K Sri Sita Naga Sai Priya, Taksande Amar
Pediatrics, Jawaharlal Nehru Medical College, Datta Meghe Insititute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Sep 20;16(9):e69769. doi: 10.7759/cureus.69769. eCollection 2024 Sep.
Over the past three decades, a variety of non-invasive hemodynamic devices have been developed. However, none of the existing methods, such as transthoracic echocardiography, esophageal Doppler ultrasound, plethysmography, thoracic impedancemetry, or sublingual capnography, fully embody the ideal characteristics of reliability, reproducibility, rapid response, ease of use, comprehensive safety, affordability, and continuous monitoring capacity. Among these, echocardiography stands out as a particularly effective approach, meeting many of these criteria due to its widespread availability, relative ease of use, and critical role in detecting anatomical abnormalities and basic changes in myocardial function. It is frequently used in pediatric intensive care units to assess the structure and function of the heart muscle. The effectiveness of echocardiography in pediatric critical care is also constrained by the need for high-quality imaging and accurate interpretation. Currently, there is a notable lack of literature on the application of echocardiography in pediatric critical care. This study seeks to evaluate the existing scientific evidence regarding the effectiveness of echocardiography as a tool for monitoring hemodynamics in pediatric critical care settings.
在过去三十年中，已经开发出了多种非侵入性血流动力学设备。然而，现有的方法，如经胸超声心动图、食管多普勒超声、体积描记法、胸阻抗测量法或舌下二氧化碳监测法，都没有完全体现出可靠性、可重复性、快速响应、易用性、全面安全性、可承受性和连续监测能力等理想特征。其中，超声心动图是一种特别有效的方法，由于其广泛可用性、相对易用性以及在检测解剖异常和心肌功能基本变化方面的关键作用，满足了许多这些标准。它经常用于儿科重症监护病房，以评估心肌的结构和功能。超声心动图在儿科重症监护中的有效性也受到高质量成像和准确解读需求的限制。目前，关于超声心动图在儿科重症监护中应用的文献明显不足。本研究旨在评估有关超声心动图作为儿科重症监护环境中血流动力学监测工具有效性的现有科学证据。
