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Effect of Cardiac Output on Extravascular Lung Water Estimates Made with the Edwards® Lung Water Computer

 

作者: K. Fallon,   R. Drake,   G. Laine,   J. Gabel,  

 

期刊: Anesthesiology  (OVID Available online 1985)
卷期: Volume 62, issue 4  

页码: 505-508

 

ISSN:0003-3022

 

年代: 1985

 

出版商: OVID

 

关键词: Lung: extravascular fluid;pulmonary edema;Measurement techniques: indicator dilution;thermal dye

 

数据来源: OVID

 

摘要:

The Edwards® lung water computer system uses the thermaldye indicator technique to estimate the lung extravascular fiuid volume (EVLW). The authors tested the effect of changes in cardiac output (CO) on EVLW estimates made with the lung water computer in six dogs anesthetized with halothane. Baseline CO was 2.5 ± 1.3 1/min (mean ± SD); CO subsequently was increased either by 220% or decreased by 70% by either giving 0.5 mg/kg of isoproterenol or increasing the inspired halothane (1–4%), respectively. There was a significant correlation between the estimated EVLW and CO in each animal (P< 0.05) such that a 50% decrease in CO from baseline caused an approximately 40% increase in estimated EVLW. Postmortem examination showed that the lungs were not edematous, even though the lung water computer data indicated that severe pulmonary edema had developed at reduced COs. At increased COs, estimated EVLW decreased. The authors conclude that the Edwards® lung water computer overestimtes lung water, possibly because the thermal indicator diffuses into nonpulmonary as well as pulmonary tissue. The overestimate is greatest at low cardiac outputs.

 

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