Theoretical and model analysis of the unreliability of cardiac output measurement by means of the thermodilution method

• Autorzy: Gawlikowski M. , Pustelny T. , Przywara-Chowaniec B. , Nowak-Gawlikowska J.
• Konferencja: Conference “Optical Fibers and Their Applications” in Białowieża, Styczeń 2011
• Języki publikacji: EN

Abstrakty

EN

Thermodilution is the clinically most often applied method of cardiac output measurements. This method is based on thermal indicator (iced isotonic salt solution) variation measurements by a Swan-Ganz catheter located inside the pulmonary artery. The unreliability of thermodilution should be estimated theoretically because of the lack of references. In this paper an attempt has been made to estimate theoretically the unreliability of thermodilution cardiac output measurements.

Słowa kluczowe

EN

cardiac output measurement; thermodilution method

• Wydawca: Polska Akademia Nauk, Wydział IV Nauk Technicznych
• Czasopismo: Bulletin of the Polish Academy of Sciences. Technical Sciences
• Rocznik: 2011
• Tom: Vol. 59, nr 4
• Strony: 435--439
• Opis fizyczny: Bibliogr. 26 poz., rys., tab.

Twórcy

autor

Gawlikowski M.

autor

Pustelny T.

autor

Przywara-Chowaniec B.

autor

Nowak-Gawlikowska J.

• Faculty of Electrical Engineering, Silesian Technical University, 16 Akademicka St., 44-100 Gliwice, Poland,

Bibliografia

• [1] A. Szczeklik and M. Tendera, Cardiology. Textbook Based on EBM, vol. 1, Practical Medicine Publisher, Cracow, 2009, (in Polish).
• [2] W. Rużyłło and Z. Purzycki, Hemodynamics Diagnostics, PZWL, Warsaw, 1984, (in Polish).
• [3] P. Guzik, K. Greberski, and H. Wysocki, “Comparison of invasive and noninvasive measurement methods of hemodynamic parameters”, Medical News 6, 17–21 (2002), (in Polish).
• [4] K. Klimczak, Clinical Echocardiography, Elselvier Urban& Partner, Wroclaw, 2008, (in Polish).
• [5] J. M Headley, Invasive Hemodynamic Monitoring: Physiological Principles and Clinical Applications, Edwards Lifescience, Irvine, 2002.
• [6] A.C. Guyton, Textbook of Medical Physiology, W.B. Saunders Company, Philadelphia, 1991.
• [7] D. Payen, E. Gayat, “Which general intensive care unit patients can benefit from placement of the pulmonary artery catheter?”, Critical Care 10, S7–12 (2006).
• [8] T. Nishikawa and S. Doshi, “Errors in the measurement of cardiac output by thermodilution”, Canadian J. Anesthesia 40 (2), 19–23 (1993).
• [9] Perivascular Flowprobe Specifications, http://transonic.com/data/RL-20a-ds.pdf (2011).
• [10] J.G. Webster, Encyclopedia of Medical Devices and Instrumentation, Wiley-Interscience, Hoboken, 2006.
• [11] C.W. Sheppard and L.J. Savage, “The random walk problem in relation to the physiology of circulatory mixing”, Physical Rev. 83, 2211–2216 (1951).
• [12] J. Chojcan and L. Lasek, The Methods of Sensitivity Analysis of Electronic Circuits, Publishing House of Silesian Technical University, Gliwice, 1985, (in Polish).
• [13] C.P. Kothandaraman, Fundamentals of Heat and Mass Transfer, New Age Int. Ltd. Publishers, New Delhi, 1996.
• [14] M. Gawlikowski, T. Pustelny, B. Przywara-Chowaniec, and J. Nowak-Gawlikowska, “Model study of cardiac output measurement by thermodilution in thermal instability”, Acta Physica Polonica 118 (6), 1124–1126 (2010).
• [15] M. Gawlikowski, “Model investigation on selected metrological parameters of circulatory system for hemodynamics diagnostics”, PhD Dissertation, Bialystok Technical University, Białystok, 2011, (in Polish).
• [16] M. Gawlikowski, T. Pustelny, and R. Kustosz, “The physical parameters estimation of physiologically worked heard prosthesis”, Journal de Physique IV 137, 73–78 (2006).
• [17] T. Pustelny, P. Struk, Z. Nawrat, and M. Gawlikowski, “Design and numerical analyses of the human greater circulatory system”, Eur. Physical J. – Special Topics, 154 (1), 171–174 (2008).
• [18] M. Gawlikowski, T. Pustelny, and R. Kustosz, “Selected problems of mechanical heart supporting automation”, Eur. Physical J. Special Topics 154 (1), 65–69 (2008).
• [19] M. Gawlikowski, T. Pustelny, R. Kustosz, and P. Struk, “The methods of physical parameters measurement regarding the heart supporting automation”, Eur. Physical J. Special Topics. 154 (1), 71–76 (2008).
• [20] M. Gawlikowski, T. Pustelny, B. Przywara-Chowaniec, and P. Struk, “The anatomic structure of pulmonary arteries as a source of unreliability in thermodilution cardiac output measurement”, Acta Phys. Pol. A 114 (6), 81–89 (2008).
• [21] B. Przywara-Chowaniec, L. Polonski, M. Gawlikowski, and T. Pustelny, “Clinical studies of rheocardiography application to hemodynamic monitoring of patients with dilated cardiomyopathy”, Acta Phys. Pol. A 116 (3), 380–382 (2009).
• [22] M. Gawlikowski, M. Darłak, T. Pustelny, and R. Kustosz, “Preliminary investigations regarding the possibility of acoustic resonant application for blood volume measurement in pneumatic ventricular assist device”, Molecular and Quantum Acoustics 27, 89–96 (2006).
• [23] G. Konieczny, Z. Opilski, T. Pustelny, and E. Maciak, “State of the work diagram of the artificial heart”, Acta Phys. Pol. A 116 (3), 344–347 (2009).
• [24] G. Konieczny, Z. Opilski, T. Pustelny, A. Gacek, P. Gibinski, and R. Kustosz, “Results of experiments with fiber pressure sensor applied in the Polish artificial heart prosthesis”, Acta Phys. Pol. A 118 (6), 1183–1185 (2010).
• [25] J. Sarna, R. Kustosz, R. Major, J.M. Lockner, and B. Major, “Polish artificial heart – new coating, technology, diagnostics”, Bull. Pol. Ac.: Tech. 58 (2), 329–335 (2010).
• [26] P. Wilczek, “Heart valve bioprosthesis, effect of different acellularization methods on the biomechanical and morphological properties of porcine aortic and pulmonary valve”, Bull. Pol. Ac.: Tech. 58 (2), 337–342 (2010).