Mean cardiac output by thermodilution with a single controlled injection

J. R C Jansen, Jan J. Schreuder, Kees D. Punt, P. C M Van Den Berg, Ottavio Alfieri

Research output: Contribution to journalArticle

Abstract

Objective: A new method to estimate mean cardiac output by thermodilution with a single duration-controlled injection was evaluated in patients. Design: Prospective criterion standard study. Setting: University hospital cardiac surgical intensive care unit and cardiac operation room. Patients: Of 33 patients, 24 underwent coronary bypass graft surgery, four had a valve replacement, and five were treated in the intensive care unit. Interventions: Interventions consisted of thermodilution cardiac output measurements. One single duration-controlled injection of cold fluid was used to calculate cardiac output. This controlled injection was performed with a duration equal to one whole ventilation cycle of the ventilator. An algorithm adapted to this duration-controlled injection calculated cardiac output. Moreover, this algorithm has properties to reduce errors caused by artificial ventilation and thermal noise. Measurements and Main Results: In 33 patients, the averaged values of four measurements equally spread over the ventilatory cycle (phase-controlled) were compared with the values of two single duration-controlled measurements. The measurements were performed during periods of stable respiration and circulation. No significant difference was observed between the mean of four phase-controlled measurements and the mean of the two duration-controlled measurements. The cardiac output values in the intensive care patients were significantly higher compared with the two other patient groups (p <.05). The difference between the two methods could not be subdivided for the three patient groups (p > .05). The coefficient of variation of the single duration-controlled thermodilution measurements was significantly lower than the single phase-controlled measurements, 3% vs. 6% (p <.01). Conclusions: One single duration-controlled injection thermodilution measurement is as accurate and repeatable as the mean of four phase-controlled measurements and is clinically feasible.

Original languageEnglish
Pages (from-to)1868-1873
Number of pages6
JournalCritical Care Medicine
Volume29
Issue number10
Publication statusPublished - 2001

Keywords

  • Cardiac output
  • Controlled injection
  • Flow modulation
  • Mechanical ventilation
  • Thermodilution

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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    Jansen, J. R. C., Schreuder, J. J., Punt, K. D., Van Den Berg, P. C. M., & Alfieri, O. (2001). Mean cardiac output by thermodilution with a single controlled injection. Critical Care Medicine, 29(10), 1868-1873.