Dissolved HL has been used as an indicator for measuring cardiac output by the techniques of constant-rate injection and sudden, single injection indicator dilution. Because of its low solubility, H 2 is eliminated essentially quantitatively in the lungs and recirculates negligibly. The constant-rate injection technique involves the gas chromatographic measurement of pulmonary (or systemic) arterial H 2 concentration during an infusion of dissolved H 2 into a vena cava (or the left atrium). Measurements in anesthetized dogs agreed well with simultaneous measurements by dye dilution, direct Fick, and direct volumetric techniques. Measurements could be repeated several times a minute, and using a linearly responding platinum electrode, intravascular H 2 concentrations could be recorded continuously. In the sudden, single injection technique, dissolved H 2 was injected into a vena cava (or the left atrium) while monitoring pulmonary (or systemic) arterial H 2 concentration with a chromatographically calibrated platinum electrode. Measurements again agreed with simultaneous measurements by dye dilution, constant-rate injection of H 2 , and the direct volumetric technique. Hydrogen curves could be repeated rapidly and integrated instantaneously. Hydrogen appears to be a useful indicator for rapidly repeated determinations of cardiac output and for measurements of output in situations in which recirculation of conventional indicators limits their usefulness. This investigation was supported by U. S. Public Health Service Grants HE-09587 from the National Heart Institute and General Research Support Grant FR-05400, and by a grant from United Health Foundations, Inc.
ADDITIONAL KEY WORDSPreliminary reports of this work were presented at the April 1966 and April 1967 meetings of the American Physiological Society.Accepted for publication April 15, 1968. creted quantitatively during a single passage through the lungs. Their investigations were performed with 8B Kr, and Rochester and co-workers from the same laboratory subsequently reported the use of this agent for measuring right ventricular output by constant-rate injection (2). In addition, Cornell and associates extended the use of 8s Kr to measurements employing a modified sudden, single injection or Stewart-Hamilton technique (3). With the development of gas chromatographic techniques for measuring trace amounts of inert gases in blood (4), it has become possible to employ any of a large number of nonradioactive gases as a cardiovascular indicator. The lower the solubility of a gas, the more completely it should be eliminated from mixed venous blood during a single passage through the lungs.