Header

UZH-Logo

Maintenance Infos

Clinical applications of photoplethysmography in paediatric intensive care


Frey, Bernhard; Waldvogel, Katharina; Balmer, Christian (2008). Clinical applications of photoplethysmography in paediatric intensive care. Intensive Care Medicine, 34(3):578-582.

Abstract

Objective: The photoplethysmographic wave is displayed by most pulse oximeters. It may be used as a non-invasive alternative to invasive arterial blood pressure trace analysis for continuous haemodynamic monitoring in selected situations.
Patients and setting: Four cardiac patients treated in a tertiary neonatal-paediatric intensive care unit.
Measurements: Simultaneous monitoring of the photoplethysmographic wave, ECG, and invasive blood pressure.
Results and conclusions: Photoplethysmography allows for monitoring pulse rate in patients with (possible) heart rate/pulse rate dissociation (pacemaker dependency, pulsatile ventricular assist device); monitoring sudden changes in heart beat volume, which are unrelated to respiration (pulseless electrical activity, pulsus alternans); and monitoring respiratory-dependent fluctuations of the plethysmographic wave (heart failure, hypovolaemia, asthma, upper airway obstruction, pericardial effusion). Deterioration, slowly evolving over time, may be detected by this method.

Abstract

Objective: The photoplethysmographic wave is displayed by most pulse oximeters. It may be used as a non-invasive alternative to invasive arterial blood pressure trace analysis for continuous haemodynamic monitoring in selected situations.
Patients and setting: Four cardiac patients treated in a tertiary neonatal-paediatric intensive care unit.
Measurements: Simultaneous monitoring of the photoplethysmographic wave, ECG, and invasive blood pressure.
Results and conclusions: Photoplethysmography allows for monitoring pulse rate in patients with (possible) heart rate/pulse rate dissociation (pacemaker dependency, pulsatile ventricular assist device); monitoring sudden changes in heart beat volume, which are unrelated to respiration (pulseless electrical activity, pulsus alternans); and monitoring respiratory-dependent fluctuations of the plethysmographic wave (heart failure, hypovolaemia, asthma, upper airway obstruction, pericardial effusion). Deterioration, slowly evolving over time, may be detected by this method.

Statistics

Citations

4 citations in Web of Science®
6 citations in Scopus®
Google Scholar™

Altmetrics

Downloads

229 downloads since deposited on 30 Dec 2008
20 downloads since 12 months
Detailed statistics

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Children's Hospital Zurich > Medical Clinic
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:11 March 2008
Deposited On:30 Dec 2008 11:45
Last Modified:05 Apr 2016 12:47
Publisher:Springer
ISSN:0342-4642
Additional Information:The original publication is available at www.springerlink.com
Publisher DOI:https://doi.org/10.1007/s00134-007-0951-1
PubMed ID:18071671

Download

Preview Icon on Download
Preview
Content: Accepted Version
Filetype: PDF
Size: 2MB
View at publisher
Preview Icon on Download
Filetype: PDF - Registered users only
Size: 1MB