Non-invasive measurement of cardiac output: evaluation of new infrared absorption spectrometer.

Abstract:

:The mass spectrometer (MS) traditionally has been the instrument of choice for measuring cardiac output (Q (T)) non-invasively using the foreign gas uptake method. However, the size and cost of the MS has hampered widespread adoption of this technique outside of the laboratory. Here, we present results, from six normal human subjects at rest and during exercise, of simultaneous Q (T) measurements by an MS and a new, portable infrared (IR) device developed in our laboratories. These measurements are made using on the open-circuit acetylene uptake method. The IR device measures inspired and end-tidal concentrations of acetylene, sulfur hexafluoride, and carbon dioxide by IR absorption spectroscopy with a 10-90% response time of 43 ms; accurate measurements were made down to sample flow rates of 50 mL min(-1). Excellent correlation [Q (T)(IR)=0.98 Q (T)(MS), R(2)=0.94] was observed between instruments across the range from rest to heavy exercise. These results suggest that the IR device, which is small, light-weight, and rugged may enable the foreign gas uptake method to be used in clinical, field, and point-of-care settings for Q (T) measurement.

authors

Baum MM,Moss JA,Kumar S,Wagner PD

doi

10.1016/j.resp.2005.09.010

keywords:

subject

Has Abstract

pub_date

2006-09-28 00:00:00

pages

191-201

issue

2

eissn

1569-9048

issn

1878-1519

pii

S1569-9048(05)00258-2

journal_volume

153

pub_type

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