Transpulmonary thermodilution may be a safe and effective method for hemodynamic monitoring during high-risk surgery in children with complex congenital heart disease.
Transpulmonary thermodilution appears feasible in complex pediatric CHD; hypothesis-generating and requires prospective trials before any practice change.
Hemodynamic alterations related to pheochromocytoma surgery may lead to decompensation with an associated cardiac malformation. Moreover, they are incompletely described in children because of potential hazards of invasive monitoring. We report transpulmonary thermodilution hemodynamic monitoring during pheochromocytoma surgery in a child with a complex congenital heart malformation. Comprehensive analysis of hemodynamic events was obtained that guided therapeutic decisions. Cardiac function was preserved and no complication occurred.
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Cherqaoui et al. (2006) studied this question.
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