Ultrasound cardiac output monitoring in mechanically ventilated children

Aim. To non-invasively identify the hemodynamic changes in critically ill children during the first 48 h following initiation of mechanical ventilation by the ultrasound cardiac output monitor (USCOM) method and compare the data in children with pulmonary and non-pulmonary pathology. Materials and M...

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Autores principales:	Jiri Fremuth, Jiri Kobr, Lumir Sasek, Katerina Pizingerova, Jana Zamboryova, Josef Sykora
Formato:	article
Lenguaje:	EN
Publicado:	Palacký University Olomouc, Faculty of Medicine and Dentistry 2021
Materias:	hemodynamics ultrasound cardiac output monitor mechanical ventilation children case-control study Medicine R
Acceso en línea:	https://doaj.org/article/57245c81ec0e468eabdfa7845943784e
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spelling	oai:doaj.org-article:57245c81ec0e468eabdfa7845943784e2021-11-29T09:17:21ZUltrasound cardiac output monitoring in mechanically ventilated children1213-81181804-7521https://doaj.org/article/57245c81ec0e468eabdfa7845943784e2021-11-01T00:00:00Zhttps://biomed.papers.upol.cz/artkey/bio-202104-0012_ultrasound-cardiac-output-monitoring-in-mechanically-ventilated-children.phphttps://doaj.org/toc/1213-8118https://doaj.org/toc/1804-7521Aim. To non-invasively identify the hemodynamic changes in critically ill children during the first 48 h following initiation of mechanical ventilation by the ultrasound cardiac output monitor (USCOM) method and compare the data in children with pulmonary and non-pulmonary pathology. Materials and Methods. This was a prospective observational study to evaluate the influence of mechanical ventilation on hemodynamic changes and to describe hemodynamic profiles of mechanically ventilated children. A total of 56 children with respiratory failure were included in the present study. Ventilated patients are divided into two groups. Group A (n=36) includes patients with pulmonary pathology. Group B (n=20) consists of patients with extra pulmonary etiology of respiratory failure. Hemodynamic parameters (cardiac index and systemic vascular resistance index) were evaluated using ultrasound cardiac output monitoring (USCOM 1A) immediately following initiation of mechanical ventilation and again at 6, 12, and 48 h. Pharmacological circulatory support (inotropes, vasopressors, levosimendan and phosphodiesterase III inhibitors) was individually and continuously modified based on real-time hemodynamic parameters and optimal fluid balance. Results. No significant differences in hemodynamic profiles were found between Group A and Group B. Conclusion. The protective strategy of mechanical ventilation was not associated with significant differences in hemodynamic profiles between children ventilated for pulmonary and non-pulmonary pathologies. Clinical Significance. Hemodynamically unstable children ventilated for pulmonary pathology with the protective strategy of mechanical ventilation had a greater requirement for inotropic and combined inotropic and vasoactive circulatory support than children ventilated for non-pulmonary causes of respiratory failure.Jiri FremuthJiri KobrLumir SasekKaterina PizingerovaJana ZamboryovaJosef SykoraPalacký University Olomouc, Faculty of Medicine and Dentistryarticlehemodynamicsultrasound cardiac output monitormechanical ventilationchildrencase-control studyMedicineRENBiomedical Papers, Vol 165, Iss 4, Pp 428-434 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hemodynamics ultrasound cardiac output monitor mechanical ventilation children case-control study Medicine R
spellingShingle	hemodynamics ultrasound cardiac output monitor mechanical ventilation children case-control study Medicine R Jiri Fremuth Jiri Kobr Lumir Sasek Katerina Pizingerova Jana Zamboryova Josef Sykora Ultrasound cardiac output monitoring in mechanically ventilated children
description	Aim. To non-invasively identify the hemodynamic changes in critically ill children during the first 48 h following initiation of mechanical ventilation by the ultrasound cardiac output monitor (USCOM) method and compare the data in children with pulmonary and non-pulmonary pathology. Materials and Methods. This was a prospective observational study to evaluate the influence of mechanical ventilation on hemodynamic changes and to describe hemodynamic profiles of mechanically ventilated children. A total of 56 children with respiratory failure were included in the present study. Ventilated patients are divided into two groups. Group A (n=36) includes patients with pulmonary pathology. Group B (n=20) consists of patients with extra pulmonary etiology of respiratory failure. Hemodynamic parameters (cardiac index and systemic vascular resistance index) were evaluated using ultrasound cardiac output monitoring (USCOM 1A) immediately following initiation of mechanical ventilation and again at 6, 12, and 48 h. Pharmacological circulatory support (inotropes, vasopressors, levosimendan and phosphodiesterase III inhibitors) was individually and continuously modified based on real-time hemodynamic parameters and optimal fluid balance. Results. No significant differences in hemodynamic profiles were found between Group A and Group B. Conclusion. The protective strategy of mechanical ventilation was not associated with significant differences in hemodynamic profiles between children ventilated for pulmonary and non-pulmonary pathologies. Clinical Significance. Hemodynamically unstable children ventilated for pulmonary pathology with the protective strategy of mechanical ventilation had a greater requirement for inotropic and combined inotropic and vasoactive circulatory support than children ventilated for non-pulmonary causes of respiratory failure.
format	article
author	Jiri Fremuth Jiri Kobr Lumir Sasek Katerina Pizingerova Jana Zamboryova Josef Sykora
author_facet	Jiri Fremuth Jiri Kobr Lumir Sasek Katerina Pizingerova Jana Zamboryova Josef Sykora
author_sort	Jiri Fremuth
title	Ultrasound cardiac output monitoring in mechanically ventilated children
title_short	Ultrasound cardiac output monitoring in mechanically ventilated children
title_full	Ultrasound cardiac output monitoring in mechanically ventilated children
title_fullStr	Ultrasound cardiac output monitoring in mechanically ventilated children
title_full_unstemmed	Ultrasound cardiac output monitoring in mechanically ventilated children
title_sort	ultrasound cardiac output monitoring in mechanically ventilated children
publisher	Palacký University Olomouc, Faculty of Medicine and Dentistry
publishDate	2021
url	https://doaj.org/article/57245c81ec0e468eabdfa7845943784e
work_keys_str_mv	AT jirifremuth ultrasoundcardiacoutputmonitoringinmechanicallyventilatedchildren AT jirikobr ultrasoundcardiacoutputmonitoringinmechanicallyventilatedchildren AT lumirsasek ultrasoundcardiacoutputmonitoringinmechanicallyventilatedchildren AT katerinapizingerova ultrasoundcardiacoutputmonitoringinmechanicallyventilatedchildren AT janazamboryova ultrasoundcardiacoutputmonitoringinmechanicallyventilatedchildren AT josefsykora ultrasoundcardiacoutputmonitoringinmechanicallyventilatedchildren
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Ultrasound cardiac output monitoring in mechanically ventilated children

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