title: Transpulmonary thermodilution curves for detection of shunt.
abstract: OBJECTIVE
  Monitoring using transpulmonary thermodilution (TPTD) via a single thermal indicator technique allows measurement of cardiac output, extravascular lung water (EVLW) and volumetric variables.
  
  
  RESULTS
  This report describes two cases of systemic-venous circulation shunt generating early recirculation of thermal indicator with overestimation of EVLW.
  
  
  CONCLUSIONS
  In the case of recirculation of thermal indicator, the observed overestimated EVLW in absence of gas exchanges abnormality could be an indicator suggesting the search for a circulatory shunt.
authors.affiliation: Médecin Adjoint Agrégé, Intensive Care Unit, Geneva University Hospitals, Rue Micheli-du-Crest 24, 1205, Geneva, Switzerland.
authors.forename: Raphael
authors.initials: R
authors.lastname: Giraud
authors.forename: Nils
authors.initials: N
authors.lastname: Siegenthaler
authors.forename: Chan
authors.initials: C
authors.lastname: Park
authors.forename: Sascha
authors.initials: S
authors.lastname: Beutler
authors.forename: Karim
authors.initials: K
authors.lastname: Bendjelid
mesh_terms: D000368:Aged; D001164:Arteriovenous Fistula / Q000503:physiopathology; D002302:Cardiac Output / Q000502:physiology*; D016638:Critical Illness; D015633:Extravascular Lung Water / Q000502:physiology*; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000503:physiopathology; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods*; D011652:Pulmonary Circulation / Q000502:physiology; D011654:Pulmonary Edema / Q000175:diagnosis; D013815:Thermodilution / Q000295:instrumentation / Q000379:methods*; D055815:Young Adult
references.citation: Crit Care Med. 2004 Jan;32(1):308-9
references.pmid: 14707608
references.citation: Intensive Care Med. 1999 Aug;25(8):843-6
references.pmid: 10447543
references.citation: Anesthesiology. 2005 Oct;103(4):805-12
references.pmid: 16192773
references.citation: Hepatogastroenterology. 2008 Jul-Aug;55(85):1338-41
references.pmid: 18795684
references.citation: Intensive Care Med. 1999 Feb;25(2):216-9
references.pmid: 10193551
references.citation: Crit Care Med. 2008 Aug;36(8):2348-54
references.pmid: 18596637