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Abstrakty
Nowadays the "gold clinical standard" of hemodynamics diagnostic and cardiac output measurements is pulmonary artery catheterization by means of the Swan-Ganz catheter and thermodilution. The method itself is sensitive to numerous disturbances which cause inaccurate results. One of the well-known disadvantages of thermodilution is the overestimation of results at low values of cardiac output. This effect may concern the limited slew rate of the thermoelement mounted at the tip of the catheter. In this paper the relationship between the dynamic response of the thermoelement and the uncertainty of cardiac output measurements by means of thermodilution has been investigated theoretically and experimentally.
Słowa kluczowe
Czasopismo
Rocznik
Tom
Strony
751--758
Opis fizyczny
Bibliogr. 18 poz., rys., wykr.
Twórcy
autor
autor
- Foundation of Cardiac Surgery Development, Wolności 345a, 41-800 Zabrze, Poland, maciej.gawlikowski@poczta.onet.pl
Bibliografia
- [1] Headley, J.M. (2002). Invasive hemodynamic monitoring: physiological principles and clinical applications. Edwards Lifescience, Irvine.
- [2] Opilski, Z., Konieczny, G., Pustelny, T., Gacek, A., Kustosz, R., Gawlikowski, M. (2011). Noninvasive acoustic blood volume measurement system for the POLVAD prosthesis. Bull. Pol. Acad. Sci.- Tech. Sci., 59(4), 429-433.
- [3] Konieczny, G., Opilski, Z., Pustelny, T. (2011). Preliminary research concerning measurements of the POLVAD blood chamber volume based on Helmholtz’s acoustic resonator principle. Acta Physica Polonica A, 120(6), 688-692.
- [4] Mathews, L., Singh, K. (2008). Cardiac output monitoring. Annals of Cardiac Anaesthesia, 11(1), 56-68.
- [5] Nishikawa, T., Doshi, S. (1993). Errors in the measurement of cardiac output by thermodilution. Canadian Journal of Anesthesia, 40(2), 142-153.
- [6] Gawlikowski, M., Pustelny, T., Przywara-Chowaniec, B., Nowak-Gawlikowska, J. (2011). Theoretical and model analysis of the unreliability of cardiac output measurement by means of the thermodilution method. Bull. Pol. Acad. Sci.- Tech. Sci., 59(4), 435-439.
- [7] Gawlikowski, M., Pustelny, T. (2012). Investigations concerning the application of the cross-correlation method in cardiac output measurements. BioMedical Engineering OnLine, 11(24).
- [8] Gawlikowski, M., Pustelny, T., Przywara-Chowaniec, B., Nowak-Gawlikowska, J. (2010). Model study of cardiac output measurement by thermodilution in thermal instability. Acta Physica Polonica A, 118(6), 1124-1126.
- [9] Tournade, J.P., Chassard, D., Muchada, R. (1997). Overestimation of low cardiac output measured by thermodilution. British Journal of Anaesthesia, 79(4), 514-516.
- [10] A.van Grondelle, R. V. Ditchey, B. M. Groves, et al.: “Thermodilution method overestimates low cardiac output in humans”. American Journal of Physiology, 245(4), 1983, pp. H690-692.
- [11] Maruschak, G.F., Potter, A.M., Schauble, J.F., Rogers, M.C. (1982). Overestimation of pediatric cardiac output by thermal indicator loss. Circulation, 65(2), 380-383.
- [12] Sheppard, C.W., Savage, L.J. (1951). The random walk problem in relation to the physiology of circulatory mixing. Physical Review, 83, 489-490.
- [13] Wise, M.E. (1966). Tracer dilution curves in cardiology and random walk and lognormal distributions. Acta Physiologica et Pharmacologica Neerlandica, 14(2), 175-204.
- [14] Gawlikowski, M. (2011). Model investigation on selected metrological parameters of circulatory system for hemodynamics diagnostics. Ph.d. Dissertation. Bialystok University of Technology, Bialystok, Poland. (in Polish)
- [15] dos Santos, I. (2003). In vivo measurements of the heat convection coefficient on the endocardial surface. Phd Dissertation. The University of Texas, Austin, USA.
- [16] Gawlikowski, M., Pustelny, T. (2011). Physical model of the pulmonary circulation designed for investigation on cardiac output measurement by means of the thermodilution method. Acta Physica Polonica A, 120(4), 798-802.
- [17] Skalski, A., Turcza, P. (2011). Heart segmentation in echo images. Metrol. Meas. Syst., 18(2), 305-314.
- [18] Wtorek, J., Bujnowski, A., Rumiński, J., Poliński, A., Kaczmarek, M., Nowakowski, A. (2012). Assesment of cardiovascular risk in assisted living. Metrol. Meas. Syst., 19(2), 231-244.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BSW1-0106-0011