The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.
Post-Operative Haemodynamic Monitoring of Patients undergoing Corrective Open Heart Surgery for Structural Heart Defects
Open accessAbstract
Background: Accurate hemodynamic monitoring is essential when identifying and treating critically ill pediatric patients. Effective perioperative care directed by sophisticated hemodynamic monitoring can lower problems and enhance results, even though the best monitoring method is still up for debate. Objective: to compare monitoring methods of cardiac output and systemic hemodynamics post-cardiac surgery and its correlation to the clinical status of patients (reflected by clinical signs and laboratory assessment) and outcome, focusing on non-invasive cardiometry and echocardiography. Methodology: A cross-sectional study was conducted on 40 pediatric patients under five years old who underwent corrective cardiac surgery for congenital heart lesions. Hemodynamic parameters were assessed using echocardiography and ICON, alongside clinical evaluation and biomarkers (BNP and lactate), at 6 and 24 hours postoperatively. Statistical analysis was employed to identify significant correlations and trends. Results: Significant hemodynamic changes were observed in the immediate post-operative period. Clinical assessment detected low cardiac output in 47% of patients at 6 hours, decreasing to 45% at 24 hours. TAPSE and ejection fraction, measured via echocardiography, showed significant correlations with clinical signs of low cardiac output at 6 and 24 hours, respectively. ICON parameters, such as thoracic fluid content (TFC), demonstrated significant trends, correlating with fluid balance and time on bypass. However, ICON lacked the precision of echocardiography for certain measures; its continuous, non-invasive monitoring provided valuable insights into hemodynamic trends. Conclusion: Hemodynamic monitoring post-operative cardiac surgery with early management of instability decreases the risk of complications and prolonged hospital stay. Clinical assessment of low cardiac output symptoms is crucial in the hemodynamic monitoring of patients, paying attention to vital data. Echocardiography and electrical cardiometry parameters have significant correlations with each other, including contractility (TAPSE, CI) and fluid assessment values (IVC collapsibility and TFC). BNP levels are best used not as a "stand-alone" test but in conjunction with existing multivariable risk indexes.
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In infants following cardiac surgery, ICON-derived parameters such as thoracic fluid content correlated with fluid balance and cardiopulmonary bypass duration.
“ICON-derived parameters such as thoracic fluid content (TFC) correlated with fluid balance and cardiopulmonary bypass duration.”
From Trends and Challenges in Noninvasive Hemodynamic Monitoring of Neonates Following Cardiac Surgery: A Narrative Review (2025) · cites this paper as [75]
Electrical cardiometry and echocardiography show significant correlations for contractility indices (e.g., TAPSE, cardiac index) and fluid status (e.g., IVC collapsibility and TFC).
“EC and echocardiography have also shown significant correlations regarding contractility indices (e.g., TAPSE, cardiac index) and fluid status (e.g., IVC collapsibility and TFC).”
From Trends and Challenges in Noninvasive Hemodynamic Monitoring of Neonates Following Cardiac Surgery: A Narrative Review (2025) · cites this paper as [75]
Citations
Cites
Hyperlactatemia during cardiopulmonary bypass: determinants and impact on postoperative outcome
Ranucci, M., Toffol, B. D., Isgrò, G., et al. (2006) · Critical Care · doi:10.1186/cc5113 · Cited by 217
Outcome with high blood lactate levels during cardiopulmonary bypass in adult cardiac operation
Demers, P., Elkouri, S., Martineau, R., et al. (2000) · The Annals of Thoracic Surgery · doi:10.1016/s0003-4975(00)02160-3 · Cited by 209
Mercado, P., Maizel, J., Beyls, C., et al. (2017) · Critical Care · doi:10.1186/s13054-017-1737-7 · Cited by 192
Hutfless, R., Kazanegra, R., Madani, M. M., Bhalla, M. A., Tulua-Tata, A., Chen, A., Clopton, P., James, C., Chiu, A., & Maisel, A. S. (2004) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2003.12.048 · Cited by 182
