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PiCCO2 Nurse Booklet - PULSION Medical Systems SE

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PiCCO - Transpulmonary Thermodilution (TD)<br />

Bolus<br />

injection<br />

Bolus<br />

detection<br />

• The bolus injection of cold saline is detected by the temperature sensor attached to the CVC<br />

• The saline bolus passes through the heart and lungs and is detected downstream by the<br />

thermistor on the tip of the PiCCO arterial line<br />

• The change in temperature between the two thermistors provides a TD curve<br />

• Mathematical analysis of the TD curve gives the cardiac output CO<br />

• Further analysis of the TD curve allows determination of preload volumes and lung water<br />

12

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