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The Lab

Waveforms & measurements

Why can the summary CO, Fick and thermodilution differ?

The summary is modeled forward flow; the measurement panels include method assumptions.

Overview

The summary shows modeled forward flow plus separate Fick and thermodilution readings. Fick mirrors the oxygen inputs in its panel; thermodilution appears only after a completed injection. The methods include additional assumptions and selected error examples. Vascular resistance calculations continue to use modeled forward flow.

The selected severe-TR example broadens the thermodilution curve and changes its estimated output; mild/moderate TR does not inherit that error. The size and direction of a real measurement discrepancy are not guaranteed by this illustration. Estimated Fick also depends on oxygen-consumption assumptions.

Shunts and ECMO change the flow-accounting problem. Their panels explain when conventional non-shunt output methods no longer apply.

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