Hemodynamic monitoringName : Ahmad Sabbah
Affliation : SICU nurse manager
University : MSC international Health management
Country : UAE
Background: The failure and complications of central venous access devices (CVADs) result in interrupted medical treatment, morbidity, and mortality for the patient. The resulting insertion of a new CVAD further contributes to risk and consumes extra resources.
Seventy four cohort studies met the inclusion criteria, with mixed quality of reporting and methods. Overall, 25% of CVADs failed before completion of therapy (95% confidence interval [CI] 20.9%-29.2%) at a rate of 1.97 per 1000 catheter days (95% CI 1.71-2.23).
CVAD failure and complications in paediatrics are a significant burden on the health care system internationally.
Hemodynamic monitoring has been an essential element of medical care and arguably the corner stone of patient care delivery in any acute clinical setting. However, despite medicine’s modern evolution and technological advancements, hemodynamic monitoring continues to be a much debated topic with polarized differences of opinion. The debate has existed, and continues to exist, due in part to the historic difficulty that researchers and clinicians have had in identifying a universally acceptable modality to obtain accurate and reproducible data regarding cardiovascular performance, responsiveness to therapeutic interventions, appropriate end points of resuscitation, or therapeutic efforts. While all modalities have advantages, disadvantages, and some degree of imprecision, no single technique is inadequate or useless nor has any one modality proven to be a standalone solution to complex resuscitation scenarios.
Aim: This presentation will report the complications related to central venous access devices (CVAD). It aims to emphasis on importance of Hemodynamic monitoring including cardiac output monitoring and using of new technology for monitoring critical ill patients to avoid the invasive monitoring complications. According to above systemic review the ''CVAD failure and complications in paediatrics are a significant burden on the health care system internationally''. It will present different methods of new technology related to hemodynamic and cardiac output monitoring.