Non-invasive cardiac output monitoring in neonates
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Published Version
Date
2021-01
Authors
O'Neill, Roisin
Dempsey, Eugene M.
Garvey, Aisling A.
Schwarz, Christoph E.
Journal Title
Journal ISSN
Volume Title
Publisher
Frontiers Media S.A.
Published Version
Abstract
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.
Description
Keywords
Systemic blood flow , Bioimpedance , Electrical cardiometry , Bioreactance , Circulatory monitoring , Transthoracic electrical biosensing technology , Electrical velocimetry
Citation
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