Paediatric anaesthesia
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Paediatric anaesthesia · Feb 2015
Editorial CommentCardiac output assessment in children: playing catch-up.
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Paediatric anaesthesia · Feb 2015
ReviewClinical utility of B-type natriuretic peptide (NP) in pediatric cardiac surgery - a systematic review.
NP is a biomarker that has been used in the diagnosis, management, and prognostication of a number of cardiovascular disorders in the pediatric population. The physiological role of this hormone is to allow the myocardium to adapt to stress or strain imposed by a volume and/or pressure load. ⋯ NPs provide a simple, noninvasive and complementary tool to echocardiography that can be used to assist clinicians in the assessment and management of pediatric patients with congenital heart disease in the perioperative period.
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Paediatric anaesthesia · Feb 2015
Observational StudyPressure recording analytical method and bioreactance for stroke volume index monitoring during pediatric cardiac surgery.
It is currently uncertain which hemodynamic monitoring device reliably measures stroke volume and tracks cardiac output changes in pediatric cardiac surgery patients. ⋯ Pressure recording analytical method and bioreactance provided similar SVI estimation at stable hemodynamic conditions, while bioreactance SVI values appeared significantly lower than PRAM at the end of CPB and after fluid replacement.