None listed
Conditions
Brief summary
This is a study to find a new way to measure the cardiac output (CO), the amount of blood that leaves the heart every minute. Presently in order to measure CO we have to insert an expensive catheter into the heart which can bring complications. The present study aims to measure CO by inhaling small puffs of carbon dioxide which is normally excreted by the lung. By measuring the amount by which the blood concentration of CO2 rises we can know the blood flow through the lung.This is equal to the CO.
Interventions
In Fick CO2 cardiac output (CO) we need to measure CO2 production, and arterial and venous CO2 content of blood. CO2 production is measured in expired gases. Arterial CO2 content is measured using arterial blood gas from arterial line. Venous CO2 content is measured by adding CO2 to the inspired gas (mass flow-controller) at the CO2 production rate, causing arterial and end expired CO2 to rise to the mixed venous level.This measurement takes approximately 1 minute, measurements may take place every 15-30 minutes for 4 hours.
Sponsors
Study design
Eligibility
Inclusion criteria
All consented patients undergoing elective open heart surgery and who have a pulmonary artery catheter placed.
Exclusion criteria
Pregnant women. Patients with a raised pulmonary artery pressure. Patients with Obstructive airways disease and raised pCO2. Patients with a raised intracranial pressure or primary cerebral disease.