PURPOSE: Monitoring using transpulmonary thermodilution (TPTD) via a single thermal indicator technique allows measurement of cardiac output, extravascular lung water (EVLW) and volumetric variables. METHODS AND RESULTS: This report describes two cases of systemic-venous circulation shunt generating early recirculation of thermal indicator with overestimation of EVLW. CONCLUSION: In the case of recirculation of thermal indicator, the observed overestimated EVLW in absence of gas exchanges abnormality could be an indicator suggesting the search for a circulatory shunt.
PURPOSE: Monitoring using transpulmonary thermodilution (TPTD) via a single thermal indicator technique allows measurement of cardiac output, extravascular lung water (EVLW) and volumetric variables. METHODS AND RESULTS: This report describes two cases of systemic-venous circulation shunt generating early recirculation of thermal indicator with overestimation of EVLW. CONCLUSION: In the case of recirculation of thermal indicator, the observed overestimated EVLW in absence of gas exchanges abnormality could be an indicator suggesting the search for a circulatory shunt.
Authors: Wolfgang Huber; Andreas Umgelter; Wolfgang Reindl; Michael Franzen; Christian Schmidt; Stefan von Delius; Fabian Geisler; Florian Eckel; Ralph Fritsch; Jens Siveke; Benedikt Henschel; Roland M Schmid Journal: Crit Care Med Date: 2008-08 Impact factor: 7.598
Authors: Gregor Loosen; Alice Marguerite Conrad; Michael Hagman; Nils Essert; Manfred Thiel; Thomas Luecke; Joerg Krebs Journal: Ann Intensive Care Date: 2021-07-02 Impact factor: 6.925