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Cardiac Output Monitoring in Bhubaneswar

Cardiac Output Monitoring

Cardiac Output Monitoring in Bhubaneswar

Cardiac output monitoring for patients in the Paediatric Intensive Care Unit (PICU) Department predominantly centres on providing information concerning heart functionality, particularly assessing the volume of blood pumped out by the heart every minute. Our specialised healthcare team assesses a child’s cardiac functions, including cardiac output, by employing a variety of invasive, minimally invasive, and non-invasive methods, such as pulmonary artery catheters, doppler echocardiography, and pulse contour analysis.

Our medical professionals at Manipal Hospitals in Bhubaneswar, Odisha, recognise the critical role of monitoring cardiac output for patients with persistent heart ailments or those on the road to recovery. The existing methods and technologies available at our disposal facilitate medication adjustments and enable us to assist parents in making informed decisions regarding ongoing treatment to sustain the cardiac stability of the child. 

Consult our PICU hospital if you need Cardiac Output Monitoring in Bhubaneswar.

At Manipal Hospitals Bhubaneswar, Cardiac output monitoring helps ensure they receive the right care and treatment to improve the kid's heart function. Book an appointment today.

FAQ's

Cardiac output in children is monitored using methods such as:

  • Doppler Echocardiography: This procedure is a non-invasive method that uses high-frequency sound waves to create images of the heart and assess the speed and direction of blood flow. This bedside procedure in paediatric patients assists in determining stroke volume, facilitating the subsequent calculation of cardiac output. 

  • Pulse Index Counter Cardiac Output (PiCCO): PiCCO uses a minimally invasive approach, integrating transpulmonary thermodilution and pulse contour analysis principles. The procedure involves placing a standard venous catheter for transpulmonary thermodilution and a dedicated PiCCO catheter in arteries such as the radial, brachial, femoral, or axillary artery. A precise volume of cold saline is injected, inducing a temperature change detected near the PiCCO catheter tip. Stroke volume, assessed with each pulse, is crucial for determining cardiac output in bedside paediatric patients. 

  • Lithium Dilution Cardiac Output (LiDCO™): This method involves injecting a small dose of lithium chloride via a central or peripheral venous line. A blood sample is collected past a lithium sensor from the child’s existing arterial line, and a lithium arterial concentration-time curve is recorded to determine cardiac output.

  • FloTrac System: FloTrac is a device manufactured by Edwards Lifesciences in the United States and is a minimally invasive procedure. It operates on the principle that there is a linear relationship between pulse pressure and stroke volume. The procedure requires only an arterial line insertion for evaluation and does not need any calibration. Moreover, the procedure is operator-independent and easy to

The pain or discomfort experienced by a child during cardiac output monitoring is dependent on the type of assessment. Non-invasive procedures, such as Doppler Echocardiography, are generally painless. However, mild discomfort could arise in children evaluated with procedures like PiCCO due to the insertion of catheters. 
 

Cardiac output monitoring is recommended if your child has experienced the following: 

  • Heart attack 

  • Abnormal heart rhythm

  • Congenital heart disease (CHD), such as heart valve disorders and septal defects

  • Atherosclerosis

  • Kawasaki disease

  • Heart murmurs

  • Pericarditis

  • Rheumatic heart disease

  • Certain cardiac infections and other ailments

Complications from cardiac output monitoring are usually rare but present. Pain or discomfort may occur during minimally invasive procedures due to the insertion of catheters. Other risks might include infections, thrombosis, and vascular injury. Your child's healthcare provider will discuss the potential complications with you when your child is subjected to monitoring.

If the procedure is continuous, you are encouraged to stay with the child to provide the necessary care and support. You will also be provided with a designated space to stay outside the PICU. Your child will be under the supervision of experienced nurses and specialists, who will be available to assist you if you require any support.
 

The need for your child to undergo cardiac output monitoring is based on the diagnosis, severity of the condition, and the doctor's judgment. For severe paediatric cardiac conditions, continuous monitoring may be advised, whereas, for milder heart disorders, visits can be scheduled intermittently. Your child's medical healthcare provider will inform you and schedule follow-up appointments in case your child's visit to the hospital is periodic. 
 

In most cases, there's usually no need for any major lifestyle adjustments following cardiac output monitoring. Your healthcare team might offer some advice based on the results and your child's overall health. It is essential to follow any instructions or advice provided by your child’s medical healthcare provider, should there be any adjustments regarding your lifestyle. 
 

The accuracy of cardiac output monitoring depends on the method used. Invasive methods tend to be more precise, while non-invasive methods provide estimates that are often sufficient for clinical decision-making. Our healthcare provider will choose the most appropriate and advanced methods based on the clinical situation to provide accurate results.
 

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