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Intensive Care Medicine

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01-03-2008 | Case Discussion

Clinical applications of photoplethysmography in paediatric intensive care

Authors: Bernhard Frey, Katharina Waldvogel, Christian Balmer

Published in: Intensive Care Medicine | Issue 3/2008

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.

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Title: Clinical applications of photoplethysmography in paediatric intensive care
Authors: Bernhard Frey
Katharina Waldvogel
Christian Balmer
Publication date: 01-03-2008
Publisher: Springer-Verlag
Published in: Intensive Care Medicine / Issue 3/2008
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-007-0951-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Clinical applications of photoplethysmography in paediatric intensive care

Abstract

Objective

Patients and setting

Measurements

Results and conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Patients and setting

Measurements

Results and conclusions

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