Cardiac Output Measurement in Pediatric Intensive Care Unit by Metabolic Monitor (Fick Method) (PEDIA-FICK-ICU)

N/ARecruitingNCT05741918

University Hospital, Montpellier20 enrolled

Overview

Cardiac output measurement is one of the most frequently used haemodynamic parameter used for intensive care unit (ICU) patients. In pediatric ICU, it is often measured with echocardiography that is a non-invasive method but is operator dependant and can't provide continuous monitoring. The goal of this clinical trial is to evaluate the feasibility of cardiac output measurement by Fick's method, non-invasive and allowing continuous monitoring, in comparison to echocardiography in pediatric intensive care unit.

Study Type

INTERVENTIONAL

Allocation

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Intensive Care Units, Pediatric

Interventions

Fick's method

Eligibility

Sex: ALLMin age: 28 DaysMax age: 17 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patient under 18 years old * Patient over 10 kg * Patient requiring intubation or intubated with a cuffed tube * Patient requiring a central venous line in superior vena cava territory Exclusion Criteria: * Mechanical ventilation with leak * Bad echogenicity preventing echocardiography * Absence of written informed consent * Patient not affiliated to French Health Insurance or not covered by public health insurance * Patient with a legal protection

Outcomes

Primary Outcomes

Intra-class correlation (or concordance) between the measurement of cardiac output (in ml/min) by Fick's method and by echocardiography

Time frame: Up to day 3

Secondary Outcomes

Variations of cardiac output before and after Leg Raise Test

Time frame: Up to day 3

Adverse events on the day of catheterization

Complications possibly due to Fick's method on the day of catheterization : pneumothorax, bleeding, rhythm disorder, gas embolism, failure to place, other

Time frame: Up to 21 days

Adverse events on the day of catheter removal

Complications possibly due to Fick's method on the day of catheter removal : catheter thrombosis, catheter infection, non-functional oximetry catheter