Pediatric echocardiography: Applications and limitations

Phoon, Colin K.L.; Divekar, Abhay; Rutkowski, Monika

doi:10.1016/s0045-9380(99)80034-6

Cited by 6 publications

(3 citation statements)

References 157 publications

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“…Position papers on the management of pediatric ECMO recommend that an echocardiography-trained physician should be part of the team caring for neonates and children on ECMO ( ELSO guidelines ) ( 15 ). However, echocardiography might be less available than chest X-ray and require a well-trained team with specific skills, which might have implications in management costs ( 41 ).…”

Section: Echocardiography For Patients On Ecmo Supportmentioning

confidence: 99%

The Role of Echocardiography in Neonates and Pediatric Patients on Extracorporeal Membrane Oxygenation

2018

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Indications for extracorporeal membrane oxygenation (ECMO) and extracorporeal cardiopulmonary resuscitation (ECPR) are expanding, and echocardiography is a tool of utmost importance to assess safety, effectiveness and readiness for circuit initiation and separation. Echocardiography is key to anticipating complications and improving outcomes. Understanding the patient's as well as the ECMO circuit's anatomy and physiology is crucial prior to any ECMO echocardiographic evaluation. It is also vital to acknowledge that the utility of echocardiography in ECMO patients is not limited to the evaluation of cardiac function, and that clinical decisions should not be made exclusively upon echocardiographic findings. Though echocardiography has specific indications and applications, it also has limitations, characterized as: prior to and during cannulation, throughout the ECMO run, upon separation and after separation from the circuit. The use of specific and consistent echocardiographic protocols for patients on ECMO is recommended.

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Section: Echocardiography For Patients On Ecmo Supportmentioning

confidence: 99%

The Role of Echocardiography in Neonates and Pediatric Patients on Extracorporeal Membrane Oxygenation

2018

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“…Echocardiography allows the non-invasive assessment of the dimensions and anatomy of the heart and its functional characteristics 1,2 . Because of these aspects this exam has become key to diagnose, assess the repercussions and followup on children and adolescents with suspicion of or with cardiopathy [2][3][4][5][6] .…”

mentioning

confidence: 99%

“…Because of these aspects this exam has become key to diagnose, assess the repercussions and followup on children and adolescents with suspicion of or with cardiopathy [2][3][4][5][6] . Many studies have used echocardiography to establish standards of normalcy for cardiac measurements in the population [7][8][9][10][11][12][13] .…”

mentioning

confidence: 99%

Curvas de percentis de valores normais de medidas ecocardiográficas em crianças eutróficas procedentes da região centro-sul do Estado de São Paulo

Bonatto¹,

Fioretto²,

Okoshi³

et al. 2006

Arq. Bras. Cardiol.

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Objective: To asses the values of echocardiographic measurements in normal children without cardiopathy and to build percentile curves, relating them to the body surface (BS, m 2 ). Methods:We analyzed M-mode echocardiographic measurements for children between one and 144 months of age. We assessed right ventricular diastolic diameter (RVDd, mm) and left ventricular diastolic diameter (LVDd, mm), LV systolic diameter (LVSd, mm), right ventricular outflow tract diameter (RVOT, mm), aortic diameter (AoD, mm) and left atrial diameter (LAD, mm); left ventricular ejection fraction (LVEF, %); percentage of variation of left ventricular diameter (∆LV, %); interventricular septum diastolic thickness (IVSDT, mm) and LV posterior wall diastolic thickness (PWDT, mm); left ventricular mass (LVM, g) and LV mass index (LVMI, g/m2). Results:At the end of the study, 595 children (326 male) were assessed. The values of echocardiographic measurements showed a good correlation with BS and allowed the constructing of percentile curves (3%, 25%, 50%, 75% and 97%). Statistically significant differences between the genders were evidenced for the following variables: LVSd, LVDd, RVOT, AoD, LVM and LVMI, and the highest values were observed in male children. Conclusion:The percentile curves of the values obtained can be used as a reference to assess children with suspicion of cardiopathy or to follow-up on those with diagnosed cardiopathy or under treatment with potentially cardiotoxic drugs.

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