Key result
PRAM-derived cardiac index tracks tissue perfusion and predicts ventilation duration after pediatric cardiac surgery.
Why the study?
The reliability of cardiac index estimated by the pressure recording analytical method (PRAM) as a clinical monitoring tool after paediatric cardiac surgery was uncertain.
Does cardiac index assessment by PRAM correlate with clinical metabolic indexes of tissue perfusion and mechanical ventilation duration in paediatric patients after cardiac surgery?
Observational (n=40)
No
Does cardiac index assessment by PRAM correlate with clinical metabolic indexes of tissue perfusion and mechanical ventilation duration in paediatric patients after cardiac surgery?
Cardiac index estimated by PRAM in infants after pediatric cardiac surgery reliably correlates with clinical indicators of tissue perfusion and predicts mechanical ventilation duration.
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PRAM CI was associated with perfusion indexes post-pediatric CPB surgery; leaves open prospective validation before clinical adoption.
Favia et al. (2016) conducted an observational in Congenital heart disease requiring cardiac surgery on cardiopulmonary bypass (n=40). Cardiac index estimation by pressure recording analytical method (PRAM) was evaluated on Association of cardiac index with clinical metabolic indexes of tissue perfusion and mechanical ventilation duration. Cardiac index estimated by PRAM after paediatric cardiac surgery was reliably associated with clinical indicators of tissue perfusion and independently predicted mechanical ventilation duration (P=0.04).
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