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Review article: Non‐invasive assessment of cardiac output with portable continuous‐wave Doppler ultrasound
Authors:Sascha Meyer  David Todd  Ian Wright  Ludwig Gortner  Graham Reynolds
Affiliation:1. The Centre for Newborn Care,;2. Mother and Babies Research Centre, Hunter Medical Research Institute, Newcastle University and Neonatal Intensive Care Unit, John Hunter Children's Hospital, Newcastle, New South Wales, Australia and;3. University Hospital of Saarland, Department of Paediatrics and Paediatric Intensive Care Medicine, Saarland, Germany.;4. Department of Paediatrics and Child Health, The Canberra Hospital and The Australian National University Medical School, Canberra, Australian Capital Territory,
Abstract:Cardiac output is considered an important parameter when assessing the cardiovascular status of a critically ill patient. Both non‐invasive (e.g. bioimpedance, echocardiography) and invasive methods (Swan Ganz catheter) have been used to measure cardiac output. The ultrasonic cardiac output monitoring device provides a new method of non‐invasively assessing cardiac output in various clinical settings. The ultrasonic cardiac output monitoring device was introduced clinically in 2001, and appears to be a promising adjunct in the assessment of the cardiovascular state in a variety of patient cohorts. In this short review article, we will introduce this new technique, discuss the required skills and compare it with methods already in use. In particular, a critical comparison with the ‘gold standard’, the invasive measurement of cardiac output with the pulmonary artery catheter, will be given.
Keywords:cardiac output  invasive  non‐invasive  pulmonary artery catheter  ultrasonic cardiac output monitoring
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