Journal of critical care
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Journal of critical care · Jun 2017
Cardiac output and systemic vascular resistance: Clinical assessment compared with a noninvasive objective measurement in children with shock.
To evaluate physician assessment of cardiac output and systemic vascular resistance in patients with shock compared with an ultrasonic cardiac output monitor (USCOM). To explore potential changes in therapy decisions if USCOM data were available using physician intervention answers. ⋯ There is poor agreement between physician-assessed CI and SVRI and USCOM, with significant interobserver variability among physicians. Objective measurement of CI and SVRI may reduce variability and improve diagnostic accuracy.