Measurement of blood flow based on induction at one point of the circulation of a known change in the intravascular heat content of flowing blood and detection of the resultant change in temperature at a point downstream.
The volume of BLOOD passing through the HEART per unit of time. It is usually expressed as liters (volume) per minute so as not to be confused with STROKE VOLUME (volume per beat).
Placement of a balloon-tipped catheter into the pulmonary artery through the antecubital, subclavian, and sometimes the femoral vein. It is used to measure pulmonary artery pressure and pulmonary artery wedge pressure which reflects left atrial pressure and left ventricular end-diastolic pressure. The catheter is threaded into the right atrium, the balloon is inflated and the catheter follows the blood flow through the tricuspid valve into the right ventricle and out into the pulmonary artery.
Water content outside of the lung vasculature. About 80% of a normal lung is made up of water, including intracellular, interstitial, and blood water. Failure to maintain the normal homeostatic fluid exchange between the vascular space and the interstitium of the lungs can result in PULMONARY EDEMA and flooding of the alveolar space.
The continuous measurement of physiological processes, blood pressure, heart rate, renal output, reflexes, respiration, etc., in a patient or experimental animal; includes pharmacologic monitoring, the measurement of administered drugs or their metabolites in the blood, tissues, or urine.
A type of impedance plethysmography in which bioelectrical impedance is measured between electrodes positioned around the neck and around the lower thorax. It is used principally to calculate stroke volume and cardiac volume, but it is also related to myocardial contractility, thoracic fluid content, and circulation to the extremities.
The constant checking on the state or condition of a patient during the course of a surgical operation (e.g., checking of vital signs).
Examinations used to diagnose and treat heart conditions.
Method for determining the circulating blood volume by introducing a known quantity of foreign substance into the blood and determining its concentration some minutes later when thorough mixing has occurred. From these two values the blood volume can be calculated by dividing the quantity of injected material by its concentration in the blood at the time of uniform mixing. Generally expressed as cubic centimeters or liters per kilogram of body weight.
The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.
Methods for assessing flow through a system by injection of a known quantity of an indicator, such as a dye, radionuclide, or chilled liquid, into the system and monitoring its concentration over time at a specific point in the system. (From Dorland, 28th ed)
Method for assessing flow through a system by injection of a known quantity of dye into the system and monitoring its concentration over time at a specific point in the system. (From Dorland, 28th ed)
The amount of BLOOD pumped out of the HEART per beat, not to be confused with cardiac output (volume/time). It is calculated as the difference between the end-diastolic volume and the end-systolic volume.
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
The short wide vessel arising from the conus arteriosus of the right ventricle and conveying unaerated blood to the lungs.
Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues using a transducer placed in the esophagus.
The force that opposes the flow of BLOOD through a vascular bed. It is equal to the difference in BLOOD PRESSURE across the vascular bed divided by the CARDIAC OUTPUT.
Advanced and highly specialized care provided to medical or surgical patients whose conditions are life-threatening and require comprehensive care and constant monitoring. It is usually administered in specially equipped units of a health care facility.
Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures.
The circulation of the BLOOD through the LUNGS.
The blood pressure in the central large VEINS of the body. It is distinguished from peripheral venous pressure which occurs in an extremity.
A state of elevated cardiac output due to conditions of either increased hemodynamic demand or reduced cardiac oxygen output. These conditions may include ANEMIA; ARTERIOVENOUS FISTULA; THYROTOXICOSIS; PREGNANCY; EXERCISE; FEVER; and ANOXIA. In time, compensatory changes of the heart can lead to pathological form of high cardiac output and eventual HEART FAILURE.
Characteristics of ELECTRICITY and magnetism such as charged particles and the properties and behavior of charged particles, and other phenomena related to or associated with electromagnetism.
Computer-assisted processing of electric, ultrasonic, or electronic signals to interpret function and activity.
Methods and procedures for the diagnosis of diseases or dysfunction of the cardiovascular system or its organs or demonstration of their physiological processes.
PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS.
Measurement of the temperature of a material, or of the body or an organ by various temperature sensing devices which measure changes in properties of the material that vary with temperature, such as ELASTICITY; MAGNETIC FIELDS; or LUMINESCENCE.
Surgery performed on the heart.
The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)
Volume of circulating BLOOD. It is the sum of the PLASMA VOLUME and ERYTHROCYTE VOLUME.
The circulation of blood through the CORONARY VESSELS of the HEART.
The flow of BLOOD through or around an organ or region of the body.
Laboratory and other services provided to patients at the bedside. These include diagnostic and laboratory testing using automated information entry.
The rate at which oxygen is used by a tissue; microliters of oxygen STPD used per milligram of tissue per hour; the rate at which oxygen enters the blood from alveolar gas, equal in the steady state to the consumption of oxygen by tissue metabolism throughout the body. (Stedman, 25th ed, p346)
Insertion of a catheter into a peripheral artery, vein, or airway for diagnostic or therapeutic purposes.
Measurement of oxygen and carbon dioxide in the blood.
Determination, by measurement or comparison with a standard, of the correct value of each scale reading on a meter or other measuring instrument; or determination of the settings of a control device that correspond to particular values of voltage, current, frequency or other output.
A value equal to the total volume flow divided by the cross-sectional area of the vascular bed.
The direct continuation of the brachial trunk, originating at the bifurcation of the brachial artery opposite the neck of the radius. Its branches may be divided into three groups corresponding to the three regions in which the vessel is situated, the forearm, wrist, and hand.
Theoretical representations that simulate the behavior or activity of the cardiovascular system, processes, or phenomena; includes the use of mathematical equations, computers and other electronic equipment.
A catecholamine derivative with specificity for BETA-1 ADRENERGIC RECEPTORS. It is commonly used as a cardiotonic agent after CARDIAC SURGERY and during DOBUTAMINE STRESS ECHOCARDIOGRAPHY.
The blood pressure as recorded after wedging a CATHETER in a small PULMONARY ARTERY; believed to reflect the PRESSURE in the pulmonary CAPILLARIES.
The number of times the HEART VENTRICLES contract per unit of time, usually per minute.
The vein accompanying the femoral artery in the same sheath; it is a continuation of the popliteal vein and becomes the external iliac vein.
Health care provided to a critically ill patient during a medical emergency or crisis.
Any method of artificial breathing that employs mechanical or non-mechanical means to force the air into and out of the lungs. Artificial respiration or ventilation is used in individuals who have stopped breathing or have RESPIRATORY INSUFFICIENCY to increase their intake of oxygen (O2) and excretion of carbon dioxide (CO2).
The measure of the level of heat of a human or animal.
The inferior part of the lower extremity between the KNEE and the ANKLE.

Evidence of O2 supply-dependent VO2 max in the exercise-trained human quadriceps. (1/279)

Maximal O2 delivery and O2 uptake (VO2) per 100 g of active muscle mass are far greater during knee extensor (KE) than during cycle exercise: 73 and 60 ml. min-1. 100 g-1 (2.4 kg of muscle) (R. S. Richardson, D. R. Knight, D. C. Poole, S. S. Kurdak, M. C. Hogan, B. Grassi, and P. D. Wagner. Am. J. Physiol. 268 (Heart Circ. Physiol. 37): H1453-H1461, 1995) and 28 and 25 ml. min-1. 100 g-1 (7.5 kg of muscle) (D. R. Knight, W. Schaffartzik, H. J. Guy, R. Predilleto, M. C. Hogan, and P. D. Wagner. J. Appl. Physiol. 75: 2586-2593, 1993), respectively. Although this is evidence of muscle O2 supply dependence in itself, it raises the following question: With such high O2 delivery in KE, are the quadriceps still O2 supply dependent at maximal exercise? To answer this question, seven trained subjects performed maximum KE exercise in hypoxia [0.12 inspired O2 fraction (FIO2)], normoxia (0.21 FIO2), and hyperoxia (1.0 FIO2) in a balanced order. The protocol (after warm-up) was a square wave to a previously determined maximum work rate followed by incremental stages to ensure that a true maximum was achieved under each condition. Direct measures of arterial and venous blood O2 concentration in combination with a thermodilution blood flow technique allowed the determination of O2 delivery and muscle VO2. Maximal O2 delivery increased with inspired O2: 1.3 +/- 0.1, 1.6 +/- 0.2, and 1.9 +/- 0.2 l/min at 0.12, 0.21, and 1.0 FIO2, respectively (P < 0.05). Maximal work rate was affected by variations in inspired O2 (-25 and +14% at 0.12 and 1.0 FIO2, respectively, compared with normoxia, P < 0.05) as was maximal VO2 (VO2 max): 1.04 +/- 0.13, 1. 24 +/- 0.16, and 1.45 +/- 0.19 l/min at 0.12, 0.21, and 1.0 FIO2, respectively (P < 0.05). Calculated mean capillary PO2 also varied with FIO2 (28.3 +/- 1.0, 34.8 +/- 2.0, and 40.7 +/- 1.9 Torr at 0.12, 0.21, and 1.0 FIO2, respectively, P < 0.05) and was proportionally related to changes in VO2 max, supporting our previous finding that a decrease in O2 supply will proportionately decrease muscle VO2 max. As even in the isolated quadriceps (where normoxic O2 delivery is the highest recorded in humans) an increase in O2 supply by hyperoxia allows the achievement of a greater VO2 max, we conclude that, in normoxic conditions of isolated KE exercise, KE VO2 max in trained subjects is not limited by mitochondrial metabolic rate but, rather, by O2 supply.  (+info)

Validation of haemodialysis recirculation and access blood flow measured by thermodilution. (2/279)

BACKGROUND: Recirculation (R) and access blood flow (Qac) measurements are considered useful indicators of adequate delivery of haemodialysis. It was the purpose of this study to compare measurements of R and Qac obtained by two different techniques which are based on the same principle of indicator dilution, but which differ because of the characteristics of the injection and detection of the different indicators used. METHODS: Recirculation measured by a thermal dilution technique using temperature sensors (BTM, Fresenius Medical Care) was compared with recirculation measured by a validated saline dilution technique using ultrasonic transducers placed on arterial and venous segments of the extracorporeal circulation (HDM, Transonic Systems, Inc.). Calculated access flows were compared by Bland Altman analysis. Data are given as mean +/- SD. RESULTS: A total of 104 measurements obtained in 52 treatments (17 patients, 18 accesses) were compared. Recirculation measured with correct placement of blood lines and corrected for the effect of cardiopulmonary recirculation using the 'double recirculation technique' was -0.02 +/- 0.14% by the BTM technique and not different from the 0% measured by the HDM technique. Recirculation measured with reversed placement of blood lines and corrected for the effect of cardiopulmonary recirculation was 19.66 +/- 10.77% measured by the BTM technique compared with 20.87 +/- 11.64% measured by the HDM technique. The difference between techniques was small (-1.21 +/- 2.44%) albeit significant. Access flow calculated from BTM recirculation was 1328 +/- 627 ml/min compared with 1390 +/- 657 ml/min calculated by the HDM technique. There was no bias between techniques. CONCLUSION: BTM thermodilution yields results which are consistent with the HDM ultrasound dilution technique with regard to both recirculation and access flow measurement.  (+info)

Improved accuracy and precision of thermodilution cardiac output measurement using a dual thermistor catheter system. (3/279)

OBJECTIVES: To assess whether thermodilution cardiac output determination based on measurement of injectate temperature in vivo leads to more accurate and precise estimates and to study the influence of chilled injectate on test performance. BACKGROUND: Cardiac output measurement via right heart catheterization is used extensively for hemodynamic evaluation in a variety of diagnostic, perioperative and critical care settings. Maximizing accuracy is essential for optimal patient care. METHODS: This prospective study of 960 thermodilution cardiac output measurements was conducted using conventional and dual thermistor techniques. Specialized dual thermistor right heart catheters were constructed using a second thermistor positioned to measure injectate temperature in vivo just prior to entry into the right atrium. To eliminate interinjection variability, a custom set-up was developed that permitted output measurement using both techniques simultaneously. Both ambient temperature injections and cooled injections were investigated. RESULTS: The dual thermistor technique demonstrated significantly less measurement variability than the conventional technique for both ambient temperature (precision = 0.41 vs. 0.55 L/min, p < 0.001) and cooled (precision = 0.35 vs. 0.43 L/min, p = 0.01) injections. Similarly, the average range of cardiac output values obtained during five sequential injections in each patient was less using the dual thermistor approach (1.05 vs. 1.55 L/min, p < 0.001). The use of cooled injectate reduced the mean error of the dual thermistor technique but actually increased the mean error of the conventional technique. Even with ambient temperature injections, injectate warming during catheter transit varied considerably and unpredictably from injection to injection (2 SD range = -0.22 to 5.74 degrees C). Conventional ambient temperature and cooled measurements significantly overestimated Fick cardiac output measurements by 0.32 and 0.50 L/min, respectively (p < 0.001). In contrast, dual thermistor measurements were statistically similar (-0.08 and -0.08 L/min, p = 0.34) to Fick measurements. CONCLUSIONS: This new dual thermistor approach results in a significant improvement in both precision and accuracy of thermodilution cardiac output measurement.  (+info)

Continuous cardiac output in septic shock by simulating a model of the aortic input impedance: a comparison with bolus injection thermodilution. (4/279)

BACKGROUND: To compare continuous cardiac output obtained by simulation of an aortic input impedance model to bolus injection thermodilution (TDCO) in critically ill patients with septic shock. METHODS: In an open study, mechanically ventilated patients with septic shock were monitored for 1 (32 patients), 2 (15 patients), or 3 (5 patients) days. The hemodynamic state was altered by varying the dosages of dopamine, norepinephrine, or dobutamine. TDCO was estimated 189 times as the series average of four automated phase-controlled injections of iced 5% glucose, spread equally over the ventilatory cycle. Continuous model-simulated cardiac output (MCO) was computed from radial or femoral artery pressure. On each day, the first TDCO value was used to calibrate the model. RESULTS: TDCO ranged from 4.1 to 18.2 l/min. The bias (mean difference between MCO and TDCO) on the first day before calibration was -1.92 +/- 2.3 l/min (mean +/- SD; n = 32; 95% limits of agreement, -6.5 to 2.6 l/min). The bias increased at higher levels of cardiac output (P < 0.05). In 15 patients studied on two consecutive days, the precalibration ratio TDCO:MCO on day 1 was 1.39 +/- 0.28 (mean +/- SD) and did not change on day 2 (1.39 +/- 0.34). After calibration, the bias was -0.1 +/- 0.8 l/min with 82% of the comparisons (n = 112) < 1 l/min and 58% (n = 79) < 0.5 l/min, and independent of the level of cardiac output. CONCLUSIONS: In mechanically ventilated patients with septic shock, changes in bolus TDCO are reflected by calibrated MCO over a range of cardiac output values. A single calibration of the model appears sufficient to monitor continuous cardiac output over a 2-day period with a bias of -0.1 +/- 0.8 l/min.  (+info)

Elevated endothelin concentrations are associated with reduced coronary vasomotor responses in patients with chest pain and normal coronary arteriograms. (5/279)

OBJECTIVES: The purpose of this study was to investigate the relationship between arterial and coronary sinus endothelin (ET) concentrations and coronary vasomotor responses during rapid atrial pacing in patients with chest pain and normal coronary arteriograms (CPNA). BACKGROUND: Plasma ET concentrations are significantly higher in CPNA patients than in healthy control subjects. METHODS: We investigated 19 carefully characterized CPNA patients (14 women; mean age 53 +/- 9 years) of whom 10 had positive electrocardiographic responses to exercise. The percentage fall in coronary vascular resistance (%d.CVR) after 10 min of rapid atrial pacing was determined using a thermodilution pacing catheter. Plasma ET concentrations were measured by radioimmunoassay on simultaneously drawn arterial and coronary sinus samples. RESULTS: No significant differences in ET concentrations were observed between men and women, but a strong statistical trend suggested that %d.CVR was lower in women than men (27[23 to 31]% vs. 34[29 to 45]%--median[interquartile range]; p = 0.07). Simple regression analysis including only the women (n = 14) suggested a significant relationship between baseline arterial ET concentrations and %d.CVR (R2 = 0.34; p = 0.06). Furthermore, stepwise multivariate regression analysis of the group as a whole indicated that both gender (p = 0.03) and baseline arterial ET concentration (p = 0.02) were independently predictive of %d.CVR (R2 = 0.44; overall p = 0.02); this relationship predicts that women with high ET levels would have the lowest %d.CVR during pacing. CONCLUSIONS: These data support the hypothesis that elevated ET activity may be associated with reduced coronary flow responses during rapid atrial pacing in CPNA patients.  (+info)

Continuous stroke volume monitoring by modelling flow from non-invasive measurement of arterial pressure in humans under orthostatic stress. (6/279)

