The Gold Standard of Pediatric Hemodynamic Monitoring: Not All That Glitters Is Gold
Abstract
hemodynamic monitoring in children is difficult and it lacks a gold standard
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Anatomical variations can further reduce the accuracy of echocardiographic cardiac output measurements in patients with congenital heart disease.
“Anatomical variations can further reduce the accuracy of echocardiographic cardiac output measurements in patients with congenital heart disease [57].”
From Trends and Challenges in Noninvasive Hemodynamic Monitoring of Neonates Following Cardiac Surgery: A Narrative Review (2025) · cites this paper as [57]
Cites
Clinicians’ abilities to estimate cardiac index in ventilated children and infants
Tibby, S. M., Hatherill, M., Marsh, M. J., & Murdoch, I. A. (1997) · Archives of Disease in Childhood · doi:10.1136/adc.77.6.516 · Cited by 224 · see citing works
Calamandrei, M., Mirabile, L., Muschetta, S., Gensini, G. F., Simone, L. D., & Romano, S. M. (2008) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0b013e31816c7151 · Cited by 67 · see citing works
Ricci, Z., Cecconi, G., Lillo, R., Chiara, L. D., Toscano, A., & Iacobelli, R. (2020) · Journal of Cardiothoracic and Vascular Anesthesia · doi:10.1053/j.jvca.2020.11.065 · Cited by 8 · see citing works
Ricci, Z., Pilati, M., Favia, I., Garisto, C., Rossi, E., & Romagnoli, S. (2011) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0b013e318219182b · Cited by 7 · see citing works
Greiwe, G., Balfanz, V., Hapfelmeier, A., Zajonz, T. S., Müller, M., Saugel, B., & Schulte-Uentrop, L. (2022) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000006010 · Cited by 6 · see citing works
Hemodynamic Monitoring Systems in Pediatric Settings
Romagnoli, S., Vitale, V., & Ricci, Z. (2013) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0b013e31826048a9 · Cited by 1 · see citing works
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Nedelcu, C., Ionescu, N. S., Bizubac, A. M., Filip, C., & Cirstoveanu, C. (2025) · Life · doi:10.3390/life15101621 · Cited by 2 · see citing works
Greiwe, G., Saugel, B., & Schulte‐Uentrop, L. (2023) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000006216
Zhong, K., Lai, X., Zhang, J., Yang, X., Zheng, Z., Liao, G., Zhang, N. F., & Xu, Y. (2026) · BMC Anesthesiology · doi:10.1186/s12871-026-03671-9
“Primarily, for well-known ethical reasons, we did not perform simultaneous invasive gold-standard measurements, such as thermodilution or invasive arterial pressure waveform analysis, in our cohort of healthy ASA I-II children [6, 41].”
Plasma Pharmacokinetics of Ropivacaine in Patients Undergoing Fascia Iliaca Compartment Block
Liu, Y. (2026) · International journal of anesthesia and clinical medicine. · doi:10.11648/j.ijacm.20261401.19
- Authors
- Ricci, Z., Iacobelli, R., & Romagnoli, S.
- Affiliations
- Meyer Children's Hospital (IT)
- Azienda Ospedaliero-Universitaria Careggi (IT)
- Venue
- Anesthesia & Analgesia
- Published
- 2023-05-19
- Volume
- 136
- Issue
- 6
- Pages
- e26-e27
- ISSN
- 0003-2999 (ISSN-L)
- OpenAlex
- W4377088368
- Cited by
- 4
- References
- 6
- Citations by year
- 2026: 2 · 2025: 1 · 2023: 1
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Anesthesia & Analgesia (publishedVersion)
- PubMed (publishedVersion)
- Florence Research (University of Florence) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
- Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
- Health Sciences › Medicine › Surgery › Healthcare Technology and Patient Monitoring
- Keywords
- hemodynamic monitoring, children, gold standard, pediatric anesthesia
- MeSH terms
- Hemodynamic Monitoring, Child, Humans, Pediatrics
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