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Article ; Online: Cardiac output monitoring in children: a review.

Cave, Daniel Gw / Bautista, Melissa J / Mustafa, Khurram / Bentham, James R

2023 Volume 108, Issue 12, Page(s) 949–955

Abstract: Cardiac output monitoring enables physiology-directed management of critically ill children and ... monitoring of cardiac output and fluid responsiveness in infants and children is an active area of interest ... and several proven techniques are available. Novel non-invasive cardiac output monitors offer ...

Abstract	Cardiac output monitoring enables physiology-directed management of critically ill children and aids in the early detection of clinical deterioration. Multiple invasive techniques have been developed and have demonstrated ability to improve clinical outcomes. However, all require invasive arterial or venous catheters, with associated risks of infection, thrombosis and vascular injury. Non-invasive monitoring of cardiac output and fluid responsiveness in infants and children is an active area of interest and several proven techniques are available. Novel non-invasive cardiac output monitors offer a promising alternative to echocardiography and have proven their ability to influence clinical practice. Assessment of perfusion remains a challenge; however, technologies such as near-infrared spectroscopy and photoplethysmography may prove valuable clinical adjuncts in the future.
MeSH term(s)	Infant ; Humans ; Child ; Cardiac Output ; Monitoring, Physiologic/methods ; Echocardiography/methods
Language	English
Publishing date	2023-03-16
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	524-1
ISSN	1468-2044 ; 0003-9888 ; 1359-2998
ISSN (online)	1468-2044
ISSN	0003-9888 ; 1359-2998
DOI	10.1136/archdischild-2022-325030
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Article ; Online: Cardiac output monitoring - invasive and noninvasive.

Arya, Virendra K / Al-Moustadi, Waiel / Dutta, Vikas

Current opinion in critical care

2022 Volume 28, Issue 3, Page(s) 340–347

Abstract: Purpose of review: The purpose of this article is to review various contemporary cardiac output ... especially in cardiac intensive care units (ICUs). Critical care echocardiography (CCE) is an upcoming tool ... for CO measurement is still gold standard and most suitable in patients with cardiac pathology and ...

Abstract	Purpose of review: The purpose of this article is to review various contemporary cardiac output (CO) measurement technologies available and their utility in critically ill patients. Recent findings: CO measurement devices can be invasive, minimally invasive, or noninvasive depending upon their method of CO measurement. All devices have pros and cons, with pulmonary artery catheter (PAC) being the gold standard. The invasive techniques are more accurate; however, their invasiveness can cause more complications. The noninvasive devices predict CO via mathematical modeling with several assumptions and are thus prone to errors in clinical situations. Recently, PAC has made a comeback into clinical practice especially in cardiac intensive care units (ICUs). Critical care echocardiography (CCE) is an upcoming tool that not only provides CO but also helps in differential diagnosis. Lack of proper training and nonavailability of equipment are the main hindrances to the wide adoption of CCE. Summary: PAC thermodilution for CO measurement is still gold standard and most suitable in patients with cardiac pathology and with experienced user. CCE offers an alternative to thermodilution and is suitable for all ICUs; however, structural training is required.
MeSH term(s)	Cardiac Output ; Catheterization, Swan-Ganz/methods ; Critical Illness/therapy ; Humans ; Monitoring, Physiologic/methods ; Thermodilution/methods
Language	English
Publishing date	2022-03-11
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1235629-3
ISSN	1531-7072 ; 1070-5295
ISSN (online)	1531-7072
ISSN	1070-5295
DOI	10.1097/MCC.0000000000000937
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Article ; Online: Noninvasive Cardiac Output Monitoring by Electrical Cardiometry with Transthoracic Echocardiography in Postoperative Paediatric Cardiac Surgical Patients: Comment.

Daungsupawong, Hinpetch / Wiwanitkit, Viroj

Annals of cardiac anaesthesia

2024 Volume 27, Issue 2, Page(s) 178–179

MeSH term(s)	Humans ; Child ; Heart ; Echocardiography ; Cardiac Surgical Procedures ; Monitoring, Physiologic ; Cardiac Output
Language	English
Publishing date	2024-04-12
Publishing country	India
Document type	Journal Article
ZDB-ID	2106866-5
ISSN	0974-5181 ; 0971-9784
ISSN (online)	0974-5181
ISSN	0971-9784
DOI	10.4103/aca.aca_176_23
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Article ; Online: Noninvasive and Minimally Invasive Cardiac Output Monitoring: A Nursing Perspective.

