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Pediatric cardiology

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23 papers 0 to 25 followers
Stephan Schubert, Thomas Schmitz, Markus Weiss, Nicole Nagdyman, Michael Huebler, Vladimir Alexi-Meskishvili, Felix Berger, Brigitte Stiller
BACKGROUND: Continuous and non-invasive measurement of cardiac output (CO) may contribute helpful information to the care and treatment of the critically ill pediatric patient. Different methods are available but their clinical verification is still a major problem. AIM: Comparison of reliability and safety of two continuous non-invasive methods with transthoracic echocardiography (TTE) for CO measurement: electric velocimetry technique (EV, Aesculon) and transesophageal Doppler (TED, CardioQP)...
August 2008: Journal of Clinical Monitoring and Computing
O Brissaud, J Guichoux, F Villega, G Orliaguet
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...
March 2010: Annales Françaises D'anesthèsie et de Rèanimation
Yuhui Wu, Xiaohong Liu, Chengrong Li, Yanxia He, Weiguo Yang, Yanlan Yang, Weike Ma, Kunhui Fu
OBJECTIVE: To assess the ability of non-invasive ultrasonic cardiac output monitor (USCOM) combined with passive leg raising (PLR) test to predict volume responsiveness in septic shock children with spontaneous respiration. METHODS: Prospective and observational cohort study was performed in 40 septic shock children with spontaneous breathing admitted to pediatric intensive care unit (PICU) of Chongqing Medical University Shenzhen Children's Hospital from March 2011 to June 2013...
January 2014: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
Takashi Terada, Yumi Maemura, Akiko Yoshida, Rika Muto, Ryoichi Ochiai
Evaluation of the estimated continuous cardiac output (esCCO) allows non-invasive and continuous assessment of cardiac output. However, the applicability of this approach in children has not been assessed thus far. We compared the correlation coefficient, bias, standard deviation (SD), and the lower and upper 95 % limits of agreement for esCCO and dye densitography-cardiac output (DDG-CO) measurements by pulse dye densitometry (PDD) in adults and children. On the basis of these assessments, we aimed to examine whether esCCO can be used in pediatric patients...
February 2014: Journal of Clinical Monitoring and Computing
Helen Holtby, Justin J Skowno, Daryl J Kor, Randall P Flick, Shoichi Uezono
This article reviews potential pediatric applications of 3 new technologies. (1) Pulse oximetry-based hemoglobin determination: Hemoglobin determination using spectrophotometric methods recently has been introduced in adults with varied success. This non-invasive and continuous technology may avoid venipuncture and unnecessary transfusion in children undergoing surgery with major blood loss, premature infants undergoing unexpected and complicated emergency surgery, and children with chronic illness. (2) Continuous cardiac output monitoring: In adults, advanced hemodynamic monitoring such as continuous cardiac output monitoring has been associated with better surgical outcomes...
October 2012: Paediatric Anaesthesia
H Bryant Nguyen, Daryl P Banta, Gail Stewart, Tommy Kim, Ramesh Bansal, James Anholm, William A Wittlake, Stephen W Corbett
INTRODUCTION: Non-invasive hemodynamic monitoring may facilitate resuscitation in critically ill patients. Validation studies examining a transcutaneous Doppler ultrasound technology, USCOM-1A, using pulmonary artery catheter as the reference standard showed varying results. In this study, we compared non-invasive cardiac index (CI) measurements by USCOM-1A with transthoracic echocardiography (TTE). METHODS: This study was a prospective, observational cohort study at a university tertiary-care emergency department, enrolling a convenience sample of adult and pediatric patients...
June 2010: Journal of Clinical Monitoring and Computing
Yolanda Ballestero, Javier Urbano, Jesús López-Herce, Maria J Solana, Marta Botrán, Diego Vinciguerra, Jose M Bellón
AIM: Bioreactance is a new non-invasive method for cardiac output measurement (NICOM). There are no studies that have analysed the utility of this technique in a pediatric animal model of hemorrhagic shock. METHODS: A prospective study was performed using 9 immature Maryland pigs weighing 9 to 12 kg was performed. A Swan-Ganz catheter, a PiCCO catheter and 4 dual surface electrodes were placed at the four corners of the anterior thoracic body surface. Shock was induced by withdrawing a blood volume of 30 mL/kg, and then after, 30 mL/kg of Normal saline was administered...
January 2012: Resuscitation
Christopher F Tirotta, Richard G Lagueruela, Danielle Madril, Evelio Velis, Jorge Ojito, Daniel Monroe, David Aguero, Marysory Irizarry, John McBride, Robert L Hannan, Redmond P Burke
STUDY OBJECTIVE: To validate a non-invasive cardiac output monitor in pediatric cardiac surgery patients. DESIGN: Prospective trial. SETTING: Operating room. PATIENTS: 20 pediatric cardiac surgery patients ASA physical status 3 and 4. INTERVENTIONS: Aesculon noninvasive cardiac output monitor was used and compared to the cardiac output derived from the Fick equation. Oxygen consumption was measured and blood samples were taken from the arterial line and from the superior and inferior vena cava...
