Flow Calculator
Calculate required blood flow using BSA or patient weight.
Input Parameters
Select a method and enter patient data.
Clinical Context & Significance
Establishing an appropriate pump flow is one of the most fundamental tasks during cardiopulmonary bypass. The goal is to provide sufficient systemic oxygen delivery ($DO_2$) to meet the metabolic demands of the tissues while minimizing the traumatic effects of the extracorporeal circuit on blood components.
BSA Calculation
This tool uses the DuBois & DuBois formula: $BSA (m^2) = 0.007184 \times Height(cm)^0.725 \times Weight(kg)^0.425$. While multiple formulas exist (Mosteller, Haycock), the DuBois formula remains a clinical standard in cardiac surgery.
Standard Targets
- Adults: Typical Cardiac Index of 2.2 - 2.4 L/min/m².
- Pediatrics: Higher indexed flows are required due to higher relative metabolic rates (2.8 - 3.2 L/min/m²).
- Temperature: indexed flow requirements decrease as the patient is cooled, following the $Q_10$ principle.
Clinical Note: While BSA-based flow is a starting point, true adequacy of perfusion should be assessed using mixed venous saturation ($SvO_2$), lactate levels, and oxygen delivery ($DO_2I$) — see the GDP Dashboard for advanced monitoring.