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Cardiac output determinations with ear piece densitometry.

G Hedenstierna, B Schildt

    Upsala Journal of Medical Sciences
    |January 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

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    Cardiac output measurements using an earpiece densitometer were less reliable than a standard flow-through method. Automatic computation led to overestimations, suggesting the earpiece is unsuitable for routine clinical use.

    Area of Science:

    • Cardiology
    • Medical Devices
    • Physiology

    Background:

    • Cardiac output (CO) determination is crucial for assessing cardiovascular function.
    • Dye dilution techniques are common methods for CO measurement.
    • Evaluating novel devices for CO assessment is essential for clinical practice.

    Purpose of the Study:

    • To compare the accuracy of a dichromatic earpiece densitometer with a standard flow-through densitometer for cardiac output determination.
    • To assess the reliability of automatic computation versus manual calculation using the earpiece device.
    • To determine the suitability of the earpiece densitometer for routine clinical use.

    Main Methods:

    • Cardiac output was measured in eleven subjects, including those with cardiopulmonary disease, using two methods: a dichromatic earpiece densitometer and an ordinary flow-through densitometer.

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  • The earpiece device was calibrated as a flow-through cuvette and allowed for automatic computation via a pressure capsule.
  • Measurements were compared using both automatic and manual calculations from the earpiece, against the flow-through densitometer results.
  • Main Results:

    • Automatic computation with the earpiece densitometer systematically overestimated cardiac output.
    • Manual calculation with the earpiece showed closer agreement to the flow-through cuvette but still exhibited deviations.
    • Residual standard deviations for single and double determinations were 0.8 l/min and 0.7 l/min, respectively.

    Conclusions:

    • The dichromatic earpiece densitometer, despite its ease of use, demonstrates significant unreliability for routine cardiac output measurements.
    • Automatic computation features of the earpiece device contribute to inaccuracies.
    • Further validation or improved technology is needed for earpiece densitometers to be considered clinically reliable.