Measurement of cardiac output using the transpulmonary thermodilution method in the presence of high extravascular lung water in a pediatric animal model
2011

Measuring Heart Output in Lambs with Lung Water Issues

Sample size: 11 publication Evidence: moderate

Author Information

Author(s): Nusmeier A, Vrancken S, Van der Hoeven JG, Lemson J

Primary Institution: Radboud University Nijmegen Medical Centre

Hypothesis

High levels of extravascular lung water affect the reliability of cardiac output measurement using the transpulmonary thermodilution technique.

Conclusion

Cardiac output can be reliably measured using the transpulmonary thermodilution technique even when extravascular lung water levels are high.

Supporting Evidence

  • The study analyzed 62 simultaneous measurements in 11 lambs.
  • The correlation coefficient between the COMPA and COTPTD was 0.93.
  • The mean bias in the Bland-Altman analysis was -0.09 l/minute.

Takeaway

This study shows that we can still measure how well the heart is pumping in lambs, even when their lungs are filled with extra fluid.

Methodology

Anesthetized lambs were measured for cardiac output using transpulmonary thermodilution and compared with ultrasound measurements.

Participant Demographics

Lambs with a mean body weight of 8.6 kg.

Digital Object Identifier (DOI)

10.1186/cc9467

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication