Cardiac output measurement by pulse dye densitometry using three wavelengths.
OBJECTIVE
Pulse dye densitometry (PDD), based on the principles of pulse oximetry and dye-dilution technique, is a less invasive method of measuring cardiac output (CO). We have developed prototype equipment to measure CO in pediatric patients using this technique. The purpose of our study was to evaluate the accuracy of this new PDD system using three wavelengths for pediatric application by comparing measurement with an ultrasound flowmeter.


METHODS
Laboratory investigation.


METHODS
Hospital physiology research laboratory.


METHODS
A total of 15 young piglets weighing approximately 10 kg each.


METHODS
Measurement of CO by PDD was performed using general anesthesia. Indocyanine green, 0.2 mg/kg, was administered intravenously, and CO was calculated from the dye dilution curve obtained by the PDD system. The ultrasound flowmeter probe was placed on the ascending aorta in the animal, and CO was simultaneously calculated.


RESULTS
The two CO values, simultaneously obtained by the ultrasound flowmeter and PDD, were compared during various hemodynamic states. The bias between the CO measured by the ultrasound flowmeter and the CO measured by the PDD system using the reflection-type probe at the central site was 33.8 mL/min and the precision was 293.4 mL/min, indicating that CO measured by PDD had a good correlation with measurements obtained with the ultrasonic method.


CONCLUSIONS
We measured CO in young piglets at an acceptable level of bias and precision using a prototype PDD device. CO measurement by this new PDD system using three wavelengths can be useful and beneficial for critically ill infants and children. It is simple to perform, requiring an injection of dye into a peripheral intravenous catheter, and it will provide a less invasive bedside measurement of CO.
Taguchi
Nobuko
N
Department of Anesthesia and the Intensive Care Unit, National Center for Child Health and Development, Tokyo, Japan.
Nakagawa
Satoshi
S
Miyasaka
Katsuyuki
K
Fuse
Masayoshi
M
Aoyagi
Takuo
T
D000818:Animals; D002302:Cardiac Output; D003720:Densitometry / Q000295:instrumentation / Q000379:methods*; D004395:Dye Dilution Technique; D007208:Indocyanine Green; D010092:Oximetry; D012815:Signal Processing, Computer-Assisted; D013552:Swine
D007208:Indocyanine Green