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Diseño de un Módulo de Medición de Gasto Cardíaco Empleando el Método de Detección de Bioimpedancia

机译:利用生物阻抗检测方法设计心输出量测量模块

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The necessity of monitoring cardiac output and others hemodynamic parameters has lead to the development of multiples invasive and not invasive methods. Fick cardiac output and thermo dilution methods have been considered as golden rules nevertheless both are invasive, highly risky and can not be applied to all patients both need to be used in spe-cial environments by highly skilled personnel. Bioimpedance cardiac output a not invasive method are also been developed and clinically used since 1969 during this long period many technological improvements has made possible increase its confidence and accuracy. Essentials schema of a cardiac output bioimpedance monitor is shown in this paper it mainly consist in: circuit of elec-trical induction stimuli of 75htz distributed in four different neck and thorax locations paired with four records electrodes to reading circuit of bioimpedance electric difference. ECG, R wave recording is also included. Electric stimula-tion is synchronized to R wave in order to accurate establish dZ/dt. Appropriated algorithm calculates cardiac output and derívate parameters.
机译:监测心输出量和其他血液动力学参数的必要性导致了多种侵入性而非非侵入性方法的发展。轻快的心输出量和热稀释法被认为是黄金法则,但它们都是侵入性的,高风险的,并且不能应用于所有需要由熟练技术人员在特殊环境中使用的患者。自1969年以来,还开发了一种非侵入性的生物阻抗心输出量方法,并在临床上投入使用。在这段漫长的时期内,许多技术改进已使其信心和准确性得以提高。本文显示了一种心输出量生物阻抗监测器的基本架构,主要包括:分布在四个颈部和胸部位置的75htz的电子感应刺激电路,与四个记录电极配对,以读取生物阻抗电差的电路。还包括心电图,R波记录。电刺激与R波同步,以便精确建立dZ / dt。适当的算法可计算心输出量和派生参数。

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