The relationship between aortic flow and pressure is described by a three-element model of the arterial input impedance, including continuous correction for variations in the diameter and the compliance of the aorta (Modelflow). We computed the aortic flow from arterial pressure by this model, and evaluated whether, under orthostatic stress, flow may be derived from both an invasive and a non-invasive determination of arterial pressure. In 10 young adults, Modelflow stroke volume (MFSV) was computed from both intra-brachial arterial pressure (IAP) and non-invasive finger pressure (FINAP) measurements. For comparison, a computer-controlled series of four thermodilution estimates (thermodilution-determined stroke volume; TDSV) were averaged for the following positions: supine, standing, head-down tilt at 20 degrees (HDT20) and head-up tilt at 30 degrees and 70 degrees (HUT30 and HUT70 respectively). Data from one subject were discarded due to malfunctioning thermodilution injections. A total of 155 recordings from 160 series were available for comparison. The supine TDSV of 113+/-13 ml (mean+/-S.D.) dropped by 40% to 68+/-14 ml during standing, by 24% to 86+/-12 ml during HUT30, and by 51% to 55+/-15 ml during HUT70. During HDT20, TDSV was 114+/-13 ml. MFSV for IAP underestimated TDSV during HDT20 (-6+/-6 ml; P<0.05), but that for FINAP did not (-4+/-7 ml; not significant). For HUT70 and standing, MFSV for IAP overestimated TDSV by 11+/-10 ml (HUT70; P<0.01) and 12+/-9 ml (standing; P<0.01). However, the offset of MFSV for FINAP was not significant for either HUT70 (3+/-8 ml) or standing (3+/-9 ml). In conclusion, due to orthostasis, changes in the aortic transmural pressure may lead to an offset in MFSV from IAP. However, Modelflow correctly calculated aortic flow from non-invasively determined finger pressure during orthostasis.  (+info)

Continuous cardiac output measurement: pulse contour analysis vs thermodilution technique in cardiac surgical patients. (7/279)

We have analysed the clinical agreement between two methods of continuous cardiac output measurement pulse contour analysis (PCCO) and a continuous thermodilution technique (CCO), were both compared with the intermittent bolus thermodilution technique (BCO). Measurements were performed in 26 cardiac surgical patients (groups 1 and 2, 13 patients each, with an ejection fraction > 45% and < 45%, respectively) at 12 selected times. During operation, mean differences (bias) between PCCO-BCO and CCO-BCO did not differ in either group. However, phenylephrine-induced increases in systemic vascular resistance (SVR) by approximately 60% resulted in significant differences. Significantly higher absolute bias values of PCCO-BCO compared with CCO-BCO were also found early after operation in the ICU. Thus PCCO and CCO provided comparable measurements during coronary bypass surgery. After marked changes in SVR, further calibration of the PCCO device is necessary.  (+info)

A novel right-heart catheterization technique for in vivo measurement of vascular responses in lungs of intact mice. (8/279)

The present study employed a new right-heart catheterization technique to measure pulmonary arterial pressure, pulmonary arterial wedge pressure, and pulmonary vascular resistance in anesthetized intact-chest, spontaneously breathing mice. Under fluoroscopic guidance, a specially designed catheter was inserted via the right jugular vein and advanced to the main pulmonary artery. Cardiac output was determined by the thermodilution technique, and measured parameters were stable for periods of +info)

Thermodilution is a method used to measure various hemodynamic parameters, such as cardiac output and intracardiac pressures. It is based on the principle that the change in temperature of a fluid can be used to determine its flow rate.

In thermodilution, a known amount of cold or room-temperature saline solution is injected into the right atrium of the heart, while a thermistor-tipped catheter placed in the pulmonary artery measures the change in blood temperature as the cool fluid mixes with the surrounding blood. The degree and duration of the temperature change are then used to calculate the cardiac output, which is the volume of blood pumped by the heart per minute.

Thermodilution is a widely used and well-established technique for measuring cardiac output and other hemodynamic parameters in clinical settings. However, it does have some limitations, such as the potential for errors due to variations in injection technique or patient factors, and the need for invasive catheterization.

Cardiac output is a measure of the amount of blood that is pumped by the heart in one minute. It is defined as the product of stroke volume (the amount of blood pumped by the left ventricle during each contraction) and heart rate (the number of contractions per minute). Normal cardiac output at rest for an average-sized adult is about 5 to 6 liters per minute. Cardiac output can be increased during exercise or other conditions that require more blood flow, such as during illness or injury. It can be measured noninvasively using techniques such as echocardiography or invasively through a catheter placed in the heart.

Swan-Ganz catheterization is a medical procedure in which a Swan-Ganz catheter, also known as a pulmonary artery catheter, is inserted into a patient's vein and guided through the heart to the pulmonary artery. The procedure is named after its inventors, Dr. Jeremy Swan and Dr. William Ganz.

The Swan-Ganz catheter is a thin, flexible tube that is equipped with sensors that measure various cardiac functions, such as blood pressure in the heart chambers and lungs, oxygen saturation of the blood, and cardiac output. This information helps doctors evaluate heart function, diagnose heart conditions, and monitor treatment effectiveness.

Swan-Ganz catheterization is typically performed in a hospital setting by trained medical professionals, such as cardiologists or critical care specialists. The procedure may be used to diagnose and manage various heart conditions, including heart failure, pulmonary hypertension, and shock. It may also be used during major surgeries or other medical procedures to monitor the patient's hemodynamic status.

Like any medical procedure, Swan-Ganz catheterization carries some risks, such as infection, bleeding, and damage to blood vessels or heart structures. However, these complications are relatively rare when the procedure is performed by experienced medical professionals.

Extravascular lung water (EVLW) refers to the amount of fluid that has accumulated in the lungs outside of the pulmonary vasculature. It is not a part of the normal physiology and can be a sign of various pathological conditions, such as heart failure, sepsis, or acute respiratory distress syndrome (ARDS).

EVLW can be measured using various techniques, including transpulmonary thermodilution and pulmonary artery catheterization. Increased EVLW is associated with worse outcomes in critically ill patients, as it can lead to impaired gas exchange, decreased lung compliance, and increased work of breathing.

It's important to note that while EVLW can provide valuable information about a patient's condition, it should be interpreted in the context of other clinical findings and used as part of a comprehensive assessment.

Physiological monitoring is the continuous or intermittent observation and measurement of various body functions or parameters in a patient, with the aim of evaluating their health status, identifying any abnormalities or changes, and guiding clinical decision-making and treatment. This may involve the use of specialized medical equipment, such as cardiac monitors, pulse oximeters, blood pressure monitors, and capnographs, among others. The data collected through physiological monitoring can help healthcare professionals assess the effectiveness of treatments, detect complications early, and make timely adjustments to patient care plans.

Impedance cardiography is a non-invasive method to measure cardiac output and systemic vascular resistance. It uses low-frequency electrical currents passed through the thorax to measure changes in impedance or resistance to flow during each heartbeat. This allows for the calculation of stroke volume and cardiac output. Impedance cardiography can provide continuous, real-time monitoring of cardiovascular function, making it useful in critical care settings and for tracking changes in patients with heart failure or other cardiovascular conditions.

Intraoperative monitoring (IOM) is the practice of using specialized techniques to monitor physiological functions or neural structures in real-time during surgical procedures. The primary goal of IOM is to provide continuous information about the patient's status and the effects of surgery on neurological function, allowing surgeons to make informed decisions and minimize potential risks.

IOM can involve various methods such as:

1. Electrophysiological monitoring: This includes techniques like somatosensory evoked potentials (SSEP), motor evoked potentials (MEP), and electroencephalography (EEG) to assess the integrity of neural pathways and brain function during surgery.
2. Neuromonitoring: Direct electrical stimulation of nerves or spinal cord structures can help identify critical neuroanatomical structures, evaluate their functional status, and guide surgical interventions.
3. Hemodynamic monitoring: Measuring blood pressure, heart rate, cardiac output, and oxygen saturation helps assess the patient's overall physiological status during surgery.
4. Imaging modalities: Intraoperative imaging techniques like ultrasound, computed tomography (CT), or magnetic resonance imaging (MRI) can provide real-time visualization of anatomical structures and surgical progress.

The specific IOM methods employed depend on the type of surgery, patient characteristics, and potential risks involved. Intraoperative monitoring is particularly crucial in procedures where there is a risk of neurological injury, such as spinal cord or brain surgeries, vascular interventions, or tumor resections near critical neural structures.

Heart function tests are a group of diagnostic exams that are used to evaluate the structure and functioning of the heart. These tests help doctors assess the pumping efficiency of the heart, the flow of blood through the heart, the presence of any heart damage, and the overall effectiveness of the heart in delivering oxygenated blood to the rest of the body.

