation in ARDS ...
McAuley, Daniel F.+4 more
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Impact of shunt on the transpulmonary thermodilution curve [PDF]
Dear Editor, We read with interest the comments by Nusmeier et al. [1] regarding our article entitled ‘‘Transpulmonary thermodilution curves for detection of shunt’’ [2]. The authors found that our explanation (Appendix, page 1086) was confused [2]! Thus, these authors proposed a much simpler and easier mathematical method to support our explanations ...
Giraud, Raphael+2 more
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