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Recommendations for hemodynamic monitoring for critically ill children-expert consensus statement issued by the cardiovascular dynamics section of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC).

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cam.issuedOnline2020-10-22
dc.contributor.authorSingh, Yogen
dc.contributor.authorVillaescusa, Javier Urbano
dc.contributor.authorda Cruz, Eduardo M
dc.contributor.authorTibby, Shane M
dc.contributor.authorBottari, Gabriella
dc.contributor.authorSaxena, Rohit
dc.contributor.authorGuillén, Marga
dc.contributor.authorHerce, Jesus Lopez
dc.contributor.authorDi Nardo, Matteo
dc.contributor.authorCecchetti, Corrado
dc.contributor.authorBrierley, Joe
dc.contributor.authorde Boode, Willem
dc.contributor.authorLemson, Joris
dc.contributor.orcidSingh, Yogen [0000-0002-5207-9019]
dc.date.accessioned2021-10-22T15:51:38Z
dc.date.available2021-10-22T15:51:38Z
dc.date.issued2020-10-22
dc.date.submitted2020-08-06
dc.date.updated2021-10-22T15:51:37Z
dc.description.abstractBACKGROUND: Cardiovascular instability is common in critically ill children. There is a scarcity of published high-quality studies to develop meaningful evidence-based hemodynamic monitoring guidelines and hence, with the exception of management of shock, currently there are no published guidelines for hemodynamic monitoring in children. The European Society of Paediatric and Neonatal Intensive Care (ESPNIC) Cardiovascular Dynamics section aimed to provide expert consensus recommendations on hemodynamic monitoring in critically ill children. METHODS: Creation of a panel of experts in cardiovascular hemodynamic assessment and hemodynamic monitoring and review of relevant literature-a literature search was performed, and recommendations were developed through discussions managed following a Quaker-based consensus technique and evaluating appropriateness using a modified blind RAND/UCLA voting method. The AGREE statement was followed to prepare this document. RESULTS: Of 100 suggested recommendations across 12 subgroups concerning hemodynamic monitoring in critically ill children, 72 reached "strong agreement," 20 "weak agreement," and 2 had "no agreement." Six statements were considered as redundant after rephrasing of statements following the first round of voting. The agreed 72 recommendations were then coalesced into 36 detailing four key areas of hemodynamic monitoring in the main manuscript. Due to a lack of published evidence to develop evidence-based guidelines, most of the recommendations are based upon expert consensus. CONCLUSIONS: These expert consensus-based recommendations may be used to guide clinical practice for hemodynamic monitoring in critically ill children, and they may serve as a basis for highlighting gaps in the knowledge base to guide further research in hemodynamic monitoring.
dc.identifier.doi10.17863/CAM.77224
dc.identifier.eissn1466-609X
dc.identifier.issn1364-8535
dc.identifier.others13054-020-03326-2
dc.identifier.other3326
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/329779
dc.languageen
dc.language.isoeng
dc.publisherSpringer Science and Business Media LLC
dc.publisher.urlhttp://dx.doi.org/10.1186/s13054-020-03326-2
dc.subjectCardiovascular instability
dc.subjectChildren
dc.subjectHemodynamic monitoring (HD)
dc.subjectPaediatric intensive care unit (PICU)
dc.subjectRecommendations
dc.subjectConsensus
dc.subjectCritical Illness
dc.subjectHemodynamic Monitoring
dc.subjectHumans
dc.subjectInfant
dc.subjectInfant, Newborn
dc.subjectPediatrics
dc.titleRecommendations for hemodynamic monitoring for critically ill children-expert consensus statement issued by the cardiovascular dynamics section of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC).
dc.typeArticle
dcterms.dateAccepted2020-10-05
prism.issueIdentifier1
prism.publicationNameCrit Care
prism.volume24
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
rioxxterms.versionVoR
rioxxterms.versionofrecord10.1186/s13054-020-03326-2

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