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Capnography and Cardiac Output Determination

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Abstract

Since gas transfer across the alveolar capillary wall does not depend on active transport, the lung may be used as an aerotonometer, allowing the alveolar gas to equilibrate with the mixed venous blood. The analysis of this alveolar gas provides an indirect method for measuring mixed venous carbon dioxide tension (pvCO2). The equilibration method, using a bag containing a high concentration of carbon dioxide in oxygen, has been shown to accurately measure oxygenated pvCO2 and application of this method has led to the development of the non-invasive determination of cardiac output (CO) by the CO2 rebreathing. Several studies have demonstrated the validity of this indirect Fick method in healthy subjects, in patients with cardiac dysfunction, in patients with obstructive airway disease, and in patients receiving mechanical ventilation [15].

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© 2002 Springer-Verlag Italia

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Murias, G., Villagra, A., Blanch, L. (2002). Capnography and Cardiac Output Determination. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2099-3_28

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  • DOI: https://doi.org/10.1007/978-88-470-2099-3_28

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0176-3

  • Online ISBN: 978-88-470-2099-3

  • eBook Packages: Springer Book Archive

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