Document Detail

Monitoring of standard hemodynamic parameters: heart rate, systemic blood pressure, atrial pressure, pulse oximetry, and end-tidal CO2.
MedLine Citation:
PMID:  22129545     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Continuous monitoring of various clinical parameters of hemodynamic and respiratory status in pediatric critical care medicine has become routine. The evidence supporting these practices is examined in this review.
METHODOLOGY: A search of MEDLINE, EMBASE, PubMed, and the Cochrane Database was conducted to find controlled trials of heart rate, electrocardiography, noninvasive and invasive blood pressure, atrial pressure, end-tidal carbon dioxide, and pulse oximetry monitoring. Adult and pediatric data were considered. Guidelines published by the Society for Critical Care Medicine, the American Heart Association, the American Academy of Pediatrics, and the International Liaison Committee on Resuscitation were reviewed, including further review of references cited.
RESULTS AND CONCLUSIONS: Use of heart rate, electrocardiography, noninvasive and arterial blood pressure, atrial pressure, pulse oximetry, and end-tidal carbon dioxide monitoring in the pediatric critical care unit is commonplace; this practice, however, is not supported by well-controlled clinical trials. Despite the majority of literature being case series, expert opinion would suggest that use of routine pulse oximetry and end-tidal carbon dioxide is the current standard of care. In addition, literature would suggest that invasive arterial monitoring is the current standard for monitoring in the setting of shock. The use of heart rate, electrocardiography. and atrial pressure monitoring is advantageous in specific clinical scenarios (postoperative cardiac surgery); however, the evidence for this is based on numerous case series only.
V Ben Sivarajan; Desmond Bohn
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies     Volume:  12     ISSN:  1529-7535     ISO Abbreviation:  Pediatr Crit Care Med     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-12-01     Completed Date:  2012-04-11     Revised Date:  2013-08-26    
Medline Journal Info:
Nlm Unique ID:  100954653     Medline TA:  Pediatr Crit Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S2-S11     Citation Subset:  IM    
Divisions of Cardiac Critical Care and Cardiology, Departments of Critical Care Medicine and Paediatrics, The Labatt Family Heart Centre, The Hospital for Sick Children, Toronto, Ontario, Canada.
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MeSH Terms
Blood Pressure*
Carbon Dioxide / analysis*
Child, Preschool
Heart Rate / physiology*
Infant, Newborn
Monitoring, Physiologic / methods*
Tidal Volume / physiology*
United States
Reg. No./Substance:
124-38-9/Carbon Dioxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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