title: High values of intrathoracic blood volume in hepatopulmonary syndrome.
abstract: Advanced haemodynamic monitoring via transpulmonary thermodilution (TPTD) devices has gained popularity in recent years. The intrathoracic blood volume index (ITBVI) and the global end-diastolic blood volume index (GEDVI) calculated by single indicator TPTD devices have been shown to reliably estimate cardiac preload. The normal range of values for ITBVI is provided by the manufacturers. Evidence is now emerging that certain clinical scenarios can lead to increased ITBVI values. We report two cases of persistently high ITBVI in patients with hepatic cirrhosis complicated by hepatopulmonary syndrome.
authors.affiliation: Liver Intensive Therapy Unit, Institute of Liver Studies, King's College Hospital, London, UK.
authors.forename: Deepak
authors.initials: D
authors.lastname: Joshi
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Sizer
authors.forename: William
authors.initials: W
authors.lastname: Bernal
authors.forename: Julia
authors.initials: J
authors.lastname: Wendon
authors.forename: Georg
authors.initials: G
authors.lastname: Auzinger
mesh_terms: D000328:Adult; D001810:Blood Volume / Q000502:physiology*; D015633:Extravascular Lung Water / Q000502:physiology; D020065:Hepatopulmonary Syndrome / Q000503:physiopathology*; D006801:Humans; D008103:Liver Cirrhosis / Q000503:physiopathology / Q000601:surgery; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged