Non-invasive cardiac output monitoring in neonates
Dempsey, Eugene M.
Garvey, Aisling A.
Schwarz, Christoph E.
Frontiers Media S.A.
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.
Systemic blood flow , Bioimpedance , Electrical cardiometry , Bioreactance , Circulatory monitoring , Transthoracic electrical biosensing technology , Electrical velocimetry
O'Neill, R., Dempsey, E. M., Garvey, A. A. and Schwarz, C. E. (2021) 'Non-invasive cardiac output monitoring in neonates', Frontiers in Pediatrics, 8, 614585 (12pp). doi: 10.3389/fped.2020.614585
© 2021 O'Neill, Dempsey, Garvey and Schwarz. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.