Cardiac output measurement in pediatric anesthesia.
Maintenance of cardiovascular stability is crucial to safe anesthetic practice, but measurement of cardiac output has been technically challenging, particularly in pediatric patients. Cardiovascular monitoring has therefore generally relied upon pressure-based measurements, as opposed to flow-based measurements. The measurement of cardiac output under anesthesia and in critical care has recently become easier as a result of new techniques of measurement. This article reviews the basic concepts of and rationale for cardiac output monitoring, and then describes the techniques available for monitoring in clinical practice.
Skowno
Justin J
JJ
Department of Paediatric Anaesthesia, Red Cross War Memorial Children's Hospital, Cape Town, South Africa. jskowno@worldonline.co.za
Broadhead
Michael
M
D000758:Anesthesia; D019540:Area Under Curve; D002302:Cardiac Output / Q000502:physiology*; D002648:Child; D004452:Echocardiography / Q000379:methods; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D016343:Monitoring, Intraoperative / Q000295:instrumentation / Q000379:methods*; D019265:Spectroscopy, Near-Infrared; D013815:Thermodilution / Q000379:methods