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Tytuł artykułu

Analysis of actual accuracy in cardiac output measurements by means of thermodilution

Treść / Zawartość
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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The essential examination in hemodynamic monitoring of the patient is the cardiac output (CO) measurement. Nowadays, in clinical practice the most popular method is indicator dilution, particularly thermodilution. It is realized by applying the Swan-Ganz catheter and observing changes of the indicator concentration. This method is sensitive to many factors and the obtained results should be treated cautiously. The paper presents theoretical and experimental studies of metrological phenomena in CO measurements by means of thermodilution, paying special attention to medical aspects of the measurements. It has been pointed out that the actual unreliability of the mentioned method reaches values from 20% to 45%, which is in opposition to the technical data of patient's monitors (typical accuracy about 5%).
Rocznik
Strony
581--587
Opis fizyczny
Bibliogr. 20 poz., rys., tab.
Twórcy
autor
  • Foundation of Cardiac Surgery Development, 345a Wolnosci St., 41-800 Zabrze, Poland
Bibliografia
  • [1] W. Rużyłło and Z. Purzycki, Hemodynamics Diagnostics, PZWL, Warsaw, 1984. (in Polish).
  • [2] A.C. Guyton Textbook of Medical Physiology, W.B. Saunders Company, Philadelphia, 1991.
  • [3] Ch. Berton and B. Cholley, “Equipment review: new techniques for cardiac output measurement - oesophageal Doppler, Fick principle using carbon dioxide, and pulse contour analysis”, Crit Care 6 (3), 216-221 (2002).
  • [4] A.F. Parisi, P.F. Moynihan, C.L. Feldman, and E.D. Folland, “Approaches to determination of left ventricular volume and ejection fraction by real-time two-dimensional echocardiography”, Clin. Cardiol 2 (4), 257-263 (1979).
  • [5] P. Guzik, K. Greberski, and H. Wysocki, “Comparison of invasive and noninvasive measurement methods of hemodynamic parameters”, Medical News 71 (6), 349-354 (2002), (in Polish).
  • [6] C. Jewkes, “Non-invasive measurement of cardiac output by thoracic electrical bioimpedance: a study of reproducibility and comparison with thermodilution”, Brit. J Anaesth 67 (6), 788- 794 (1991).
  • [7] B. Przywara-Chowaniec, L. Polonski, M. Gawlikowski, and T. Pustelny, “Clinical studies of rheocardiography application to hemodynamic monitoring of patients with dilated cardiomyopathy”, Act Phys. Pol. A 116 (3), 380-382 (2009).
  • [8] M. Gawlikowski, T. Pustelny B. Przywara-Chowaniec, and J. Nowak-Gawlikowska, “Theoretical and model analysis of the unreliability of cardiac output measurement by means of the thermodilution method.”, Bull. Pol. Ac.: Tech 59 (4), 435-439 (2011).
  • [9] T. Nishikawa and S. Doshi “Errors in the measurement of cardiac output by thermodilution”, Can. J. Anaesth. 40 (2), 142-153 (1993).
  • [10] P.R. Lichtental, Cardiopulmonary Care, Edwards Lifescience, Irvine, 2002.
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  • [12] FX-2000 Patient’s Monitor. User’s Manual Design, Production Company Emtel, Zabrze, 2009.
  • [13] M. Gawlikowski and T. Pustelny, “Physical model of the pulmonary circulation designed for investigation on cardiac output measurement by means of the thermodilution method”, Act.Phys. Pol. A 120 (4), 798-802 (2011).
  • [14] J. Chojcan and L. Lasek, The Methods of Sensitivity Analysisof Electronic Circuits, Publishing House of Silesian Technical University, Gliwice, (1985), (in Polish).
  • [15] T. Pustelny, P. Struk, Z. Nawrat, and M. Gawlikowski, “Design and numerical analyses of the human greater circulatory system”, Eur. Phys J Special Topics 154 (1), 171-174 (2008).
  • [16] T. Pustelny, P. Struk, Z. Nawrat, and M. Gawlikowski, “Numerical and experimental researches of mechanical heart prosthesis”, Eur. Phys. J Special Topics 154 (1), 175-181 (2008).
  • [17] J.G. Webster, Encyclopedia of Medical Devices and Instrumentation, Wiley-Interscience, Hoboken, 2006.
  • [18] J.P. Callister and T.R. Machold, “Device and method of measuring blood flow rate or cardiac output and for heating or cooling the body”, patent no. US2003/0225336 A1 USA, 04 12 (2003).
  • [19] M. Gawlikowski, T. Pustelny, B. Przywara-Chowaniec, and J. Nowak-Gawlikowska, “Model study of cardiac output measurement by thermodilution in thermal instability”, Act. Phys. Pol. A 118 (6), 1124-1126 (2010).
  • [20] P. Wilczek, “Heart valve bioprothesis; effect of different acellularizations methods on the biomechanical and morphological properties of porcine aortic and pulmonary valve”, Bull. Pol.Ac.: Tech. 58 (2), 337-242 (2010).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BPG8-0096-0019
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