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Acta Medica Iranica، جلد ۶۰، شماره ۹، صفحات ۵۵۴-۵۶۱
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عنوان انگلیسی The Value of Noninvasive Continuous Cardiac Output Monitoring in Assessment of Hemodynamic Status in Critically Ill Children
چکیده انگلیسی مقاله Introduction: Access to reliable, rapid, and continuous hemodynamic monitoring parameters is essential for early diagnosis and prompt treatment of hemodynamic disorders in critically ill children. The aim of this observational study was to compare the accuracy of continuous non-invasive cardiac output monitoring (NICCOMO) device data with transthoracic echocardiography (TTE) and inferior vena cava (IVC) ultrasound findings in assessing cardiac output (C.I), circulatory fluid adequacy, and finally Determination of hemodynamic status in patients with Critical conditions hospitalized in the Pediatric Intensive Care Unit (PICU).  Methods: In this observational study, forty four critically ill children that were admitted in PICU were evaluated. We used NICCOMO, TTE and IVC ultrasonography at same time in critical patients. The association between NICCOMO parameters and echocardiogram cardiac index and IVC quality in ultrasound is compared. The agreement between CI measured by TTE and NICCOMO was assessed using Bland-Altman analysis method.   Results: NICCOMO is not a reliable instrument for determining CI in children with an unstable hemodynamic status. However, parameters of this device are reliable in assessing the patient's hemodynamic status. Findings showed 90% patients in normal hemodynamic state in NICCOMO has SVR.I in normal range (p-value < 0.001) and all cases in hypervolemic state had volume overload IVC inultrasonography analysis.   Conclusion: Noninvasive continuous cardiac output monitoring could be used to estimate unstable patients’ hemodynamic status ininitial stages for the making timely treatment-related decisions but its use for accurate cardiac index measurement is not reliable in all cases.      
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نویسندگان مقاله | Victoria Chegini
Qazvin University of Medical Sciences
نشانی اینترنتی https://acta.tums.ac.ir/index.php/acta/article/view/9588
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