Non-Invasive Cardiac Output Monitoring in Preterm Infants Undergoing Patent Ductus Arteriosus Ligation: A Comparison with Echocardiography

Neonatology ◽  
2014 ◽  
Vol 106 (4) ◽  
pp. 330-336 ◽  
Author(s):  
Dany E. Weisz ◽  
Amish Jain ◽  
Joseph Ting ◽  
Patrick J. McNamara ◽  
Afif EL-Khuffash
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kai-Hsiang Hsu ◽  
Tai-Wei Wu ◽  
I-Hsyuan Wu ◽  
Mei-Yin Lai ◽  
Shih-Yun Hsu ◽  
...  

Neonatology ◽  
2017 ◽  
Vol 112 (3) ◽  
pp. 231-237 ◽  
Author(s):  
Kai-Hsiang Hsu ◽  
Tai-Wei Wu ◽  
I-Hsyuan Wu ◽  
Mei-Yin Lai ◽  
Shih-Yun Hsu ◽  
...  

2019 ◽  
Vol 30 (2) ◽  
pp. 249-255
Author(s):  
Alessia Cappelleri ◽  
Neidin Bussmann ◽  
Susan Harvey ◽  
Phillip T. Levy ◽  
Orla Franklin ◽  
...  

AbstractBackground:There is a paucity of functional data on mid-to-late preterm infants between 30+0 and 34+6 weeks gestation. We aimed to characterise transitional cardiopulmonary and haemodynamic changes during the first 48 hours in asymptomatic mid-to-late preterm infants.Methods:Forty-five healthy preterm newborns (mean ± standard deviation) gestation of 32.7 ± 1.2 weeks) underwent echocardiography on Days 1 and 2. Ventricular mechanics were assessed by speckle tracking-derived deformation, rotational mechanics, tissue Doppler imaging, and right ventricle-focused measures (tricuspid annular plane systolic excursion, fractional area change). Continuous haemodynamics were assessed using the NICOM™ system to obtain left ventricular output, stroke volume, heart rate, and total peripheral resistance by non-invasive cardiac output monitoring.Results:Right ventricular function increased (all measures p < 0.005) with mostly stable left ventricular performance between Day 1 and Day 2. NICOM-derived left ventricular output [mean 34%, 95% confidence interval 21–47%] and stroke volume [29%, 16–42%] increased with no change in heart rate [5%, −2 to 12%]. There was a rise in mean blood pressure [11%, 1–21%], but a decline in total peripheral resistance [−14%, −25 to −3%].Conclusion:Left ventricular mechanics remained persevered in mid-to-late premature infants, but right ventricular function increased. Non-invasive cardiac output monitoring is feasible in preterm infants with an increase in left ventricular output driven by an improvement in stroke volume during the transitional period.


2013 ◽  
Vol 33 (11) ◽  
pp. 861-866 ◽  
Author(s):  
A T F S Leslie ◽  
A Jain ◽  
A EL-Khuffash ◽  
M Keyzers ◽  
S Rogerson ◽  
...  

2021 ◽  
Vol 8 ◽  
Author(s):  
Roisin O'Neill ◽  
Eugene M. Dempsey ◽  
Aisling A. Garvey ◽  
Christoph E. Schwarz

Circulatory monitoring is currently limited to heart rate and blood pressure assessment in the majority of neonatal units globally. Non-invasive cardiac output monitoring (NiCO) in term and preterm neonates is increasing, where it has the potential to enhance our understanding and management of overall circulatory status. In this narrative review, we summarized 33 studies including almost 2,000 term and preterm neonates. The majority of studies evaluated interchangeability with echocardiography. Studies were performed in various clinical settings including the delivery room, patent ductus arteriosus assessment, patient positioning, red blood cell transfusion, and therapeutic hypothermia for hypoxic ischemic encephalopathy. This review presents an overview of NiCO in neonatal care, focusing on technical and practical aspects as well as current available evidence. We discuss potential goals for future research.


2020 ◽  
Vol 07 (03) ◽  
pp. 105-108
Author(s):  
Chandrakala Bada Shekharappa ◽  
Edison Albert Balakrishnan Elizabeth ◽  
Bharathi Balachander

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