Document Detail


Determination of cardiac output based on breath-holding.
MedLine Citation:
PMID:  6775875     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A breath-holding method for determination of cardiac output is described. It is based on the indirect Fick principle applied to carbon dioxide. Mixed venous PCO2 (PvCO2) is measured noninvasively using a CO2 breath-holding technique and PaCO2 is obtained by arterial puncture. Partial pressures are converted into contents using each patient's CO2 dissociation curve, taking into account temperature, hemoglobin, arterial and venous pH. The authors have applied this method to the determination of cardiac output in 20 patients, in whom cardiac output was also measured invasively using either direct Fick or thermodilution method. Mean cardiac output determined using the breath-holding method was 5.48 +/- 2.95 (SD) L/min, compared to 5.54 +/- 2.88 L/min as determined by the direct Fick or thermodilution method. Good correlation was found between the invasive and breath-holding method (r = 0.97, p < 0.001). The authors conclude that cardiac output at rest may be estimated with considerable accuracy from the measurements of PaCO2, CO2 production and the breath-holding mixed venous PCO2 without right-sided cardiac catheterization.
Authors:
V Hoffstein; A S Rebuck
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Critical care medicine     Volume:  8     ISSN:  0090-3493     ISO Abbreviation:  Crit. Care Med.     Publication Date:  1980 Nov 
Date Detail:
Created Date:  1981-01-26     Completed Date:  1981-01-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0355501     Medline TA:  Crit Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  671-4     Citation Subset:  AIM; IM; S    
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MeSH Terms
Descriptor/Qualifier:
Arteries
Carbon Dioxide / blood
Cardiac Output*
Heart Catheterization
Heart Function Tests / methods*
Humans
Punctures
Respiration*
Veins
Chemical
Reg. No./Substance:
124-38-9/Carbon Dioxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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