Key result
Ultrasound cardiac output monitoring measures hemodynamics in 75% of post-bypass pediatric patients, guiding inotropic therapy.
Why the study?
The feasibility of non-invasive Doppler ultrasound hemodynamic monitoring during pediatric open-heart surgery needed evaluation.
Is non-invasive Doppler ultrasound-based cardiac output monitoring feasible during pediatric open-heart surgery?
Population
20 patients aged 10 to 34 months undergoing surgery for congenital heart defects
Comparison
10 patients undergoing ASD closure vs 10 patients undergoing VSD closure
Design
Prospective, observational, single-center cohort study
Authors
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Feasible in 75% for targeted adjustments; leaves open whether routine use improves pediatric post-bypass outcomes.
Cohort (n=20)
No
Is non-invasive Doppler ultrasound-based cardiac output monitoring feasible during pediatric open-heart surgery?
USCOM Doppler ultrasound is feasible for intraoperative cardiac output monitoring during pediatric open-heart surgery, though limited by anatomical access during median sternotomy.
Рыбка et al. (2024) conducted a cohort in Congenital heart defects (n=20). Ultrasound-Based Cardiac Output Monitoring (USCOM) was evaluated on Feasibility of cardiac output measurement at three intraoperative time points. Ultrasound-based cardiac output monitoring successfully measured hemodynamics in 75% of pediatric patients post-bypass, allowing for targeted inotropic therapy adjustments.
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