Uninvasive Cardiac Output Monitoring (USCOM) in Critically Ill Children: Validation and Prediction of Hemodynamic Instability

Rabin Medical Center52 enrolled

Overview

Hemodynamically unstable ventilated PICU \& PCICU patients, which a decision for commencement in inotropic therapy or fluid bolus has been made, will be recruited. Hemodynamic measurements will be carried out before and after therapy have been made, including customary hemodynamic parameters, echocardiography and USCOM studies. All parameters will be analyzed for fluid responsiveness or inotropic therapy prediction. Trend in USCOM parameters will be compared to echocardiography CO parameters.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Hemodynamic Instability

Eligibility

Sex: ALLMin age: 2 DaysMax age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Pediatric critically ill ventilated patients admitted to PICU \& PCICU * Hemodynamically unstable which a decision for commencement in inotropic therapy or fluid bolus has been made * parental concent Exclusion Criteria: * Cardiac shunt * Aortal anomaly \\ Repair * Tracheostomy * Parental refusal to participate

Locations (1)

Schneider's children medical center

Petah Tikva, Israel

Outcomes

Primary Outcomes

Raise>10% in cardiac index following therapy

Time frame: 20 minutes

Data from ClinicalTrials.gov

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