May 2017: Journal of Clinical Anesthesia
Martin Ernst Blohm, Denise Obrecht, Jana Hartwich, Goetz Christoph Mueller, Jan Felix Kersten, Jochen Weil, Dominique Singer
INTRODUCTION: Electrical velocimetry (EV) is a type of impedance cardiography, and is a non-invasive and continuously applicable method of cardiac output monitoring. Transthoracic echocardiography (TTE) is non-invasive but discontinuous. METHODS: We compared EV with TTE in pediatric intensive care patients in a prospective single-center observational study. Simultaneous, coupled, left ventricular stroke volume measurements were performed by EV using an Aesculon® monitor and TTE (either via trans-aortic valve flow velocity time integral [EVVTI], or via M-mode [EVMM])...
November 19, 2014: Critical Care: the Official Journal of the Critical Care Forum
D Michelet, A Skhiri, B Greff, V Luce, S Dahmani
No abstract text is available yet for this article.
August 1, 2017: British Journal of Anaesthesia
Wallis T Muhly, Paul A Stricker
No abstract text is available yet for this article.
August 2017: Paediatric Anaesthesia
Andrew Davidson, Laszlo Vutskits
No abstract text is available yet for this article.
April 2017: Paediatric Anaesthesia
Onur Balaban, Joseph D Tobias
Airway management is vital during anesthetic care and during resuscitative efforts in the PICU, the emergency department, and the delivery room. Given specific anatomic and physiologic differences, neonates and infants may be more prone to complications during airway management. Videolaryngoscopy may offer an alternative to or advantages over direct laryngoscopy in specific clinical scenarios. The following article reviews some of the basic types of videolaryngoscopy and discusses their potential applications in the pediatric population...
May 2017: Pediatric Critical Care Medicine
Benjamin Kloesel, Pete G Kovatsis, David Faraoni, Vanessa Young, Heung Bae Kim, Khashayar Vakili, Susan M Goobie
BACKGROUND: Liver transplantation represents a major surgery involving a highly vascular organ. Reports defining the scope of bleeding in pediatric liver transplants are few. AIMS: We conducted a retrospective analysis of liver transplants performed at our pediatric tertiary care center to quantify blood loss, blood product utilization, and to determine predictors for massive intraoperative bleeding. METHODS: Pediatric patients who underwent isolated liver transplantation at Boston Children's Hospital between 2011 and 2016 were included...
July 2017: Paediatric Anaesthesia
Rahul Bhansali, James Armstrong
We present a review of smartphone applications (apps) available for pediatric anesthesia.
April 2012: Paediatric Anaesthesia
Joseph D Tobias
No abstract text is available yet for this article.
July 2017: Paediatric Anaesthesia
Brian J Anderson, Jane Thomas, Kaye Ottaway, George A Chalkiadis
No abstract text is available yet for this article.
August 2017: Paediatric Anaesthesia
Chul-Woo Jung, Gulomjon Jalilov, In-Kyung Song, Eun-Hee Kim, Hee-Soo Kim, Jin-Tae Kim, Ji-Hyun Lee
AIM: The purpose of this retrospective observational study was to investigate the anatomical characteristics of the vertebral artery in pediatric patients using computed tomography images. METHODS: We evaluated anatomical characteristics of the right and left vertebral artery at the cricoid level and at a lower level, which was mid-level between the cricoid cartilage and the origin of vertebral artery from the subclavian artery. At each level, the cross-sectional areas of the vertebral artery and internal jugular vein, the relative size of vertebral artery to internal jugular vein, the minimum distance between them, and the extent of overlap between them were investigated...
October 2017: Paediatric Anaesthesia
N Chrimes, T M Cook
No abstract text is available yet for this article.
November 1, 2017: British Journal of Anaesthesia
Daphné Michelet, Christopher Brasher, Lucile Marsac, Nabil Zanoun, Mona Assefi, Alaa Elghoneimi, Stephane Dauger, Souhayl Dahmani
BACKGROUND: The anesthetic management of kidney transplantation in children remains somewhat empirical. The goal of the present study was to investigate intraoperative hemodynamic factors affecting posttransplantation kidney function. METHODS: We performed a retrospective analysis of data from patients undergoing kidney transplantation in our pediatric teaching hospital from 2000 to 2014. Data collected included: donor and recipient demographic data, recipient comorbidities, fluids administered intraoperatively, and intraoperative blood pressure and central venous pressure...
September 2017: Paediatric Anaesthesia
2017-07-26 11:15:57
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