Canadian Anaesthetists’ Society Journal

, Volume 33, Issue 6, pp 780–784 | Cite as

Limitations of cardiac output measurements by thermodilution

  • Sophie Nadeau
  • William H. Noble
Brief Review


Cardiac Output Inferior Vena Cava Superior Vena Cava Pulmonary Artery Catheter Pulmonary Blood Flow 
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  1. 1.
    Understanding hemodynamic measurements made with the Swan-Ganz catheter. American Edwards Laboratories California. 1–32.Google Scholar
  2. 2.
    Levett JM, Replogle RL. Thermodilution cardiac output: a critical analysis and review of the literature. J Surg Res 1979; 27: 392–404.PubMedCrossRefGoogle Scholar
  3. 3.
    Phillips CM, Davila JC, Sanmarco ME. Measurement of cardiac output thermal dilution. II. A new computer for rapid convenient determinations. Med Res Eng 1970; 9: 25–9.PubMedGoogle Scholar
  4. 4.
    Andreen M. Computerized measurement of cardiac output by thermodilution: methodological aspects. Acta Anaesthesiol Scand 1974; 18: 297–305.PubMedCrossRefGoogle Scholar
  5. 5.
    Wessell HU, Paul MH, James GW, Grahn AR. Limitations of thermal dilution curves for cardiac output determinations. J Appl Physiol 1971; 30: 643–52.Google Scholar
  6. 6.
    Stetz CW, Miller RG, Kelly GE, Raffin TA. Reliability of the thermodilution method in the determination of cardiac output in clinical practice. Am Rev Respir Dis 1982; 126: 1001–4.PubMedGoogle Scholar
  7. 7.
    Woods M, Scott RN, Harken AH. Practical considerations for the use of a pulmonary artery thermistor catheter. Surgery 1976; 1976; 79: 469–75.Google Scholar
  8. 8.
    Powner D. Thermodilution technique for cardiac output. N Engl J Med 1975; 293: 1210–1.Google Scholar
  9. 9.
    Nelson L, Anderson H. Patient selection for iced versus room temperature injectate for thermodilution cardiac output determinations. Crit Care Med 1985; 13: 182–4.PubMedGoogle Scholar
  10. 10.
    Ellis R, Gold J, Rees R, Lillehei W. Computerized monitoring of cardiac output by thermal dilution. JAMA 1972; 220: 507–11.PubMedCrossRefGoogle Scholar
  11. 11.
    Goldberg M, Michails, Niswander D. An unusual source of error. Anesth Analg 1985; 64: 652.PubMedCrossRefGoogle Scholar
  12. 12.
    Sprung CL, Rackow EC, Avetta JM. Direct measurement and derived calculation using the pulmonary artery catheter, in: Sprung Cl, ed. The pulmonary artery catheter: methodology and clinical applications. Baltimore: University Park Press 1983: 105–40.Google Scholar
  13. 13.
    Afonso S, Herrick JF, Youmans MB, Rowe GG, Cumpton CW. Temperature variations in the venous system of dogs. Am J Physiol 1962; 203; 278–82.PubMedGoogle Scholar
  14. 14.
    Wetzet RC, Lalson TW. Major errors in thermodilution cardiac output measurement during rapid volume infusion. Anesthesiology 1985; 62: 684–7.CrossRefGoogle Scholar
  15. 15.
    Fisher A, Benis A, Jurado R, Seely E, Terstein P, Litwak S. Analysis of errors in measurement of cardiac output by simultaneous dye and thermal dilution in cardiothoracic surgical patients. Cardiovasc Res 1978; 12: 190–9.CrossRefGoogle Scholar
  16. 16.
    Bjoraker D, Ketcham T. Catheter thrombus lowers cardiac output determinations by thermal dilution. Anesthesiology 1982; 57: A155.CrossRefGoogle Scholar
  17. 17.
    Morady F, Brundage BH, Gelberg HJ. Rapid method for determination of shunt ratio using a thermodilution technique. Am Heart J 1983; 106: 369–73.PubMedCrossRefGoogle Scholar
  18. 18.
    Freed M, Keane J. Cardiac output measured by thermodilution in infants and children. J Pediatr 1978; 92: 39–42.PubMedCrossRefGoogle Scholar
  19. 19.
    Beyer J, Lamberti JJ, Replogle RL. Validity of thermodilution cardiac output determination: experimental studies with and without pulmonary insufficiency. J Surg Res 1976; 21: 313–7.PubMedCrossRefGoogle Scholar
  20. 20.
    Ohteki H, Nagara H, Wada J, Inoue Y, Kimata S. Measurements of cardiac output by thermodilution and Fick method in man — problems in case of tricuspid regurgitation. Kokyu to Junkan, 1981; 29: 433–7.PubMedGoogle Scholar
  21. 21.
    NorrisS, King E, Grace M, Weir B. Thermodilution cardiac output – an in vitro model of low flow states. Crit Care Med 1986; 14: 57–9.Google Scholar
  22. 22.
    Hillis L, Firth B, Winniford M. Analysis of factors affecting the variability of Fick versus indicator dilution measurements of cardiac output. Am J Cardiol 1985; 56: 764–8.PubMedCrossRefGoogle Scholar
  23. 23.
    Moodie D, Feldt R, Kaye M, Slrelow D, Van Der-Hagen LJ. measurement of cardiac output by thermodilution: development of accurate measurements at flows applicable to the pediatrie patient. Surg Res 1978; 25: 305–11.CrossRefGoogle Scholar

Copyright information

© Canadian Anesthesiologists 1986

Authors and Affiliations

  • Sophie Nadeau
    • 1
  • William H. Noble
    • 1
  1. 1.The Department of AnaesthesiaSt. Michael’s HospitalToronto

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