Some common heart function tests include:

1. Echocardiogram (Echo): This test uses sound waves to create detailed images of the heart's structure and functioning. It can help detect any damage to the heart muscle, valves, or sac surrounding the heart.
2. Nuclear Stress Test: This test involves injecting a small amount of radioactive substance into the patient's bloodstream and taking images of the heart while it is at rest and during exercise. The test helps evaluate blood flow to the heart and detect any areas of reduced blood flow, which could indicate coronary artery disease.
3. Cardiac Magnetic Resonance Imaging (MRI): This test uses magnetic fields and radio waves to create detailed images of the heart's structure and function. It can help detect any damage to the heart muscle, valves, or other structures of the heart.
4. Electrocardiogram (ECG): This test measures the electrical activity of the heart and helps detect any abnormalities in the heart's rhythm or conduction system.
5. Exercise Stress Test: This test involves walking on a treadmill or riding a stationary bike while being monitored for changes in heart rate, blood pressure, and ECG readings. It helps evaluate exercise capacity and detect any signs of coronary artery disease.
6. Cardiac Catheterization: This is an invasive procedure that involves inserting a catheter into the heart to measure pressures and take samples of blood from different parts of the heart. It can help diagnose various heart conditions, including heart valve problems, congenital heart defects, and coronary artery disease.

Overall, heart function tests play an essential role in diagnosing and managing various heart conditions, helping doctors provide appropriate treatment and improve patient outcomes.

Blood volume determination is a medical procedure that involves measuring the total amount of blood present in an individual's circulatory system. This measurement is typically expressed in milliliters (mL) or liters (L) and provides important information about the person's overall cardiovascular health and fluid status.

There are several methods for determining blood volume, including:

1. Direct measurement: This involves withdrawing a known volume of blood from the body, labeling the red blood cells with a radioactive or dye marker, reinfusing the cells back into the body, and then measuring the amount of marked cells that appear in subsequent blood samples over time.
2. Indirect measurement: This method uses formulas based on the person's height, weight, sex, and other factors to estimate their blood volume. One common indirect method is the "hemodynamic" calculation, which takes into account the individual's heart rate, stroke volume (the amount of blood pumped by the heart with each beat), and the concentration of hemoglobin in their red blood cells.
3. Bioimpedance analysis: This non-invasive technique uses electrical signals to measure the body's fluid volumes, including blood volume. By analyzing changes in the body's electrical conductivity in response to a small current, bioimpedance analysis can provide an estimate of blood volume.

Accurate determination of blood volume is important for assessing various medical conditions, such as heart failure, shock, anemia, and dehydration. It can also help guide treatment decisions, including the need for fluid replacement or blood transfusions.

Hemodynamics is the study of how blood flows through the cardiovascular system, including the heart and the vascular network. It examines various factors that affect blood flow, such as blood volume, viscosity, vessel length and diameter, and pressure differences between different parts of the circulatory system. Hemodynamics also considers the impact of various physiological and pathological conditions on these variables, and how they in turn influence the function of vital organs and systems in the body. It is a critical area of study in fields such as cardiology, anesthesiology, and critical care medicine.

Indicator dilution techniques are a group of methods used in medicine and research to measure various physiological variables, such as cardiac output or cerebral blood flow. These techniques involve introducing a known quantity of an indicator substance (like a dye or a radioactive tracer) into the system being studied and then measuring its concentration over time at a specific location downstream.

The basic principle behind these techniques is that the concentration of the indicator substance will be inversely proportional to the flow rate of the fluid through which it is moving. By measuring the concentration of the indicator substance at different points in time, researchers can calculate the flow rate using mathematical formulas.

Indicator dilution techniques are widely used in clinical and research settings because they are relatively non-invasive and can provide accurate and reliable measurements of various physiological variables. Some common examples of indicator dilution techniques include thermodilution, dye dilution, and Fick principle-based methods.

The dye dilution technique is a method used in medicine, specifically in the field of pharmacology and physiology, to measure cardiac output and blood volume. This technique involves injecting a known quantity of a dye that mixes thoroughly with the blood, and then measuring the concentration of the dye as it circulates through the body.

The basic principle behind this technique is that the amount of dye in a given volume of blood (concentration) decreases as it gets diluted by the total blood volume. By measuring the concentration of the dye at two or more points in time, and knowing the rate at which the dye is being distributed throughout the body, it is possible to calculate the cardiac output and blood volume.

The most commonly used dye for this technique is indocyanine green (ICG), which is a safe and non-toxic dye that is readily taken up by plasma proteins and has a high extinction coefficient in the near-infrared region of the spectrum. This makes it easy to measure its concentration using specialized equipment.

The dye dilution technique is a valuable tool for assessing cardiovascular function in various clinical settings, including during surgery, critical care, and research. However, it requires careful calibration and standardization to ensure accurate results.

Stroke volume is a term used in cardiovascular physiology and medicine. It refers to the amount of blood that is pumped out of the left ventricle of the heart during each contraction (systole). Specifically, it is the difference between the volume of blood in the left ventricle at the end of diastole (when the ventricle is filled with blood) and the volume at the end of systole (when the ventricle has contracted and ejected its contents into the aorta).

Stroke volume is an important measure of heart function, as it reflects the ability of the heart to pump blood effectively to the rest of the body. A low stroke volume may indicate that the heart is not pumping efficiently, while a high stroke volume may suggest that the heart is working too hard. Stroke volume can be affected by various factors, including heart disease, high blood pressure, and physical fitness level.

The formula for calculating stroke volume is:

Stroke Volume = End-Diastolic Volume - End-Systolic Volume

Where end-diastolic volume (EDV) is the volume of blood in the left ventricle at the end of diastole, and end-systolic volume (ESV) is the volume of blood in the left ventricle at the end of systole.

Reproducibility of results in a medical context refers to the ability to obtain consistent and comparable findings when a particular experiment or study is repeated, either by the same researcher or by different researchers, following the same experimental protocol. It is an essential principle in scientific research that helps to ensure the validity and reliability of research findings.

In medical research, reproducibility of results is crucial for establishing the effectiveness and safety of new treatments, interventions, or diagnostic tools. It involves conducting well-designed studies with adequate sample sizes, appropriate statistical analyses, and transparent reporting of methods and findings to allow other researchers to replicate the study and confirm or refute the results.

The lack of reproducibility in medical research has become a significant concern in recent years, as several high-profile studies have failed to produce consistent findings when replicated by other researchers. This has led to increased scrutiny of research practices and a call for greater transparency, rigor, and standardization in the conduct and reporting of medical research.

The pulmonary artery is a large blood vessel that carries deoxygenated blood from the right ventricle of the heart to the lungs for oxygenation. It divides into two main branches, the right and left pulmonary arteries, which further divide into smaller vessels called arterioles, and then into a vast network of capillaries in the lungs where gas exchange occurs. The thin walls of these capillaries allow oxygen to diffuse into the blood and carbon dioxide to diffuse out, making the blood oxygen-rich before it is pumped back to the left side of the heart through the pulmonary veins. This process is crucial for maintaining proper oxygenation of the body's tissues and organs.

Transesophageal echocardiography (TEE) is a type of echocardiogram, which is a medical test that uses sound waves to create detailed images of the heart. In TEE, a special probe containing a transducer is passed down the esophagus (the tube that connects the mouth to the stomach) to obtain views of the heart from behind. This allows for more detailed images of the heart structures and function compared to a standard echocardiogram, which uses a probe placed on the chest. TEE is often used in patients with poor image quality from a standard echocardiogram or when more detailed images are needed to diagnose or monitor certain heart conditions. It is typically performed by a trained cardiologist or sonographer under the direction of a cardiologist.

Vascular resistance is a measure of the opposition to blood flow within a vessel or a group of vessels, typically expressed in units of mmHg/(mL/min) or sometimes as dynes*sec/cm^5. It is determined by the diameter and length of the vessels, as well as the viscosity of the blood flowing through them. In general, a decrease in vessel diameter, an increase in vessel length, or an increase in blood viscosity will result in an increase in vascular resistance, while an increase in vessel diameter, a decrease in vessel length, or a decrease in blood viscosity will result in a decrease in vascular resistance. Vascular resistance is an important concept in the study of circulation and cardiovascular physiology because it plays a key role in determining blood pressure and blood flow within the body.

Intensive care is a specialized level of medical care that is provided to critically ill patients. It's usually given in a dedicated unit of a hospital called the Intensive Care Unit (ICU) or Critical Care Unit (CCU). The goal of intensive care is to closely monitor and manage life-threatening conditions, stabilize vital functions, and support organs until they recover or the patient can be moved to a less acute level of care.

Intensive care involves advanced medical equipment and technologies, such as ventilators to assist with breathing, dialysis machines for kidney support, intravenous lines for medication administration, and continuous monitoring devices for heart rate, blood pressure, oxygen levels, and other vital signs.

The ICU team typically includes intensive care specialists (intensivists), critical care nurses, respiratory therapists, and other healthcare professionals who work together to provide comprehensive, round-the-clock care for critically ill patients.

Cardiac catheterization is a medical procedure used to diagnose and treat cardiovascular conditions. In this procedure, a thin, flexible tube called a catheter is inserted into a blood vessel in the arm or leg and threaded up to the heart. The catheter can be used to perform various diagnostic tests, such as measuring the pressure inside the heart chambers and assessing the function of the heart valves.