Berndsen, Michelle

Dimensions of critical care nursing : DCCN

2023 Volume 41, Issue 3, Page(s) 121–123

Abstract: For decades, nurses have monitored and titrated medications based on cardiac output. In the past ... to monitor cardiac output including pulse contour analysis, finger cuff technology, thoracic bioimpedance and ... methods to monitor cardiac output, and nursing considerations are discussed. ...

Abstract	For decades, nurses have monitored and titrated medications based on cardiac output. In the past, this was almost exclusively done through the use of an invasive pulmonary artery catheter. However, there are inherent patient risks to using a pulmonary artery catheter, and trends have shown a decreased use of this method. Advances in technology have brought about various noninvasive and minimally invasive methods to monitor cardiac output including pulse contour analysis, finger cuff technology, thoracic bioimpedance and bioreactance, and endotracheal electrical bioimpedance. A review of current noninvasive and minimally invasive methods to monitor cardiac output, and nursing considerations are discussed.
MeSH term(s)	Humans ; Monitoring, Physiologic/methods ; Cardiac Output
Language	English
Publishing date	2023-02-07
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	632780-1
ISSN	1538-8646 ; 0730-4625
ISSN (online)	1538-8646
ISSN	0730-4625
DOI	10.1097/DCC.0000000000000524
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Article ; Online: Advantages and limitations of noninvasive devices for cardiac output monitoring: a literature review.

Ruste, Martin / Jacquet-Lagrèze, Matthias / Fellahi, Jean-Luc

Current opinion in critical care

2023 Volume 29, Issue 3, Page(s) 259–267

Abstract: Purpose of review: Individualized hemodynamic optimization often requires cardiac output ... in the intensive care unit. Different technologies for noninvasive cardiac output determination have become available over ... their potential use for hemodynamic optimization in specific populations.: Summary: Noninvasive cardiac output ...

Abstract	Purpose of review: Individualized hemodynamic optimization often requires cardiac output monitoring, mostly for goal-directed therapy in the operating room and fluid responsiveness assessment in the intensive care unit. Different technologies for noninvasive cardiac output determination have become available over the recent years. It is therefore crucial for care providers to be made aware of the advantages and limitations of those different devices for an appropriate use at the bedside. Recent findings: Nowadays, different noninvasive technologies exist, each with their advantages and limitations, but none are considered interchangeable with bolus thermodilution. Different clinical studies however, emphasize that the trending ability of such devices allows to guide decisions from care providers, and that their use may be associated with improved prognosis, especially in the operating room. Recent studies have also reported their potential use for hemodynamic optimization in specific populations. Summary: Noninvasive cardiac output monitoring may have a clinical impact on patient outcomes. Further studies are required to evaluate their clinical relevance, notably in the intensive care unit. Noninvasive monitoring opens up the possibility for hemodynamic optimization in specific or low-risk populations, the benefit of which remains to be assessed.
MeSH term(s)	Humans ; Monitoring, Physiologic ; Hemodynamics ; Cardiac Output ; Intensive Care Units ; Thermodilution
Language	English
Publishing date	2023-04-07
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	1235629-3
ISSN	1531-7072 ; 1070-5295
ISSN (online)	1531-7072
ISSN	1070-5295
DOI	10.1097/MCC.0000000000001045
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Article ; Online: Naphazoline intoxication managed with minimally invasive cardiac output monitoring.

Oishi, Takatoshi / Kashiura, Masahiro / Yasuda, Hideto / Kishihara, Yuki / Tominaga, Keiichiro / Tamura, Hiroyuki / Moriya, Takashi

The American journal of emergency medicine

2023 Volume 77, Page(s) 233.e5–233.e7

Abstract: ... Edwards Lifesciences, Irvine, CA, USA), a minimally invasive cardiac output monitoring ... system, to monitor systemic vascular resistance. The systemic vascular resistance index (SVRI) was elevated (4457 dyne.s/cm ...

