PMID: 11922510Apr 2, 2002Paper

Noninvasive measurement of cardiac output in critically ill children

Pediatric Cardiology
U R MohanS Nadel

Abstract

This study was performed to evaluate the hemodynamic status of children admitted to the intensive care unit, using suprasternal and transesophageal Doppler ultrasound, and to establish a suitable noninvasive technique to monitor trends in cardiac output in critically ill children. Twenty children were studied over a period of 6 months. The median age was 32.5 months and weight 14.5 kg. Minute distance (MD), which is a linear cardiac output parameter, was assessed. Seven simultaneous pairs of measurements of MD were made using transesophageal Doppler (TED) and suprasternal Doppler (SSD) by the same operator. Following a fluid challenge, seven repeat pairs of measurements were made. The mean percentage changes for MD by TED and SSD were 21.84 (SD 9.97) and 5.75 (SD 7.32). The average coefficients of variation for measurements of MD by TED and SSD were 2.34% and 15.98%, respectively. The mean difference in percentage change between MD, measured by TED and SSD, was 27.59 with a 95% confidence interval and wide limits of agreement. The repeatability of TED measurements was good, but the measurements by SSD were wide and erratic with poor reproducibility. Our study shows that TED is easy to use, reliable, and very useful for monitori...Continue Reading

Citations

Sep 26, 2003·Current Opinion in Pediatrics·Chitra RavishankarGil Wernovsky
Apr 19, 2011·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Ivory CrittendonJeffrey J Kim
May 9, 2012·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·David P Inwald
Apr 29, 2015·The Journal of Small Animal Practice·S CanfránI A Gómez de Segura
Jun 3, 2017·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Ji Hong YoonIn Kyung Sung
Aug 4, 2018·Pediatric Research·Willem P de BoodeUNKNOWN European Special Interest Group ‘Neonatologist Performed Echocardiography’ (NPE)
Jun 30, 2010·Expert Review of Medical Devices·Anneliese NusmeierJoris Lemson
Jul 13, 2007·Archives of Disease in Childhood. Fetal and Neonatal Edition·A M GrovesJ R Skinner

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