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Cardiac and respiratory
monitoring in the NICU and PICU.
My name is Hannah
Bellsham-Revell.
I'm a consultant
pediatric cardiologist
at Evelina London
Children's Hospital.
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Continuous non-invasive
monitoring.
Non-invasive
monitoring can look at
the respiratory rate which is
usually measured from
sensors on the ECG.
The heart rate from ECG
leads or sats probe,
saturations from the sats probe
and blood pressure from a
cuff on the arm or the leg.
Different monitors have
different capabilities
and some will only be able
to measure some things.
Others will be able
to monitor all.
Some machines will look
at minute to minute but
other machines allow
review of the trends.
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Continuous invasive monitoring.
End tidal CO_2 can be
monitored from the ventilator
and other parameters can
also be monitored on
the machine itself.
Heart rate from the ECG
leads or sats probe,
saturations from the sats probe,
blood pressure from an
invasive arterial line and
then additional lines can
also measure invasive pressures.
For example, the central
venous pressure from a neck or
femoral line can give
you an assessment
of filling as well as
right heart function.
Left atrial pressure from
an intracardiac
left atrial line.
This will go up if there
is left ventricular
dysfunction and
a pulmonary arterial
pressure from a catheter in
the pulmonary artery can give
evidence of pulmonary
hypertension.
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Use of monitoring. This
is to know where we are.
It can also look at
response to treatments and
interventions and we can work
on trends to try and work
out where we are going.
There is work undergoing looking
at AI to try and predict events.
It's also important to look
back to understand
sudden events.
Case 1, a 10-year-old boy