Abstract	Naphazoline, a nonspecific alpha-adrenoceptor stimulant, is a potent vasoconstrictor used in nasal sprays, eye drops, and over-the-counter antiseptics. Naphazoline intoxication increases afterload by constricting the peripheral arteries, which can lead to complications including multiple organ failure. Although phentolamine, a nonselective alpha-adrenoceptor antagonist, and nicardipine, a calcium channel blocker, are used for the treatment of naphazoline intoxication, no established administration protocols currently exist. We present the case of a 32-year-old male with depression who ingested 150 mL of an antiseptic containing 0.1% naphazoline (equivalent to 150 mg of naphazoline). Five hours after ingestion, the patient was admitted to hospital exhibiting signs of naphazoline intoxication, such as bradycardia (46 beats/min), blood pressure of 166/122 mmHg, and peripheral cyanosis. We used the FloTrac™/EV1000™ system (Edwards Lifesciences, Irvine, CA, USA), a minimally invasive cardiac output monitoring system, to monitor systemic vascular resistance. The systemic vascular resistance index (SVRI) was elevated (4457 dyne.s/cm
MeSH term(s)	Male ; Humans ; Adult ; Naphazoline ; Phentolamine ; Nicardipine ; Cardiac Output ; Receptors, Adrenergic
Chemical Substances	Naphazoline (H231GF11BV) ; Phentolamine (Z468598HBV) ; Nicardipine (CZ5312222S) ; Receptors, Adrenergic
Language	English
Publishing date	2023-12-24
Publishing country	United States
Document type	Case Reports
ZDB-ID	605890-5
ISSN	1532-8171 ; 0735-6757
ISSN (online)	1532-8171
ISSN	0735-6757
DOI	10.1016/j.ajem.2023.12.034
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Article: Non-invasive Cardiac Output Monitoring in Neonates.

O'Neill, Roisin / Dempsey, Eugene M / Garvey, Aisling A / Schwarz, Christoph E

Frontiers in pediatrics

2021 Volume 8, Page(s) 614585

Abstract: ... in the majority of neonatal units globally. Non-invasive cardiac output monitoring (NiCO) in term and preterm ... Circulatory monitoring is currently limited to heart rate and blood pressure assessment ...

Abstract	Circulatory monitoring is currently limited to heart rate and blood pressure assessment in the majority of neonatal units globally. Non-invasive cardiac output monitoring (NiCO) in term and preterm neonates is increasing, where it has the potential to enhance our understanding and management of overall circulatory status. In this narrative review, we summarized 33 studies including almost 2,000 term and preterm neonates. The majority of studies evaluated interchangeability with echocardiography. Studies were performed in various clinical settings including the delivery room, patent ductus arteriosus assessment, patient positioning, red blood cell transfusion, and therapeutic hypothermia for hypoxic ischemic encephalopathy. This review presents an overview of NiCO in neonatal care, focusing on technical and practical aspects as well as current available evidence. We discuss potential goals for future research.
Language	English
Publishing date	2021-01-28
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2711999-3
ISSN	2296-2360
ISSN	2296-2360
DOI	10.3389/fped.2020.614585
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Article ; Online: Cardiac Output Monitoring Using Electrical Cardiometry Can Predict Changes in Cerebral Saturation in Infants.

Pardessus, Pierre / Tournié, Elise / Bezia, Delphine / Julien-Marsollier, Florence / Dahmani, Souhayl

Journal of cardiothoracic and vascular anesthesia

2024 Volume 38, Issue 4, Page(s) 1060–1061

MeSH term(s)	Infant ; Humans ; Cardiac Output ; Monitoring, Physiologic
Language	English
Publishing date	2024-01-24
Publishing country	United States
Document type	Letter
ZDB-ID	1067317-9
ISSN	1532-8422 ; 1053-0770
ISSN (online)	1532-8422
ISSN	1053-0770
DOI	10.1053/j.jvca.2024.01.022
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Article ; Online: Cardiac output monitoring in paediatric cardiac surgery: a review.

