Transpulmonary Thermodilution

  • Olfa Hamzaoui
  • Xavier Monnet
  • Jean-Louis Teboul


Transpulmonary thermodilution monitors have emerged during the past decade to replace the pulmonary artery catheter. The advantages of these devices are to be less invasive and to provide the critical care physician with numerous hemodynamic variables that give relevant information on cardiac output, on cardiac preload and systolic function, and on the degree and nature of lung edema. Knowledge of transpulmonary thermodilution variables and of those obtained with the pulse contour analysis (a technology also included in the same monitor) can help in the decision-making process in patients with acute circulatory failure and especially those with cardiac dysfunction and/or lung injury. This chapter describes the main transpulmonary thermodilution variables (i.e., cardiac output, global end-diastolic volume, cardiac function index, extravascular lung water) and emphasizes on their clinical utility and main limitations.


Acute Respiratory Distress Syndrome Acute Respiratory Distress Syndrome Patient Transpulmonary Thermodilution Pulse Contour Analysis Intrathoracic Blood Volume 
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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Olfa Hamzaoui
    • 1
  • Xavier Monnet
    • 2
  • Jean-Louis Teboul
    • 3
  1. 1.Intensive Care UnitAntoine Beclere HospitalClamartFrance
  2. 2.Medical Intensive Care UnitBicetre HospitalLe Kremlin-BicetreFrance
  3. 3.Medical Intensive Care Unit, Bicetre HospitalUniversity of Paris SouthLe Kremlin-BicetreFrance

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