Measuring Cardiac Output in Children in Intensive Care Using a Metabolic Monitor Compared to Echocardiography

What this Trial Is About

Cardiac output measurement is an important hemodynamic parameter frequently used in pediatric intensive care units ICUs. This trial aims to evaluate the feasibility of measuring cardiac output using Ficks method, a non-invasive technique that allows continuous monitoring, compared to the standard echocardiography method which is operator-dependent and cannot provide continuous data. The study is sponsored by University Hospital, Montpellier, and focuses on pediatric ICU patients under 18 years old. The study involves two diagnostic tests cardiac output measurement by Ficks method using a metabolic monitor and measurement by echocardiography. Patients under 18 admitted to the pediatric ICU who meet specific criteria will be monitored using both methods. This comparison will assess the correlation between the two measures up to day 3 of monitoring. Participants will be monitored for cardiac output variations before and after a Leg Raise Test, and adverse events will be recorded on catheterization and catheter removal days, up to 21 days. The primary outcome is the agreement between cardiac output measurements by both methods within the first three days. The total participation involves close monitoring and safety assessments during their ICU stay until study completion in 2025.

Cardiac Output Measurement in Pediatric Intensive Care Unit by Metabolic Monitor (Fick Method) (PEDIA-FICK-ICU)