Transpulmonary thermodilution: advantages and limits

Transpulmonary thermodilution: advantages and limits

BACKGROUND For complex patients in the intensive care unit or in the operating room, many questions regarding their haemodynamic management cannot be answered with simple clinical examination. In particular, arterial pressure allows only a rough estimation of cardiac output. Transpulmonary thermodilution is a technique that provides a full haemodynamic assessment through cardiac output and othe...

Interpretation of transpulmonary thermodilution curves.

Main limitations of transpulmonary thermodilution: set targets

Background We read with great interest the review by Xavier Monnet and Jean-Louis Teboul [1]. This review concluded that transpulmonary thermodilution (TPTD) provides a full haemodynamic evaluation. The authors discuss the limitations of previous studies reporting a lack of outcome improvement in patients treated using TPTD-based fluid management. They stated that the objectives of these studie...

Precision of the transpulmonary thermodilution measurements

INTRODUCTION We wanted to determine the number of cold bolus injections that are necessary for achieving an acceptable level of precision for measuring cardiac index (CI), indexed global end-diastolic volume (GEDVi) and indexed extravascular lung water (EVLWi) by transpulmonary thermodilution. METHODS We included 91 hemodynamically stable patients (age 59 (25% to 75% interquartile range: 39 t...

Transpulmonary thermodilution curve and the cross-talk phenomenon.

1. Ruiz Bailén M. Reversible myocardial dysfunction in critically i noncardiac patients: A review. Crit Care Med. 2002;30:1280--9 2. Court O, Kumar A, Parrillo JE, Kumar A. Clinical review: Myoca dial depression in sepsis and septic shock. COCC. 2002;6:500-3. Zanotti-Cavazzoni SL, Hollenberg SM. Cardiac dysfunction severe sepsis and septic shock. COCC. 2009;15:392--7. 4. Lanco J, Muriel-Bombín ...