Cardiac catheterization can also be used to treat certain cardiovascular conditions, such as narrowed or blocked arteries. In these cases, a balloon or stent may be inserted through the catheter to open up the blood vessel and improve blood flow. This procedure is known as angioplasty or percutaneous coronary intervention (PCI).

Cardiac catheterization is typically performed in a hospital cardiac catheterization laboratory by a team of healthcare professionals, including cardiologists, radiologists, and nurses. The procedure may be done under local anesthesia with sedation or general anesthesia, depending on the individual patient's needs and preferences.

Overall, cardiac catheterization is a valuable tool in the diagnosis and treatment of various heart conditions, and it can help improve symptoms, reduce complications, and prolong life for many patients.

Pulmonary circulation refers to the process of blood flow through the lungs, where blood picks up oxygen and releases carbon dioxide. This is a vital part of the overall circulatory system, which delivers nutrients and oxygen to the body's cells while removing waste products like carbon dioxide.

In pulmonary circulation, deoxygenated blood from the systemic circulation returns to the right atrium of the heart via the superior and inferior vena cava. The blood then moves into the right ventricle through the tricuspid valve and gets pumped into the pulmonary artery when the right ventricle contracts.

The pulmonary artery divides into smaller vessels called arterioles, which further branch into a vast network of tiny capillaries in the lungs. Here, oxygen from the alveoli diffuses into the blood, binding to hemoglobin in red blood cells, while carbon dioxide leaves the blood and is exhaled through the nose or mouth.

The now oxygenated blood collects in venules, which merge to form pulmonary veins. These veins transport the oxygen-rich blood back to the left atrium of the heart, where it enters the systemic circulation once again. This continuous cycle enables the body's cells to receive the necessary oxygen and nutrients for proper functioning while disposing of waste products.

Central venous pressure (CVP) is the blood pressure measured in the large veins that enter the right atrium of the heart. It reflects the amount of blood returning to the heart and the ability of the heart to pump it effectively. CVP is used as an indicator of a person's intravascular volume status, cardiac function, and overall hemodynamic performance. The measurement is taken using a central venous catheter placed in a large vein such as the internal jugular or subclavian vein. Normal CVP values range from 0 to 8 mmHg (millimeters of mercury) in adults when measured at the level of the right atrium.

Cardiac output is a measure of the amount of blood that is pumped by the heart in one minute. It is calculated by multiplying the stroke volume (the amount of blood pumped by the left ventricle in each beat) by the heart rate (the number of times the heart beats per minute).

A "high" cardiac output refers to a situation where the cardiac output is greater than normal. This can occur in various conditions such as hyperthyroidism, anemia, fever, pregnancy, or any other condition that increases the body's metabolic demand and requires more blood flow to tissues. It can also be seen in patients with certain heart conditions like a severely narrowed aortic valve or high output cardiac failure.

However, it is important to note that while a high cardiac output may be beneficial in some cases, such as during exercise or pregnancy, chronically elevated levels can lead to increased workload on the heart and potentially contribute to heart failure over time.

Electromagnetic phenomena refer to the interactions and effects that occur due to the combination of electrically charged particles and magnetic fields. These phenomena are described by the principles of electromagnetism, a branch of physics that deals with the fundamental forces between charged particles and their interaction with electromagnetic fields.

Electromagnetic phenomena can be observed in various forms, including:

1. Electric fields: The force that exists between charged particles at rest or in motion. Positive charges create an electric field that points away from them, while negative charges create an electric field that points towards them.
2. Magnetic fields: The force that exists around moving charges or current-carrying wires. Magnets and moving charges produce magnetic fields that exert forces on other moving charges or current-carrying wires.
3. Electromagnetic waves: Self-propagating disturbances in electric and magnetic fields, which can travel through space at the speed of light. Examples include visible light, radio waves, microwaves, and X-rays.
4. Electromagnetic induction: The process by which a changing magnetic field generates an electromotive force (EMF) in a conductor, leading to the flow of electric current.
5. Faraday's law of induction: A fundamental principle that relates the rate of change of magnetic flux through a closed loop to the induced EMF in the loop.
6. Lenz's law: A consequence of conservation of energy, which states that the direction of an induced current is such that it opposes the change in magnetic flux causing it.
7. Electromagnetic radiation: The emission and absorption of electromagnetic waves by charged particles undergoing acceleration or deceleration.
8. Maxwell's equations: A set of four fundamental equations that describe how electric and magnetic fields interact, giving rise to electromagnetic phenomena.

In a medical context, electromagnetic phenomena can be harnessed for various diagnostic and therapeutic applications, such as magnetic resonance imaging (MRI), electrocardiography (ECG), electromyography (EMG), and transcranial magnetic stimulation (TMS).

Computer-assisted signal processing is a medical term that refers to the use of computer algorithms and software to analyze, interpret, and extract meaningful information from biological signals. These signals can include physiological data such as electrocardiogram (ECG) waves, electromyography (EMG) signals, electroencephalography (EEG) readings, or medical images.

The goal of computer-assisted signal processing is to automate the analysis of these complex signals and extract relevant features that can be used for diagnostic, monitoring, or therapeutic purposes. This process typically involves several steps, including:

1. Signal acquisition: Collecting raw data from sensors or medical devices.
2. Preprocessing: Cleaning and filtering the data to remove noise and artifacts.
3. Feature extraction: Identifying and quantifying relevant features in the signal, such as peaks, troughs, or patterns.
4. Analysis: Applying statistical or machine learning algorithms to interpret the extracted features and make predictions about the underlying physiological state.
5. Visualization: Presenting the results in a clear and intuitive way for clinicians to review and use.

Computer-assisted signal processing has numerous applications in healthcare, including:

* Diagnosing and monitoring cardiac arrhythmias or other heart conditions using ECG signals.
* Assessing muscle activity and function using EMG signals.
* Monitoring brain activity and diagnosing neurological disorders using EEG readings.
* Analyzing medical images to detect abnormalities, such as tumors or fractures.

Overall, computer-assisted signal processing is a powerful tool for improving the accuracy and efficiency of medical diagnosis and monitoring, enabling clinicians to make more informed decisions about patient care.

Diagnostic techniques in cardiovascular medicine refer to the various tests and methods used to diagnose and evaluate conditions related to the heart and blood vessels. These techniques can be non-invasive or invasive and are designed to provide critical information about a patient's cardiovascular health, such as heart function, blood flow, and the presence of any abnormalities or diseases. Here are some common diagnostic techniques used in cardiovascular medicine:

1. Electrocardiogram (ECG): An ECG is a non-invasive test that records the electrical activity of the heart. It can help detect heart conditions such as arrhythmias, heart attacks, and structural abnormalities.
2. Echocardiogram: This is a non-invasive ultrasound test that produces images of the heart's structures, including the chambers, valves, and major blood vessels. It can help assess heart function, identify damage from heart attacks, and detect various cardiovascular conditions.
3. Stress testing: A stress test involves exercising on a treadmill or stationary bike while being monitored by an ECG to evaluate the heart's response to physical exertion. It can help diagnose coronary artery disease, assess exercise capacity, and determine the need for further testing or treatment.
4. Cardiac catheterization: This is an invasive procedure where a thin, flexible tube (catheter) is inserted into a blood vessel in the arm or leg and guided to the heart. It can help diagnose and treat various cardiovascular conditions, such as blocked arteries, heart valve problems, and congenital heart defects.
5. Coronary angiography: During a cardiac catheterization, a special dye is injected into the coronary arteries to visualize blood flow using X-ray imaging. This can help identify blockages or narrowing in the coronary arteries and guide treatment decisions.
6. Nuclear stress testing: This test combines the use of a radioactive tracer with exercise or pharmacological stress to evaluate heart function and blood flow. It can help diagnose coronary artery disease, assess the effectiveness of treatments, and determine the need for further interventions.
7. Cardiac magnetic resonance imaging (MRI): This non-invasive imaging technique uses a strong magnetic field and radio waves to create detailed images of the heart's structure and function. It can help diagnose various cardiovascular conditions, such as heart muscle disorders, valve problems, and congenital heart defects.
8. Transesophageal echocardiography (TEE): This is a specialized ultrasound technique where a probe is inserted through the esophagus to obtain detailed images of the heart's structure and function. It can help diagnose conditions such as blood clots, valve problems, and infective endocarditis.
9. Positron emission tomography (PET) scanning: This imaging technique uses a small amount of radioactive tracer to evaluate the metabolic activity of the heart. It can help diagnose coronary artery disease, assess the effectiveness of treatments, and determine the need for further interventions.
10. Electrophysiology studies (EPS): These are invasive procedures where catheters are inserted into the heart to study its electrical system. They can help diagnose and treat various arrhythmias, such as atrial fibrillation, ventricular tachycardia, and Wolff-Parkinson-White syndrome.

