Monitoring in pediatric cardiac critical care: A worldwide perspective

Spenceley, N., MacLaren, G., Kissoon, N. and Macrae, D.J. (2011) Monitoring in pediatric cardiac critical care: A worldwide perspective. Pediatric Critical Care Medicine, 12, S76-S80. (doi: 10.1097/PCC.0b013e3182211d66)

Abstract

Our ability to directly monitor the mechanisms that govern cellular function, oxygen use, and survival is minimal. Therefore, in critically ill children, surrogate markers are used to try to detect evolving or established hypoxia. These surrogate markers are best used in combination and are complementary to clinical examination. Regardless of resource limitations, we propose that the availability of certain monitoring tools form a standard of care without which pediatric cardiac critical care cannot be safely or optimally provided. These tools include standard invasive hemodynamic monitoring with electrocardiography, lactate measurement, central venous oxygen saturation, and echocardiography. Ultimately, monitoring is only useful when the clinician observes a specific value or trend and has the expertise to act appropriately. (Pediatr Crit Care Med 2011; 12[Suppl.]:S76-S80)

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Spenceley, Dr Neil
• Authors: Spenceley, N., MacLaren, G., Kissoon, N., and Macrae, D.J.
• College/School: College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
• Journal Name: Pediatric Critical Care Medicine
• ISSN: 1529-7535