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Updated: Jun 13, 2026
Lavage-induced Surfactant Depletion in Pigs As a Model of the Acute Respiratory Distress Syndrome (ARDS)
Published on: September 7, 2016
Transpulmonary thermodilution curves for detection of shunt
Raphael Giraud1, Nils Siegenthaler, Chan Park
1Médecin Adjoint Agrégé, Intensive Care Unit, Geneva University Hospitals, Rue Micheli-du-Crest 24, 1205, Geneva, Switzerland.
Purpose:
Monitoring using transpulmonary thermodilution (TPTD) via a single thermal indicator technique allows measurement of cardiac output, extravascular lung water (EVLW) and volumetric variables.
Methods And Results:
This report describes two cases of systemic-venous circulation shunt generating early recirculation of thermal indicator with overestimation of EVLW.
Conclusion:
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.
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