Abstract:
Hemodynamic disorders accompany any severe pathology in patients of all age
groups, including newborns, significantly affect the further quality of life of patients
who have undergone critical conditions. The clinical manifestations of hemodynamic
disturbances in young children are not specific, they are significantly delayed and,
accordingly, are not always recognized in time. Great progress has been made recently
in cardiac output assessment in newborn infants. Back in the 1970’s cardiac output
assessment in neonates was obtained using the Fick method and the dilution or
thermodilution methods, these invasive methods are risky and disadvantageous.
An ideal cardiac output monitoring system should be non-invasive, easy to use and
reliable. Non-invasive monitoring of cardiac output is a subject of great interest in
the treatment of emergency and critical conditions in newborns. Мonitoring of
hemodynamic parameters allows you to detect minimal changes in the vital functions
of the body in the early stages. To ensure the timely start of intensive care, its high quality conduct and not only increases survival, but also leads to a decrease in disability
in newborns due to hypoxic lesions of the central nervous system.
In this literature review we present and compare various noninvasive methods currently
used to measure cardiac output in newborn infants and highlight their advantages and
disadvantages.
Description:
Hemodynamic disorders accompany any severe pathology in patients of all age
groups, including newborns, significantly affect the further quality of life of patients
who have undergone critical conditions. The clinical manifestations of hemodynamic
disturbances in young children are not specific, they are significantly delayed and,
accordingly, are not always recognized in time. Great progress has been made recently
in cardiac output assessment in newborn infants. Back in the 1970’s cardiac output
assessment in neonates was obtained using the Fick method and the dilution or
thermodilution methods, these invasive methods are risky and disadvantageous.
An ideal cardiac output monitoring system should be non-invasive, easy to use and
reliable. Non-invasive monitoring of cardiac output is a subject of great interest in
the treatment of emergency and critical conditions in newborns. Мonitoring of
hemodynamic parameters allows you to detect minimal changes in the vital functions
of the body in the early stages. To ensure the timely start of intensive care, its high quality conduct and not only increases survival, but also leads to a decrease in disability
in newborns due to hypoxic lesions of the central nervous system.
In this literature review we present and compare various noninvasive methods currently
used to measure cardiac output in newborn infants and highlight their advantages and
disadvantages.
