SCCM Resource Library-Noninvasive and Invasive Hemodynamic Monitoring

Pdf Summary

The chapter on noninvasive and invasive hemodynamic monitoring in critically ill children delves into various methodologies and techniques important for assessing and managing children's hemodynamic status to ensure adequate tissue oxygenation. It underscores the significance of both repeated physical assessments and accurate monitoring to guide clinical decision-making and improve patient outcomes. <br /><br />Key aspects include the use of noninvasive and invasive monitoring strategies. Noninvasive methods, such as oscillometric and auscultatory techniques, are beneficial in avoiding complications like infections and vascular damage. Although noninvasive blood pressure monitoring is less risky, its accuracy can be influenced by incorrect cuff sizes and patient movement. Invasive methods, involving arterial catheterization, offer continuous and more precise measurement, supporting waveform analysis and allowing for blood sampling but come with risks like infections and arterial injuries.<br /><br />Pulmonary artery catheters, although common in adults, are less frequently used in pediatrics due to associated risks like sustained arrhythmias and myocardial injury. Instead, alternatives like central venous pressure monitoring and newer technology like near-infrared spectroscopy (NIRS) are explored for assessing intravascular volume and regional oxygen saturation, respectively. NIRS, in particular, is gaining traction in pediatric critical care for its predictive value in patient outcomes and real-time noninvasive monitoring capability.<br /><br />The chapter also evaluates the extension of other technologies such as transthoracic echocardiography and devices like the PiCCO monitor for cardiac output measurement challenges. While these devices continue to evolve, their cost and accuracy remain issues. The content highlights a continuous evaluation and adoption of technological advances, emphasizing that achieving a balance between the benefits and drawbacks of each method is crucial for optimizing patient care in pediatric critical settings.

Asset Subtitle

Pediatrics, Cardiovascular, 2020, 3:20:00

Asset Caption

This is a complimentary chapter from the textbook, Current Concepts in Pediatric Critical Care 2020), titled "Noninvasive and Invasive Hemodynamic Monitoring."

Learning Objectives:

Describe the benefits and challenges of noninvasive hemodynamic monitoring.
Describe the benefits and challenges of invasive hemodynamic monitoring.

Meta Tag

Content Type Book Chapter

Knowledge Area Pediatrics

Knowledge Area Cardiovascular

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Membership Level Professional

Membership Level Associate

Tag Pediatrics

Tag Hemodynamic Monitoring

Tag Cardiothoracic Critical Care

Year 2020

Keywords

hemodynamic monitoring

critically ill children

noninvasive methods

invasive methods

arterial catheterization

near-infrared spectroscopy

transthoracic echocardiography

PiCCO monitor

patient outcomes

pediatric critical care

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