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Esophogeal doppler


In medicine, Esophageal Doppler or Oesophageal Doppler uses a small ultrasound probe inserted into the esophagus through the nose or mouth to measure blood velocity in the descending aorta. It is minimally invasive (does not break the skin) and is used to derive hemodynamic parameters such as stroke volume (SV) and cardiac output (CO). A properly constructed and calibrated probe is approved for use on adults and children in many parts of the world.

From the probe tip, a beam of continuous wave ultrasound is directed through the esophageal wall into the aorta and reflects off the moving blood back to the probe; the Doppler effect is used to directly measure the velocity of the blood (by the shift in frequency of the reflected ultrasound signal compared to the original beam).

An Esophageal Doppler Monitor (EDM) or Oesophageal Doppler Monitor (ODM) is a cardiac output monitor using an esophageal positioned ultrasound sensor. It usually displays a graph of real-time aortic blood velocities and recognized main flow against time. It provides instantaneous values of hemodynamic parameters for the just past beat, such as heart rate (HR), stroke distance (SD), maximum acceleration (MA), flow-time (FT) and peak velocity (PV); also values calculated from these, such as stroke volume (SV), flow-time corrected (FTc) and cardiac output (CO). Using manual input of age, weight and height; body surface area (BSA) and body mass index (BMI) estimates are calculated, so that indexed values may be calculated and displayed, such as cardiac output index (CI) and stroke volume index (SVI or SI). Often available is recording of instantaneous values and display of a long term trend graph.

In an Esophageal Doppler Monitor (EDM) or Oesophageal Doppler Monitor (ODM), during the time the aortic valve is open (ejection time or flow time), the average aortic blood velocity is calculated. The product of average velocity and ejection time gives the stroke distance (how far the blood travels in each heart cycle). Flow time (FT) is the time difference between the sudden increase in velocity (T0) and the return to near zero velocity (T1). Stroke distance (SD) can calculated from the plug flow like velocity (v(t)):


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