Blood pressure is the force exerted by circulating blood on the walls of the blood vessels. It is measured in millimeters of mercury (mmHg) and is given as two figures:

1. Systolic pressure: This is the pressure when the heart pushes blood out into the arteries.
2. Diastolic pressure: This is the pressure when the heart rests between beats, allowing it to fill with blood.

Normal blood pressure for adults is typically around 120/80 mmHg, although this can vary slightly depending on age, sex, and other factors. High blood pressure (hypertension) is generally considered to be a reading of 130/80 mmHg or higher, while low blood pressure (hypotension) is usually defined as a reading below 90/60 mmHg. It's important to note that blood pressure can fluctuate throughout the day and may be affected by factors such as stress, physical activity, and medication use.

Thermometry is the measurement of temperature. It involves the use of thermometers or other devices that can detect and quantify heat energy to determine the temperature of a body, object, environment, or substance. There are various types of thermometry techniques and thermometers, including mercury or alcohol-based clinical thermometers for measuring human body temperature, digital thermometers, infrared thermometers, and thermocouples or resistance temperature detectors (RTDs) for industrial or scientific applications. The choice of thermometry method depends on the required precision, temperature range, and the nature of the substance or object being measured.

Cardiac surgical procedures are operations that are performed on the heart or great vessels (the aorta and vena cava) by cardiothoracic surgeons. These surgeries are often complex and require a high level of skill and expertise. Some common reasons for cardiac surgical procedures include:

1. Coronary artery bypass grafting (CABG): This is a surgery to improve blood flow to the heart in patients with coronary artery disease. During the procedure, a healthy blood vessel from another part of the body is used to create a detour around the blocked or narrowed portion of the coronary artery.
2. Valve repair or replacement: The heart has four valves that control blood flow through and out of the heart. If one or more of these valves become damaged or diseased, they may need to be repaired or replaced. This can be done using artificial valves or valves from animal or human donors.
3. Aneurysm repair: An aneurysm is a weakened area in the wall of an artery that can bulge out and potentially rupture. If an aneurysm occurs in the aorta, it may require surgical repair to prevent rupture.
4. Heart transplantation: In some cases, heart failure may be so severe that a heart transplant is necessary. This involves removing the diseased heart and replacing it with a healthy donor heart.
5. Arrhythmia surgery: Certain types of abnormal heart rhythms (arrhythmias) may require surgical treatment. One such procedure is called the Maze procedure, which involves creating a pattern of scar tissue in the heart to disrupt the abnormal electrical signals that cause the arrhythmia.
6. Congenital heart defect repair: Some people are born with structural problems in their hearts that require surgical correction. These may include holes between the chambers of the heart or abnormal blood vessels.

Cardiac surgical procedures carry risks, including bleeding, infection, stroke, and death. However, for many patients, these surgeries can significantly improve their quality of life and longevity.

Postoperative care refers to the comprehensive medical treatment and nursing attention provided to a patient following a surgical procedure. The goal of postoperative care is to facilitate the patient's recovery, prevent complications, manage pain, ensure proper healing of the incision site, and maintain overall health and well-being until the patient can resume their normal activities.

This type of care includes monitoring vital signs, managing pain through medication or other techniques, ensuring adequate hydration and nutrition, helping the patient with breathing exercises to prevent lung complications, encouraging mobility to prevent blood clots, monitoring for signs of infection or other complications, administering prescribed medications, providing wound care, and educating the patient about postoperative care instructions.

The duration of postoperative care can vary depending on the type and complexity of the surgical procedure, as well as the individual patient's needs and overall health status. It may be provided in a hospital setting, an outpatient surgery center, or in the patient's home, depending on the level of care required.

Blood volume refers to the total amount of blood present in an individual's circulatory system at any given time. It is the combined volume of both the plasma (the liquid component of blood) and the formed elements (such as red and white blood cells and platelets) in the blood. In a healthy adult human, the average blood volume is approximately 5 liters (or about 1 gallon). However, blood volume can vary depending on several factors, including age, sex, body weight, and overall health status.

Blood volume plays a critical role in maintaining proper cardiovascular function, as it affects blood pressure, heart rate, and the delivery of oxygen and nutrients to tissues throughout the body. Changes in blood volume can have significant impacts on an individual's health and may be associated with various medical conditions, such as dehydration, hemorrhage, heart failure, and liver disease. Accurate measurement of blood volume is essential for diagnosing and managing these conditions, as well as for guiding treatment decisions in clinical settings.

Coronary circulation refers to the circulation of blood in the coronary vessels, which supply oxygenated blood to the heart muscle (myocardium) and drain deoxygenated blood from it. The coronary circulation system includes two main coronary arteries - the left main coronary artery and the right coronary artery - that branch off from the aorta just above the aortic valve. These arteries further divide into smaller branches, which supply blood to different regions of the heart muscle.

The left main coronary artery divides into two branches: the left anterior descending (LAD) artery and the left circumflex (LCx) artery. The LAD supplies blood to the front and sides of the heart, while the LCx supplies blood to the back and sides of the heart. The right coronary artery supplies blood to the lower part of the heart, including the right ventricle and the bottom portion of the left ventricle.

The veins that drain the heart muscle include the great cardiac vein, the middle cardiac vein, and the small cardiac vein, which merge to form the coronary sinus. The coronary sinus empties into the right atrium, allowing deoxygenated blood to enter the right side of the heart and be pumped to the lungs for oxygenation.

Coronary circulation is essential for maintaining the health and function of the heart muscle, as it provides the necessary oxygen and nutrients required for proper contraction and relaxation of the myocardium. Any disruption or blockage in the coronary circulation system can lead to serious consequences, such as angina, heart attack, or even death.

Regional blood flow (RBF) refers to the rate at which blood flows through a specific region or organ in the body, typically expressed in milliliters per minute per 100 grams of tissue (ml/min/100g). It is an essential physiological parameter that reflects the delivery of oxygen and nutrients to tissues while removing waste products. RBF can be affected by various factors such as metabolic demands, neural regulation, hormonal influences, and changes in blood pressure or vascular resistance. Measuring RBF is crucial for understanding organ function, diagnosing diseases, and evaluating the effectiveness of treatments.

Point-of-care (POC) systems refer to medical diagnostic tests or tools that are performed at or near the site where a patient receives care, such as in a doctor's office, clinic, or hospital room. These systems provide rapid and convenient results, allowing healthcare professionals to make immediate decisions regarding diagnosis, treatment, and management of a patient's condition.

POC systems can include various types of diagnostic tests, such as:

1. Lateral flow assays (LFAs): These are paper-based devices that use capillary action to detect the presence or absence of a target analyte in a sample. Examples include pregnancy tests and rapid strep throat tests.
2. Portable analyzers: These are compact devices used for measuring various parameters, such as blood glucose levels, coagulation status, or electrolytes, using small volumes of samples.
3. Imaging systems: Handheld ultrasound machines and portable X-ray devices fall under this category, providing real-time imaging at the point of care.
4. Monitoring devices: These include continuous glucose monitors, pulse oximeters, and blood pressure cuffs that provide real-time data to help manage patient conditions.

POC systems offer several advantages, such as reduced turnaround time for test results, decreased need for sample transportation, and increased patient satisfaction due to faster decision-making and treatment initiation. However, it is essential to ensure the accuracy and reliability of these tests by following proper testing procedures and interpreting results correctly.

Oxygen consumption, also known as oxygen uptake, is the amount of oxygen that is consumed or utilized by the body during a specific period of time, usually measured in liters per minute (L/min). It is a common measurement used in exercise physiology and critical care medicine to assess an individual's aerobic metabolism and overall health status.

In clinical settings, oxygen consumption is often measured during cardiopulmonary exercise testing (CPET) to evaluate cardiovascular function, pulmonary function, and exercise capacity in patients with various medical conditions such as heart failure, chronic obstructive pulmonary disease (COPD), and other respiratory or cardiac disorders.

During exercise, oxygen is consumed by the muscles to generate energy through a process called oxidative phosphorylation. The amount of oxygen consumed during exercise can provide important information about an individual's fitness level, exercise capacity, and overall health status. Additionally, measuring oxygen consumption can help healthcare providers assess the effectiveness of treatments and rehabilitation programs in patients with various medical conditions.

Peripheral catheterization is a medical procedure that involves the insertion of a thin, flexible tube (catheter) into a peripheral vein, which is a blood vessel located outside of the chest and abdomen. This type of catheterization is typically performed to administer medications, fluids, or nutritional support, or to monitor various physiological parameters such as central venous pressure.

