• Intensive care medicine · Jun 2010

    Case Reports

    Transpulmonary thermodilution curves for detection of shunt.

    • Raphael Giraud, Nils Siegenthaler, Chan Park, Sascha Beutler, and Karim Bendjelid.
    • Médecin Adjoint Agrégé, Intensive Care Unit, Geneva University Hospitals, Rue Micheli-du-Crest 24, 1205, Geneva, Switzerland.
    • Intensive Care Med. 2010 Jun 1;36(6):1083-6.

    PurposeMonitoring using transpulmonary thermodilution (TPTD) via a single thermal indicator technique allows measurement of cardiac output, extravascular lung water (EVLW) and volumetric variables.Methods And ResultsThis report describes two cases of systemic-venous circulation shunt generating early recirculation of thermal indicator with overestimation of EVLW.ConclusionIn the case of recirculation of thermal indicator, the observed overestimated EVLW in absence of gas exchanges abnormality could be an indicator suggesting the search for a circulatory shunt.

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