Intensive Care Units, Pediatric
Conditions
Keywords
Cardiac output, Oxygen Consumption (VO2), Fick, Pediatric Intensive Care Unit
Brief summary
Cardiac output measurement is one of the most frequently used haemodynamic parameter used for intensive care unit (ICU) patients. In pediatric ICU, it is often measured with echocardiography that is a non-invasive method but is operator dependant and can't provide continuous monitoring. The goal of this clinical trial is to evaluate the feasibility of cardiac output measurement by Fick's method, non-invasive and allowing continuous monitoring, in comparison to echocardiography in pediatric intensive care unit.
Interventions
Cardiac output measurement by Fick method
Cardiac output measurement by echocardiography
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient under 18 years old * Patient over 10 kg * Patient requiring intubation or intubated with a cuffed tube * Patient requiring a central venous line in superior vena cava territory
Exclusion criteria
* Mechanical ventilation with leak * Bad echogenicity preventing echocardiography * Absence of written informed consent * Patient not affiliated to French Health Insurance or not covered by public health insurance * Patient with a legal protection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intra-class correlation (or concordance) between the measurement of cardiac output (in ml/min) by Fick's method and by echocardiography | Up to day 3 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Variations of cardiac output before and after Leg Raise Test | Up to day 3 | — |
| Adverse events on the day of catheterization | Up to 21 days | Complications possibly due to Fick's method on the day of catheterization : pneumothorax, bleeding, rhythm disorder, gas embolism, failure to place, other |
| Adverse events on the day of catheter removal | Up to 21 days | Complications possibly due to Fick's method on the day of catheter removal : catheter thrombosis, catheter infection, non-functional oximetry catheter |
Countries
France