Noninvasive cardiac output monitoring in the pediatric cardiac intensive care unit

Abstract

Although promising, studies validating the use of these methods in a variety of real clinical situations are needed before they will be widely used in pediatric practice.The currently available data suggest that pressure recording analytical method and electrical cardiometry will prove to be useful in the pediatric cardiac ICU to monitor trends in cardiac output.

Validation of capnodynamic determination of cardiac output by measuring effective pulmonary blood flow: a study in anaesthetised children and piglets

“…1 Furthermore, few of these techniques have been validated in infants and children. 2 The continuous capnodynamic approach to determine CO (effective pulmonary blood flow, CO EPBF ) in intubated, mechanically ventilated patients, has recently been validated in porcine experiments. 3e5 Studies of previous CO 2 based CO measurement techniques have found the methods to be in acceptable agreement with gold standard comparators (e.g.…”

Noninvasive cardiac output monitoring using bioreactance‐based technique in pediatric patients with or without ventricular septal defect during anesthesia: in comparison with echocardiography

“…Many efforts have been made to develop new noninvasive, continuous CO monitoring techniques, specifically applicable and reliable for pediatric population. Bioreactance-based CO monitoring is a latest and potentially useful tool with more advantages (8,19,20). Several studies in adults covering a wide range of circulatory situations have shown a good correlation and agreement between bioreactance and other methods (12,21,22).…”

Equipment and monitoring – what is in the future to improve safety?

“…There is, however, no evidence that the availability of these devices alters outcomes in pediatric anesthesia, and studies validating the use of these methods in a variety of clinical situations are needed before they will be widely used in pediatric practice (41–44).…”