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Measurement of cardiac output and tissue perfusion
1Department of Pediatric Intensive Care, Guy's Hospital, London, UK. Shane.Tibby@gstt.sthames.nhs.uk
Insights
Technological advances enable better cardiac output measurement in critically ill children using less invasive, continuous methods that also assess preload. These novel pediatric monitoring techniques are under evaluation and summarized herein.
Area of Science:
- Pediatric critical care medicine
- Cardiovascular monitoring technologies
Background:
- Critically ill children require accurate cardiac output (CO) monitoring.
- Traditional methods can be invasive and intermittent.
- Technological advancements offer new possibilities.
Purpose of the Study:
- To review recent innovations in pediatric cardiac output measurement.
- To discuss less invasive and continuous monitoring techniques.
- To summarize novel preload assessment methods.
Main Methods:
- Review of current technologic innovations in CO monitoring.
- Focus on methods applicable to critically ill children.
- Summary of preliminary evaluations of new techniques.
Main Results:
- Emerging technologies allow for broader scope in CO measurement.
- Trend towards less invasive and continuous monitoring.
- Novel methods provide additional preload data.
Conclusions:
- New technologies are expanding options for pediatric CO monitoring.
- Further evaluation is needed for widespread clinical adoption.
- These advancements promise improved patient management.
Abstract:
Recent technologic innovations have allowed a greater scope for cardiac output measurement in critically ill children. There is a move toward both less invasive and continuous methods, several of which also offer novel measures of preload. Many of the new methods are still undergoing preliminary evaluation in the pediatric population and will be summarized in this article.