What non invasive haemodynamic assessment in paediatric intensive care unit in 2009?

Annales Françaises D'anesthèsie Et De Rèanimation
O BrissaudG Orliaguet

Abstract

The haemodynamic assessment of the patients is a daily activity in paediatric intensive care unit. It completes and is guided by the clinical examination. The will to develop the least invasive possible coverage of the patients is a constant concern. The haemodynamic monitoring, all the more if it is invasive, ceaselessly has to put in balance the profit and the risk of beginning this technique at a fragile patient. In the last three decades, numerous non-invasive haemodynamic tools were developed. The ideal one must be reliable, reproducible, with a time of fast, easily useful answer, with a total harmlessness, cheap and allowing a monitoring continues. Among all the existing tools (oesophageal Doppler ultrasound method, transthoracic echocardiography, NICO, thoracic impedancemetry, plethysmography, sublingual capnography), no one allies all these qualities. We can consider that the transthoracic echocardiography gets closer to most of these objectives. We shall blame it for its cost and for the fact that it is an intermittent monitoring but both in the diagnosis and in the survey, it has no equal among the non-invasive tools of haemodynamic assessment from part the quality and the quantity of the obtained information. The lea...Continue Reading

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Citations

Dec 25, 2010·Annales Françaises D'anesthèsie Et De Rèanimation·O Brissaud
Dec 28, 2010·Annales Françaises D'anesthèsie Et De Rèanimation·O Brissaud
Sep 14, 2010·Annales Françaises D'anesthèsie Et De Rèanimation·A BougléD Benhamou
Jul 16, 2010·Annales Françaises D'anesthèsie Et De Rèanimation·J-M LietJ-M Dejode
Jan 28, 2015·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Clément DubostDan Benhamou

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