An evaluation of thermodilution cardiac output measurement using the Swan-Ganz catheter

W. B. Runciman, A. H. Ilsley, J. G. Roberts

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36 Citations (Scopus)

Abstract

Errors in thermodilution cardiac output measurement were quantitated to determine the order of accuracy of routine measurements performed by unskilled personnel. In vitro and in vivo studies were undertaken to examine factors affecting the volume and temperature of the injectate, catheter thermistor and computer performance, effect of respiration, use of cold (0-4°C) versus ambient temperature (20-25°C) injectate, and the interpretation of measurements. Ambient temperature injectate incurred unacceptably large errors; cold injectate (injections were timed with respiration) produced variations in performance by equipment and personnel which accounted for only 2% of the variation between successive measurements. Real changes in cardiac output and inherent variability of the downslope of the thermal curve, necessitating an empirically based calculation, account for up to 10% variation between successive measurements. When cold injectate was used, and the average of three corrected measurements taken, thermodilution cardiac output measurements were within 10% of a simultaneous dye dilution measurement.

Original languageEnglish
Pages (from-to)208-220
Number of pages13
JournalAnaesthesia and Intensive Care
Volume9
Issue number3
DOIs
Publication statusPublished or Issued - 1 Jan 1981
Externally publishedYes

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Anesthesiology and Pain Medicine

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