Peripheral catheters are usually inserted into veins in the hands or arms, although they can also be placed in other peripheral veins. The procedure is typically performed using aseptic technique to minimize the risk of infection. Once the catheter is in place, it may be secured with a dressing or suture to prevent movement and dislodgement.

Peripheral catheterization is a relatively safe and common procedure that is routinely performed in hospitals, clinics, and other healthcare settings. However, like any medical procedure, it carries a small risk of complications such as infection, bleeding, or damage to the vein or surrounding tissues.

Blood gas analysis is a medical test that measures the levels of oxygen and carbon dioxide in the blood, as well as the pH level, which indicates the acidity or alkalinity of the blood. This test is often used to evaluate lung function, respiratory disorders, and acid-base balance in the body. It can also be used to monitor the effectiveness of treatments for conditions such as chronic obstructive pulmonary disease (COPD), asthma, and other respiratory illnesses. The analysis is typically performed on a sample of arterial blood, although venous blood may also be used in some cases.

In the context of medicine and medical devices, calibration refers to the process of checking, adjusting, or confirming the accuracy of a measurement instrument or system. This is typically done by comparing the measurements taken by the device being calibrated to those taken by a reference standard of known accuracy. The goal of calibration is to ensure that the medical device is providing accurate and reliable measurements, which is critical for making proper diagnoses and delivering effective treatment. Regular calibration is an important part of quality assurance and helps to maintain the overall performance and safety of medical devices.

Blood flow velocity is the speed at which blood travels through a specific part of the vascular system. It is typically measured in units of distance per time, such as centimeters per second (cm/s) or meters per second (m/s). Blood flow velocity can be affected by various factors, including cardiac output, vessel diameter, and viscosity of the blood. Measuring blood flow velocity is important in diagnosing and monitoring various medical conditions, such as heart disease, stroke, and peripheral vascular disease.

The radial artery is a key blood vessel in the human body, specifically a part of the peripheral arterial system. Originating from the brachial artery in the upper arm, the radial artery travels down the arm and crosses over the wrist, where it can be palpated easily. It then continues into the hand, dividing into several branches to supply blood to the hand's tissues and digits.

The radial artery is often used for taking pulse readings due to its easy accessibility at the wrist. Additionally, in medical procedures such as coronary angiography or bypass surgery, the radial artery can be utilized as a site for catheter insertion. This allows healthcare professionals to examine the heart's blood vessels and assess cardiovascular health.

Cardiovascular models are simplified representations or simulations of the human cardiovascular system used in medical research, education, and training. These models can be physical, computational, or mathematical and are designed to replicate various aspects of the heart, blood vessels, and blood flow. They can help researchers study the structure and function of the cardiovascular system, test new treatments and interventions, and train healthcare professionals in diagnostic and therapeutic techniques.

Physical cardiovascular models may include artificial hearts, blood vessels, or circulation systems made from materials such as plastic, rubber, or silicone. These models can be used to study the mechanics of heart valves, the effects of different surgical procedures, or the impact of various medical devices on blood flow.

Computational and mathematical cardiovascular models use algorithms and equations to simulate the behavior of the cardiovascular system. These models may range from simple representations of a single heart chamber to complex simulations of the entire circulatory system. They can be used to study the electrical activity of the heart, the biomechanics of blood flow, or the distribution of drugs in the body.

Overall, cardiovascular models play an essential role in advancing our understanding of the human body and improving patient care.

Dobutamine is a synthetic catecholamine used in medical treatment, specifically as a positive inotrope and vasodilator. It works by stimulating the beta-1 adrenergic receptors of the heart, thereby increasing its contractility and stroke volume. This results in an improved cardiac output, making dobutamine beneficial in treating heart failure, cardiogenic shock, and other conditions where heart function is compromised.

It's important to note that dobutamine should be administered under strict medical supervision due to its potential to cause adverse effects such as arrhythmias, hypotension, or hypertension. The dosage, frequency, and duration of administration are determined by the patient's specific condition and response to treatment.

Pulmonary wedge pressure, also known as pulmonary capillary wedge pressure (PCWP) or left heart filling pressure, is a measurement obtained during right heart catheterization. It reflects the pressure in the left atrium, which is an estimate of the diastolic pressure in the left ventricle. Normal PCWP ranges from 4 to 12 mmHg. Increased pulmonary wedge pressure can indicate heart failure or other cardiac disorders that affect the left side of the heart.

Heart rate is the number of heartbeats per unit of time, often expressed as beats per minute (bpm). It can vary significantly depending on factors such as age, physical fitness, emotions, and overall health status. A resting heart rate between 60-100 bpm is generally considered normal for adults, but athletes and individuals with high levels of physical fitness may have a resting heart rate below 60 bpm due to their enhanced cardiovascular efficiency. Monitoring heart rate can provide valuable insights into an individual's health status, exercise intensity, and response to various treatments or interventions.

The femoral vein is the large vein that runs through the thigh and carries oxygen-depleted blood from the lower limbs back to the heart. It is located in the femoral triangle, along with the femoral artery and nerve. The femoral vein begins at the knee as the popliteal vein, which then joins with the deep vein of the thigh to form the femoral vein. As it moves up the leg, it is joined by several other veins, including the great saphenous vein, before it becomes the external iliac vein at the inguinal ligament in the groin.

Critical care, also known as intensive care, is a medical specialty that deals with the diagnosis and management of life-threatening conditions that require close monitoring and organ support. Critical care medicine is practiced in critical care units (ICUs) or intensive care units of hospitals. The goal of critical care is to prevent further deterioration of the patient's condition, to support failing organs, and to treat any underlying conditions that may have caused the patient to become critically ill.

Critical care involves a multidisciplinary team approach, including intensivists (specialist doctors trained in critical care), nurses, respiratory therapists, pharmacists, and other healthcare professionals. The care provided in the ICU is highly specialized and often involves advanced medical technology such as mechanical ventilation, dialysis, and continuous renal replacement therapy.

Patients who require critical care may have a wide range of conditions, including severe infections, respiratory failure, cardiovascular instability, neurological emergencies, and multi-organ dysfunction syndrome (MODS). Critical care is an essential component of modern healthcare and has significantly improved the outcomes of critically ill patients.

Artificial respiration is an emergency procedure that can be used to provide oxygen to a person who is not breathing or is breathing inadequately. It involves manually forcing air into the lungs, either by compressing the chest or using a device to deliver breaths. The goal of artificial respiration is to maintain adequate oxygenation of the body's tissues and organs until the person can breathe on their own or until advanced medical care arrives. Artificial respiration may be used in conjunction with cardiopulmonary resuscitation (CPR) in cases of cardiac arrest.

Body temperature is the measure of heat produced by the body. In humans, the normal body temperature range is typically between 97.8°F (36.5°C) and 99°F (37.2°C), with an average oral temperature of 98.6°F (37°C). Body temperature can be measured in various ways, including orally, rectally, axillary (under the arm), and temporally (on the forehead).

Maintaining a stable body temperature is crucial for proper bodily functions, as enzymes and other biological processes depend on specific temperature ranges. The hypothalamus region of the brain regulates body temperature through feedback mechanisms that involve shivering to produce heat and sweating to release heat. Fever is a common medical sign characterized by an elevated body temperature above the normal range, often as a response to infection or inflammation.

In medical terms, the leg refers to the lower portion of the human body that extends from the knee down to the foot. It includes the thigh (femur), lower leg (tibia and fibula), foot, and ankle. The leg is primarily responsible for supporting the body's weight and enabling movements such as standing, walking, running, and jumping.

The leg contains several important structures, including bones, muscles, tendons, ligaments, blood vessels, nerves, and joints. These structures work together to provide stability, support, and mobility to the lower extremity. Common medical conditions that can affect the leg include fractures, sprains, strains, infections, peripheral artery disease, and neurological disorders.

