scholarly journals Effect of fluid loading with normal saline and 6% hydroxyethyl starch on stroke volume variability and left ventricular volume

Author(s):  
Hirotsugu Kanda ◽  
Yuji Hirasaki ◽  
Takafumi Iida ◽  
Megumi Kanao-Kanda ◽  
Yuki Toyama ◽  
...  
1993 ◽  
Vol 264 (6) ◽  
pp. H2198-H2207 ◽  
Author(s):  
P. Steendijk ◽  
E. T. Van der Velde ◽  
J. Baan

The conductance method employs a multielectrode catheter to measure intracavitary electric conductance from which left ventricular volume is estimated. A dual-excitation method introduced by us uses a more homogeneous electric field and thereby should enable more accurate volume estimation. In six anesthetized open-chest dogs we compared stroke volume obtained from electromagnetic flow probes with the conventional single-excitation method and with the new dual-excitation conductance method. Caval occlusion and left atrial hemorrhage were used to obtain a wide range of stroke volumes. The slope of the relation between stroke volume calculated from the flow probes and from the conductance catheter increased significantly (P < 0.001) from 0.635 with single excitation to 0.835 with dual excitation, but the interanimal variability was not reduced. The linearity of the relation was substantially improved.


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