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Measurement of cardiac output in children by bioreactance.
Ballestero, Yolanda; López-Herce, Jesús; Urbano, Javier; Solana, Maria José; Botrán, Marta; Bellón, Jose M; Carrillo, Angel.
Afiliación
  • Ballestero Y; Pediatric Intensive Care Department, Hospital General Universitario Gregorio Marañón, 28009, Madrid, Spain.
Pediatr Cardiol ; 32(4): 469-72, 2011 Apr.
Article en En | MEDLINE | ID: mdl-21318463
The objective of this study was to evaluate a new bioreactance method for noninvasive cardiac output (CO) measurement (NICOM) in children. Ten patients between 1 and 144 months of age and with no hemodynamic disturbances were studied. Using bioreactance, heart rate (HR), mean arterial pressure (MAP), and cardiac index (CI) measurements were made every 6-8 h. CI was 2.4 ± 1.03 l/min/1.73 m(2) (range 1-4.9 l/min/1.73 m(2)); There were significant correlations between CI and age (r = 0.50, P = 0.003), weight (r = 0.66, P < 0.001), and MAP (r = 0.369, P = 0.037). Significant differences in CI (P < 0.001) were detected between children weighing <10 kg (1.9 ± 0.73 l/min/1.73 m(2); range 1-3.2), 10-20 kg (2.07 ± 0.7 l/min/1.73 m(2); range 1-3.6), and >20 kg (3.7 ± 0.8 l/min/1.73 m(2); range 2.4-4.9). We conclude that the CI measured by bioreactance in children varies with the age and weight of the patients and is lower than the normal range in a large percentage of measurements. These data suggest that this method is not useful for evaluating CI in small children.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Gasto Cardíaco / Cardiografía de Impedancia / Enfermedades Cardiovasculares Tipo de estudio: Observational_studies / Prognostic_studies Límite: Child, preschool / Female / Humans / Infant / Male / Newborn Idioma: En Revista: Pediatr Cardiol Año: 2011 Tipo del documento: Article País de afiliación: España Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Gasto Cardíaco / Cardiografía de Impedancia / Enfermedades Cardiovasculares Tipo de estudio: Observational_studies / Prognostic_studies Límite: Child, preschool / Female / Humans / Infant / Male / Newborn Idioma: En Revista: Pediatr Cardiol Año: 2011 Tipo del documento: Article País de afiliación: España Pais de publicación: Estados Unidos