Transpulmonary thermodilution allows for less invasive Q calibration but is less accurate than PA thermodilution and requires a ... The PAC thermodilution method involves the injection of a small amount (10 mL) of cold glucose at a known temperature into the ... The Q value derived from cold-saline thermodilution is used to calibrate the arterial PP contour, which can then provide ... Transpulmonary thermodilution spans right heart, pulmonary circulation and left heart, allowing further mathematical analysis ...
"Measurement of left ventricular volume in man by thermodilution". The American Journal of Cardiology. 13 (1): 106. doi:10.1016/ ...
Forrester JS, Ganz W, Diamond GA, McHugh TJ, Chonette D, Swan HJC (1972). "Thermodilution cardiac output determination with a ...
Most commonly, flows are estimated using the Fick principle and thermodilution. These methods have drawbacks, but give invasive ...
The concept of using thermodilution to measure cardiac output was originally the idea of Arnost Fronek. As a former colleague ... By attaching both the injector site and the ventricular thermistor to a small computer, the thermodilution curve can be plotted ... Fronek, A; Ganz, V (1959). "[Local thermodilution method of measuring minute volume and circulation rate in the peripheral ... Fronek, A; Ganz, V (1960). "Measurement of flow in single blood vessels including cardiac output by local thermodilution". ...
"Intraoperative Determination of Cardiac Output Using Multiplane Transesophageal Echocardiography A Comparison to Thermodilution ...
As a calibrating method, this system performs a thermodilution curve by measuring the changes in blood temperature due to the ... Anaesthesiol.: 4-6. Albert, N.M.; Hail, M.D.; Li, J; Young, J.B. (2004). "Equivalence of the bioimpedance and thermodilution ... One of them is the Thermodilution Transpulmonary (TDTP), developed in the late 1990s, which presents risk of iatrogenic effect ... Admittedly, these systems have some limitations, related for example to the thermodilution, such as thermic artifacts due to ...
However, this blood flow measurement is highly invasive, utilizing a flow-directed, thermodilution catheter (also known as the ... Albert, Nancy M.; Hail, Melanie D.; Li, Jianbo; Young, James B. (2004). "Equivalence of the Bioimpedance and Thermodilution ...
... Pradip K. Ghosh and Jan Czekajewski, "Cardiac Output Measurement in Mice by Thermodilution", Lab Animal, ...
The other thermodilution method is to sense the temperature change from a liquid injected in the proximal port of a Swan-Ganz ...
Comparison of impedance cardiography with thermodilution and direct Fick methods for noninvasive measurement of stroke volume ... thermodilution, and direct Fick. Group A reached a lower peak oxygen uptake (56%), peak work load (60%), and peak systolic ...
Noninvasive Cardiac Output: Simultaneous Comparison of Two Different Methods with Thermodilution David H. Wong, Pharm. D., M.D. ... Measurement of Cardiac Output by Pulse Dye Densitometry Using Indocyanine Green : A Comparison with the Thermodilution Method ... NON-INVASIVE CARDIAC OUTPUT: COMPARISON OF TWO DIFFERENT METHODS WITH THERMODILUTION Anesthesiology (September 1987) ... Simultaneous Comparison of Two Different Methods with Thermodilution. Anesthesiology 1990; 72:784-792 doi: https://doi.org/ ...
Tag: THERMODILUTION. Mild hypothermia has minimal effects on the tolerance to severe progressive normovolemic anemia in swine. ...
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Transpulmonary thermodilution allows for less invasive Q calibration but is less accurate than PA thermodilution and requires a ... The PAC thermodilution method involves the injection of a small amount (10 mL) of cold glucose at a known temperature into the ... The Q value derived from cold-saline thermodilution is used to calibrate the arterial PP contour, which can then provide ... Transpulmonary thermodilution spans right heart, pulmonary circulation and left heart, allowing further mathematical analysis ...
... with good correlation between transpulmonary thermodilution and pulmonary artery catheter using the Fick method (r =  ... Cardiac output measurement by transpulmonary thermodilution is unaffected by differences in ventricular size and outflow ... Transpulmonary thermodilution is recommended in the treatment of critically ill patients presenting with complex shock. However ... Transpulmonary thermodilution was then performed using a PiCCO thermodilution catheter inserted through the arterial access ...
Local thermodilution method for measuring blood flow in the portal and renal veins of the unanaesthetized rabbit. / White, S. W ... Local thermodilution method for measuring blood flow in the portal and renal veins of the unanaesthetized rabbit. In: ... Local thermodilution method for measuring blood flow in the portal and renal veins of the unanaesthetized rabbit. Immunology ... White, S. W., Chalmers, J. P., Hilder, R., & Korner, P. I. (1967). Local thermodilution method for measuring blood flow in the ...
A comparison of endotracheal bioimpedance cardiography and transpulmonary thermodilution in cardiac surgery patients. In: ... Entra nei temi di ricerca di A comparison of endotracheal bioimpedance cardiography and transpulmonary thermodilution in ... A comparison of endotracheal bioimpedance cardiography and transpulmonary thermodilution in cardiac surgery patients. / Fellahi ... MEASUREMENTS AND MAIN RESULTS: Simultaneous comparative CI data points were collected from transpulmonary thermodilution (TD) ...
Transpulmonary thermodilution devices. Transpulmonary thermodilution devices are considered to be less invasive than the PAC, ... These devices combine transpulmonary thermodilution and pulse contour analysis.. Transpulmonary thermodilution provides ... The semi-continuous thermodilution method is based on the intermittent and automatic heating of blood by means of a proximal ... Intermittent transpulmonary thermodilution cardiac output measurements are used to calibrate the pulse contour cardiac output, ...
Local thermodilution of professors Vilém Ganz and Arnošt Froněk (US). Arnošt Froněk and Vilém Ganz succeeded in elaborating the ... Unlike classical thermodilution that determines the minute cardiac output by injecting the physiological solution in the right ... he used local thermodilution to determine the blood flow out of sinus coronarius - Ganz et al., 1964). Ganz developed these ... original study compared the determination of the minute cardiac output using the classical method and local thermodilution and ...
Is Continuous Cardiac Output Measurement Using Thermodilution Reliable in the Critically Ill Patient?: Retraction. September 01 ...
Transpulmonary Thermodilution-Based Management of Neurogenic Pulmonary Edema After Subarachnoid Hemorrhage. Mutoh T, Kazumata K ...
Validation by Positron Emission Tomography and Invasive Thermodilution. Westra, J., Rasmussen, L. D., Eftekhari, A., Winther, S ...
Cardiac Output Measurement: Thermodilution and Continuous. Cardiac Output: Esophageal Monitoring: Assisting. Cardiac Output: ...
Non-invasive Doppler derived cardiac output: a validation study comparing this technique to thermodilution and Fick method. ... 1998). Valtier and associates were able to demonstrate a 95% correlation between cardiac output measured via thermodilution and ... A comparison of transesophageal Doppler, thermodilution and Fick cardiac output measurements in critically ill patients [ ... thermodilution technique, as well as other techniques for measuring CO (Huntsman, Stewart, Barnes et al 1983; Mark, Steinbrook ...
11 ml for MRI and thermodilution, and 0 ± 8 ml for MRI and the average of Fick and thermodilution. The authors concluded that ... with measurement of cardiac output by the Fick principle and by thermodilution. For MRI, Fick, and thermodilution measurements ...
Comparison of Doppler Flow Velocity and Thermodilution Derived Indexes of Coronary Physiology. Demir, O. M., Boerhout, C. K. M. ...
Thermodilution measurement of leg blood flow (LBF), accomplished in sets of 10. --Graded doses of methacholine (Mch): 5, 10, & ...
Cardiac output was measured by either the direct Fick method or thermodilution. Stroke volume was calculated as cardiac output ...
Thermodilution Cardiac Output Principles and Procedures Jessica Schroer, BSN, RN. Overview and Considerations of TIVA ...
A thermodilution catheter mounted with a fast response thermistor was inserted into the pulmonary artery via the jugular vein ... 1986) Limitation of thermodilution ejection fraction: Degration of frequency response by catheter mounting of fast response ... Effects of the time response of the temperature sensor on thermodilution measurements Time (s) . full line: catheter response ... Right ventricular ejection fraction (RVEF) was measured by the thermodilution technique in a scries of 127 consecutive ...
Zero reference was set at the midchest level; [25] CO was measured using the thermodilution technique and three values ... and flow measurements may inherently display some imprecision when measured by fluid-filled catheters and thermodilution ...
Step-by-step guidance on thermodilution methods, analyzing thermodilution curves, measuring cardiac function and output, ...
Although thermodilution via a pulmonary artery catheter (PAC) is considered the gold standard... ...
Arterial thermodilution in burn patients suggests a more rapid fluid administration during early resuscitation. Acta ... Single transpulmonary thermodilution and continuous monitoring of central venous oxygen saturation during off-pump coronary ...
A report indicated that a portion of a Swan-Ganz thermodilution catheter that was outside the patient melted during MR imaging ... There is at least one report of a cardiovascular catheter (Swan-Ganz Triple Lumen Thermodilution Catheter) that "melted" in a ... The thermodilution Swan-Ganz catheter and other similar cardiovascular catheters have nonferromagnetic materials that include ... used as accessories for determination of cardiac output using the thermodilution method; plastic), and Safe-set with In-Line ...
Comparison of arterial waveform analysis and thermodilution for estimation of cardiac output in a model of abdominal aortic ... Comparison of arterial waveform analysis and thermodilution for estimation of cardiac output in a model of abdominal aortic ...
Procedures-On 3 occasions, each dog was anesthetized with propofol and isoflurane and instrumented with a thermodilution ...

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