Journal of clinical monitoring and computing
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J Clin Monit Comput · Dec 1999
Comparative Study Clinical TrialA comparison of lithium dilution cardiac output measurements made using central and antecubital venous injection of lithium chloride.
We have previously described an indicator dilution technique of measuring cardiac output in which lithium chloride is injected as a bolus via a central venous catheter and cardiac output derived from the arterial lithium dilution curve recorded from a lithium-selective electrode, which we have developed for this purpose. It would be an advantage if the lithium could be injected via the basilic vein (in the antecubital fossa) in those patients who do not need central venous catheterisation for other reasons. We have therefore compared cardiac output measurements made using these two routes of lithium chloride administration. ⋯ Injection of lithium chloride via the basilic vein in the antecubital fossa allows accurate lithium dilution cardiac output measurements to be made in patients who do not have central venous catheters in place.
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J Clin Monit Comput · Dec 1999
The relationship between modified pulse wave transit time and cardiovascular changes in isoflurane anesthetized dogs.
To clarify the relationship between blood pressure and pulse wave transit time at the peripheral artery from the R wave of the electrocardiogram (m-PWTT), the effects of cardiovascular interventions on this relationship was evaluated. ⋯ Change in m-PWTT is a good parameter to predict blood pressure changes, although the absolute blood pressure value cannot be obtained.
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J Clin Monit Comput · Dec 1999
Hemodilution does not alter the aortic-to-femoral arterial pressure difference in dogs.
Distal arterial pressure normally differs from aortic pressure. This difference is modified by changes of vascular resistance. Hemodilution, due to decreased viscosity, decreases vascular resistance. Therefore, the difference between aortic and distal arterial pressures could be altered as well. We investigated whether acute hemodilution affected this difference in dogs. ⋯ Acute hemodilution did not alter the aortic-to-distal arterial pressure difference in dogs.