THE POSSIBILITY TO USE THE ULTRASOUND MONITOR OF NONINVASIVE CONTROL OF HEMODYNAMICS IN NEWBORNS
- Authors: Boronina I.V., Alexandrovich Y.S., Shmakov A.N., Oshanova L.S.
- Issue: Vol 7, No 3 (2017)
- Pages: 69-73
- Section: Original Study Articles
- URL: https://journal-vniispk.ru/2219-4061/article/view/122667
- DOI: https://doi.org/10.17816/psaic336
- ID: 122667
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Abstract
Functional Doppler echocardiography and estimation of cardiac output using the ultrasound monitor USCOM (Ultrasound Cardiac Output Monitor) are informative and affordable methods of non-invasive control of hemodynamics in newborns.
The study was aimed to determine the significance level of the results of measuring hemodynamics parameters using the non-invasive ultrasound monitor obtained by a beginning operator who lacks the skills of working with ultrasound devices.
The central hemodynamics parameters were determined using the ultrasound monitor of cardiac output non-invasive control USCOM via the left-sided transaortal approach in newborn children staying at the department of resuscitation and intensive therapy. Data were measured by two operators. One of them wasn’t aware of the results obtained by the other investigator. Stroke output, heart rate and cardiac index were chosen to be compared.
Statistical analysis was done using Wilkinson’s coefficient and Spearman’s rank correlation coefficient. Median values were almost the same. In correlation comparison, a high correlation ratio was found for the cardiac rates obtained by operators 1 and 2 (r=0,827; p=0,000; R²=0,68); the stroke volume values were r=0,837; p=0,000; R²=0,7; the values of cardiac output were r=0,781; p=0,000; R²=0,61.
Acquiring practical skills of dealing with USCOM monitor doesn’t need special costs. On-site training under supervision of an instructor is enough.
Keywords
About the authors
I. V. Boronina
Author for correspondence.
Email: irinaboronina@bk.ru
Заведующая кафедрой анестезиологии и реаниматологии, Воронежский государственный медицинский университет им. Н. Н. Бурденко Минздрава России, 394036, Воронеж, ул.Студенческая, д. 10 Russian Federation
Y. S. Alexandrovich
Email: fake@neicon.ru
Заведующий кафедрой анестезиологии, реаниматологии и неотложной педиатрии факультета послевузовского и дополнительного профессионального образования, Санкт-Петербургский государственный педиатрический медицинский университет Минздрава России, 194110, Санкт-Петербург, ул. Литовская, д. 2 Russian Federation
A. N. Shmakov
Email: fake@neicon.ru
Профессор кафедры анестезиологии и реаниматологии, Новосибирский государственный медицинский университет Минздрава России, 630091, Красный проспект, д. 52 Russian Federation
L. S. Oshanova
Email: fake@neicon.ru
Аспирант кафедры анестезиологии и реаниматологии, Воронежский государственный медицинский университет им. Н. Н. Бурденко Минздрава России, 394036, ул. Студенческая, д. 10 Russian Federation
References
- Mertens L., Seri I., Marek J., Arlettaz R., Barkera P., McNamara P., Moon-Grady A. J., Coon P. D., Noory S., Simpson J., Lai W. W. Targeted Neonatal Echocardiography in the Neonatal Intensive Care Unit: Practice Guidelines and Recommendations for Training. European Journal of Echocardiography. 2011; 12: 715–36. PubMed PMID: 21998460.
- Lam J. M., Tang C. Emergency physicians can reliably assess patient cardiac output using non-invasive Ultrasonic Cardiac Output Monitor (USCOM). Hon Kong College of Emergence Medicine Scientific Session, 2005. Available from: http://www.uscom.com.au/news/data/HongKongabstract.pdf.
- Dey I., Sprivuls P. Emergency physicians can reliably assess emergency department patient cardiac output using the USCOM continuous wave Doppler cardiac output monitor. Emergency Medicine Australasia. 2005; 17: 193–9. PubMed PMID: 15953218.
- Stewart G. M., Nguyen H. B., Kim T. Y., Jauregui J., Hayes S. R., Corbett S. Inter-Rater Reliability for Noninvasive Measurement of Cardiac Function in Children. Pediatric Emergency Care. 2008; 24 (7): 433–7. PubMed PMID: 18580818.
- Kager С. C. M., Dekker G. A., Stam M. C. Measurement of cardiac output in normal pregnancy by a non-invasive twodimensional independent Doppler device. Australian and New Zealand Journal of Obstetrics and Gynecology. 2009; 49: 142–4. PubMed PMID: 19441163.
- Patel N., Dodsworth M., Mills J. F. Cardiac output measurement in newborn infants using the ultrasonic cardiac output monitor: an assessment of agreement with conventional echocardiography, repeatability and new user experience. Arch Dis Child Fetal Neonatal Ed. 2010; 96 (3): 206–11. PubMed PMID: 20605971.
- Meyer S., Todd D. A. Assessment of portable continuous wave Doppler ultrasound (ultrasonic cardiac output monitor) for cardiac output measurements in neonates. Journal of Pediatrics and Child Health. 2009; 45 (7-8): 464–8. PubMed PMID: 19712182.
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