Pediatr Crit Care Me
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Pediatr Crit Care Me · Jul 2011
EditorialThe PICU perspective on monitoring hemodynamics and oxygen transport.
Alterations of hemodynamics and oxygen transport balance are very common scenarios in the pediatric intensive care unit (PICU), and these alterations are as heterogeneous and diverse in nature as are the patient populations that typically exist in the PICU. Accordingly, the PICU perspective on monitoring of hemodynamics and oxygen transport balance in critically ill children must be understood in this context of heterogeneity and diversity. We provide an interpretation of the evidence supporting various monitoring strategies as presented in the The Pediatric Cardiac Intensive Care Society Evidence Based Review and Consensus Statement on Monitoring of Hemodynamics and Oxygen Transport Balance from a Pediatric Intensive Care perspective.
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The hemodynamic evaluation and monitoring in the critically ill newborn (particularly the premature infant) poses unique challenges because of urgency, size limitations, and the persistence of fetal shunt channels. Echocardiography and other noninvasive methods are currently the mainstay of hemodynamic assessment. ⋯ There is a need for evaluating a number of assessments as targets of goal-directed therapy in the unstable newborn infant. We provide an interpretation of the evidence supporting various monitoring strategies.
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Pediatr Crit Care Me · Jul 2011
Editorial CommentDisasters, humanitarian responses, and critical care.