Revised one-step method for determination of cardiac output

Cardiac output (0) is a determinant of blood pressure and O-2 delivery and is critical in the maintenance of homeostasis, particularly during environmental stress and exercise. Cardiac output can be determined invasively in patients however, indirect methods are required for other situations. Soluble gas techniques are widely used to determine Q. Historically, measurements during a breathhold, prolonged expiration and rebreathing to CO2 equilibrium have been used, however, with limitations, especially during stress. Farhi and co-workers developed a single-step CO2 rebreathing method, which was subsequently revised by his group, and has been shown to be reliable and compared closely to direct, invasive measures. V-CO2, P-ACO2 and Pv(CO2) are determined during a 12-25s rebreathing using the appropriate tidal volume, and 0 is calculated. This method can provide accurate data in laboratory and field experiments during exercise, increased or decreased gravity, water immersion, lower body pressure, head-down tilt, altered ambient pressure or changes in inspired gas composition. (C) 2003 Elsevier B.V. All rights reserved.