Document Detail

Clinical applications of photoplethysmography in paediatric intensive care.
MedLine Citation:
PMID:  18071671     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The photoplethysmographic wave is displayed by most pulse oximeters. It may be used as a non-invasive alternative to invasive arterial blood pressure trace analysis for continuous haemodynamic monitoring in selected situations. PATIENTS AND SETTING: Four cardiac patients treated in a tertiary neonatal-paediatric intensive care unit. MEASUREMENTS: Simultaneous monitoring of the photoplethysmographic wave, ECG, and invasive blood pressure. RESULTS AND CONCLUSIONS: Photoplethysmography allows for monitoring pulse rate in patients with (possible) heart rate/pulse rate dissociation (pacemaker dependency, pulsatile ventricular assist device); monitoring sudden changes in heart beat volume, which are unrelated to respiration (pulseless electrical activity, pulsus alternans); and monitoring respiratory-dependent fluctuations of the plethysmographic wave (heart failure, hypovolaemia, asthma, upper airway obstruction, pericardial effusion). Deterioration, slowly evolving over time, may be detected by this method.
Bernhard Frey; Katharina Waldvogel; Christian Balmer
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-12-11
Journal Detail:
Title:  Intensive care medicine     Volume:  34     ISSN:  0342-4642     ISO Abbreviation:  Intensive Care Med     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-15     Completed Date:  2008-09-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7704851     Medline TA:  Intensive Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  578-82     Citation Subset:  IM    
Department of Intensive Care and Neonatology, University Children's Hospital, 8032 Zurich, Switzerland.
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MeSH Terms
Blood Pressure Determination / methods
Electrocardiography / methods
Heart Diseases / diagnosis*,  physiopathology
Infant, Newborn
Intensive Care Units, Pediatric
Monitoring, Physiologic / methods
Oximetry / methods
Photoplethysmography / methods*

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