Woodman, Hannah M / Lee, Corlyn / Ahmed, Ayesha N / Malik, Bassit A / Mellor, Sophie / Brown, Louise J / Gentle, Leanne / Harky, Amer

Cardiology in the young

2021 Volume 31, Issue 1, Page(s) 23–30

Abstract: The aim of this review is to present the current options for cardiac output (CO) monitoring ... in children undergoing cardiac surgery. Current technologies for monitoring identified were a range ... for CO monitoring in paediatric patients during cardiac surgery. Each technology has advantages and ...

Abstract	The aim of this review is to present the current options for cardiac output (CO) monitoring in children undergoing cardiac surgery. Current technologies for monitoring identified were a range of invasive, minimally invasive, and non-invasive technologies. These include pulmonary artery catheter, transoesophageal echocardiography, pulse contour analysis, electrical cardiography, and thoracic bioreactance. A literature search was conducted using evidence databases which identified two current guidelines; the NHS Greater Glasgow and Clyde guideline and Royal College of Anaesthetics Guideline. These were appraised using the AGREE II tool and the evidence identified was used to create an overview summary of each technological option for CO monitoring. There is limited evidence regarding the accuracy of modalities available for CO monitoring in paediatric patients during cardiac surgery. Each technology has advantages and disadvantages; however, none could be championed as the most beneficial. Furthermore, a gold standard for CO monitoring has not yet been identified for paediatric populations, nor is it apparent whether one modality is preferable based on the available evidence. Additional evidence using a standardised method for comparing CO measurements should be conducted in order to determine the best option for CO monitoring in paediatrics. Furthermore, cost-effectiveness assessment of each modality should be conducted. Only then will it be possible for clear, evidence-based guidance to be written.
MeSH term(s)	Cardiac Output ; Cardiac Surgical Procedures ; Child ; Humans ; Monitoring, Physiologic ; Pediatrics ; Thermodilution
Language	English
Publishing date	2021-01-05
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	1078466-4
ISSN	1467-1107 ; 1047-9511
ISSN (online)	1467-1107
ISSN	1047-9511
DOI	10.1017/S1047951120004680
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Article ; Online: Non-invasive continuous cardiac output monitoring in infants with hypoxic ischaemic encephalopathy.

Garvey, Aisling A / O'Neill, Roisin / Livingstone, Vicki / Pavel, Andreea M / Finn, Daragh / Boylan, Geraldine B / Murray, Deirdre M / Dempsey, Eugene M

Journal of perinatology : official journal of the California Perinatal Association

2022 Volume 42, Issue 12, Page(s) 1622–1629

Abstract: Objective: To describe early, continuous, non-invasive measures of cardiac output (CO) and ... with HIE had non-invasive CO monitoring (NICOM) continuously in the neonatal unit. Term controls had NICOM ... may provide a non-invasive, continuous, low-cost alternative to monitoring CO in infants with HIE ...

Abstract	Objective: To describe early, continuous, non-invasive measures of cardiac output (CO) and evolution over time in infants with hypoxic-ischaemic encephalopathy (HIE). Study design: Prospective observational study of 44 infants with HIE (23 mild, 17 moderate, 4 severe) and 17 term controls. Infants with HIE had non-invasive CO monitoring (NICOM) continuously in the neonatal unit. Term controls had NICOM recorded at 6 and 24 h. A mixed-modelling approach was used to assess change in CO over time by group. Results: Infants with moderate HIE have significantly lower CO than the mild group at all timepoints (10.7 mls/kg/min lower, 95% CI:1.0,20.4, p = 0.03) which increases over time, driven by a gradual increase in stroke volume (SV). CO increased further during rewarming predominantly due to an increase in HR. Conclusion: TH has a significant impact on HR but SV appears largely unaffected. NICOM may provide a non-invasive, continuous, low-cost alternative to monitoring CO in infants with HIE however further research is warranted.
MeSH term(s)	Infant, Newborn ; Humans ; Hypoxia-Ischemia, Brain/diagnosis ; Hypoxia-Ischemia, Brain/therapy ; Cardiac Output ; Monitoring, Physiologic ; Prospective Studies ; Stroke Volume ; Hypothermia, Induced
Language	English
Publishing date	2022-09-02
Publishing country	United States
Document type	Observational Study ; Journal Article
ZDB-ID	645021-0
ISSN	1476-5543 ; 0743-8346
ISSN (online)	1476-5543
ISSN	0743-8346
DOI	10.1038/s41372-022-01495-2
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