Thiele, R. H., Bartels, K., & Gan, T. J. (2014) · Critical Care Medicine · doi:10.1097/ccm.0000000000000608 · Cited by 156
Serum Lactate Level Has Prognostic Significance After Pediatric Cardiac Surgery
Başaran, M., Sever, K., Kafali, E., Uğurlucan, M., Sayın, Ö. A., Tansel, T., Alpagut, U., Dayıoğlu, E., & Onursal, E. (2005) · Journal of Cardiothoracic and Vascular Anesthesia · doi:10.1053/j.jvca.2004.10.010 · Cited by 107
Sanders, M. L., Servaas, S., & Slagt, C. (2019) · Journal of Clinical Monitoring and Computing · doi:10.1007/s10877-019-00330-y · Cited by 101
Clinical assessment of cardiac performance in infants and children following cardiac surgery
Egan, J. R., Festa, M. S., Cole, A. D., Nunn, G. R., Gillis, J., & Winlaw, D. S. (2005) · Intensive Care Medicine · doi:10.1007/s00134-005-2569-5 · Cited by 93
Köestenberger, M., Nagel, B. H. P., Ravekes, W. A., et al. (2012) · Journal of the American Society of Echocardiography · doi:10.1016/j.echo.2012.06.004 · Cited by 66
Rauch, R., Welisch, E., Lansdell, N., Burrill, E., Jones, J., Robinson, T., Bock, D. E., Clarson, C. L., Filler, G., & Norozi, K. (2012) · Journal of Clinical Monitoring and Computing · doi:10.1007/s10877-012-9412-7 · Cited by 59
Hsu, K., Wu, T.-W., Wu, I.-H., Lai, M., Hsu, S.-Y., Huang, H.-W., Mok, T., & Lien, R. (2017) · Neonatology · doi:10.1159/000475774 · Cited by 35
Kastrup, M., CARL, M., Spies, C., Sander, M., Markewitz, A., & Schirmer, U. B. (2013) · Acta Anaesthesiologica Scandinavica · doi:10.1111/aas.12009 · Cited by 31
Delivery room emergencies in critical congenital heart diseases
Pruetz, J. D., Wang, S., & Noori, S. (2019) · Seminars in Fetal and Neonatal Medicine · doi:10.1016/j.siny.2019.101034 · Cited by 26
Hypotension during gradual blood loss: waveform variables response and absence of tachycardia
Pizov, R., Eden, A., Bystritski, D., et al. (2012) · British Journal of Anaesthesia · doi:10.1093/bja/aes300 · Cited by 18
Trieu, C. T., Williams, T. M., Cannesson, M. P., & Marijic, J. (2019) · Anesthesiology · doi:10.1097/aln.0000000000002673 · Cited by 17
Cuccurullo, L., Accardo, M., Agozzino, L., et al. (2006) · Ultrastructural Pathology · doi:10.1080/01913120600854053 · Cited by 12
Altamirano‐Diaz, L., Welisch, E., Dempsey, A. A., Park, T. S., Grattan, M., & Norozi, K. (2018) · Physiological Measurement · doi:10.1088/1361-6579/aac02b · Cited by 11
Mądry, W., Karolczak, M. A., & Myszkowski, M. (2019) · Journal of Ultrasonography · doi:10.15557/jou.2019.0002 · Cited by 10
Pedgaonkar, R. A., Singh, N., Dhananjaya, M., Nagaraja, P., Nagesh, K., & Prabhakar, V. (2023) · Annals of Cardiac Anaesthesia · doi:10.4103/aca.aca_9_23 · Cited by 9
Sumbel, L., Annamalai, M., Wats, A., Salameh, M., Agarwal, A., & Bhalala, U. S. (2020) · Journal of Pediatric Intensive Care · doi:10.1055/s-0040-1718867 · Cited by 8
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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
“In a more recent investigation, Ibrahim et al. examined the relationship between cardiac output measurements by EC and TTE, and clinical status in infants following cardiac surgery [75].”
Metadata
- Authors
- Ibrahim, H. M., Eldin Mansor, M. G., Kamel, W. I., Salah El Din Soliman, N. M., El Din Abo El Wafa, M. S., & Bakry, N. A.
- Affiliations
- Ain Shams University (EG)
- Venue
- International Journal of Child Health and Nutrition
- Publisher
- Lifescience Global
- Published
- 2025-02-10
- Volume
- 14
- Issue
- 1
- Pages
- 46-58
- ISSN
- 1929-4247 (ISSN-L)
- OpenAlex
- W4407333443
- Cited by
- 1
- References
- 20
- Citations by year
- 2025: 1
- FWCI
- 0.95
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- International Journal of Child Health and Nutrition (publishedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Congenital Heart Disease Studies
- Health Sciences › Medicine › Surgery › Cardiac and Coronary Surgery Techniques
- Keywords
- postoperative hemodynamic monitoring, pediatric cardiac surgery, congenital heart disease, low cardiac output, echocardiography, thoracic fluid content, tricuspid annular plane systolic excursion, ejection fraction, brain natriuretic peptide, lactate, fluid balance, noninvasive hemodynamic assessment
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