Document Detail

Hemodynamic monitoring in childhood.
MedLine Citation:
PMID:  2723244     Owner:  NLM     Status:  MEDLINE    
Hemodynamic monitoring is indicated in children with impending or manifest cardiocirculatory failure. Since cardiocirculatory failure is characterized by an imbalance between oxygen delivery and oxygen demand due to perfusion failure, the parameters monitored should aid in the assessment of these oxygen variables. Oxygen delivery depends on oxygen content and cardiac output. Cardiac output is determined by heart rate and stroke volume; stroke volume by preload, afterload and contractility. Since the direct measurement of oxygen consumption routinely is almost impossible, global oxygen utilization represented by mixed venous oxygen saturation may be used to quantify the relationship between oxygen delivery and oxygen consumption. Justification of invasive hemodynamic monitoring depends among other things on an optimal balance between usefulness of information and complications associated with the techniques used. In future, the development of further noninvasive techniques and the scientific evaluation of recommended monitoring techniques are prospects in cardiovascular monitoring in childhood.
H Stopfkuchen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Intensive care medicine     Volume:  15 Suppl 1     ISSN:  0342-4642     ISO Abbreviation:  Intensive Care Med     Publication Date:  1989  
Date Detail:
Created Date:  1989-07-03     Completed Date:  1989-07-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7704851     Medline TA:  Intensive Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  S27-31     Citation Subset:  IM    
Universitäts-Kinderklinik, Mainz, FRG.
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MeSH Terms
Cardiac Output
Catheterization, Peripheral
Catheterization, Swan-Ganz
Heart Rate
Monitoring, Physiologic*
Oxygen / blood
Oxygen Consumption
Stroke Volume
Reg. No./Substance:

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