Journal article
A recommendation for the use of electrical biosensing technology in neonatology
Pediatric research, Vol.97(2), pp.510-523
02/2025
DOI: 10.1038/s41390-024-03369-z
PMCID: PMC12015118
PMID: 38977797
Abstract
Non-invasive cardiac output monitoring, via electrical biosensing technology (EBT), provides continuous, multi-parameter hemodynamic variable monitoring which may allow for timely identification of hemodynamic instability in some neonates, providing an opportunity for early intervention that may improve neonatal outcomes. EBT encompasses thoracic (TEBT) and whole body (WBEBT) methods. Despite the lack of relative accuracy of these technologies, as compared to transthoracic echocardiography, the use of these technologies in neonatology, both in the research and clinical arena, have increased dramatically over the last 30 years. The European Society of Pediatric Research Special Interest Group in Non-Invasive Cardiac Output Monitoring, a group of experienced neonatologists in the field of EBT, deemed it appropriate to provide recommendations for the use of TEBT and WBEBT in the field of neonatology. Although TEBT is not an accurate determinant of cardiac output or stroke volume, it may be useful for monitoring longitudinal changes of hemodynamic parameters. Few recommendations can be made for the use of TEBT in common neonatal clinical conditions. It is recommended not to use WBEBT to monitor cardiac output. The differences in technologies, study methodologies and data reporting should be addressed in ongoing research prior to introducing EBT into routine practice. IMPACT STATEMENT: TEBT is not recommended as an accurate determinant of cardiac output (CO) (or stroke volume (SV)). TEBT may be useful for monitoring longitudinal changes from baseline of hemodynamic parameters on an individual patient basis. TEBT-derived thoracic fluid content (TFC) longitudinal changes from baseline may be useful in monitoring progress in respiratory disorders and circulatory conditions affecting intrathoracic fluid volume. Currently there is insufficient evidence to make any recommendations regarding the use of WBEBT for CO monitoring in neonates. Further research is required in all areas prior to the implementation of these monitors into routine clinical practice.Non-invasive cardiac output monitoring, via electrical biosensing technology (EBT), provides continuous, multi-parameter hemodynamic variable monitoring which may allow for timely identification of hemodynamic instability in some neonates, providing an opportunity for early intervention that may improve neonatal outcomes. EBT encompasses thoracic (TEBT) and whole body (WBEBT) methods. Despite the lack of relative accuracy of these technologies, as compared to transthoracic echocardiography, the use of these technologies in neonatology, both in the research and clinical arena, have increased dramatically over the last 30 years. The European Society of Pediatric Research Special Interest Group in Non-Invasive Cardiac Output Monitoring, a group of experienced neonatologists in the field of EBT, deemed it appropriate to provide recommendations for the use of TEBT and WBEBT in the field of neonatology. Although TEBT is not an accurate determinant of cardiac output or stroke volume, it may be useful for monitoring longitudinal changes of hemodynamic parameters. Few recommendations can be made for the use of TEBT in common neonatal clinical conditions. It is recommended not to use WBEBT to monitor cardiac output. The differences in technologies, study methodologies and data reporting should be addressed in ongoing research prior to introducing EBT into routine practice. IMPACT STATEMENT: TEBT is not recommended as an accurate determinant of cardiac output (CO) (or stroke volume (SV)). TEBT may be useful for monitoring longitudinal changes from baseline of hemodynamic parameters on an individual patient basis. TEBT-derived thoracic fluid content (TFC) longitudinal changes from baseline may be useful in monitoring progress in respiratory disorders and circulatory conditions affecting intrathoracic fluid volume. Currently there is insufficient evidence to make any recommendations regarding the use of WBEBT for CO monitoring in neonates. Further research is required in all areas prior to the implementation of these monitors into routine clinical practice.
Details
- Title: Subtitle
- A recommendation for the use of electrical biosensing technology in neonatology
- Creators
- Lizelle van Wyk - Stellenbosch UniversityTopun Austin - Cambridge University Hospitals NHS Foundation TrustBernard Barzilay - Assaf Harofeh Medical CenterMaria Carmen Bravo - Hospital Universitario La PazMorten Breindahl - Copenhagen University HospitalChristoph Czernik - Charité - Universitätsmedizin BerlinEugene Dempsey - University College CorkWillem-Pieter de Boode - Radboud University Medical CenterWillem de Vries - Utrecht UniversityBeate Horsberg Eriksen - Norwegian University of Science and TechnologyJean-Claude Fauchére - University of ZurichElisabeth M W Kooi - University of GroningenPhilip T Levy - Harvard Medical SchoolPatrick J McNamara - University of IowaSubhabrata Mitra - University College LondonEirik Nestaas - Norwegian University of Science and TechnologyHeike Rabe - University of SussexYacov Rabi - University of CalgarySheryle R Rogerson - The University of MelbourneMarilena Savoia - Ospedale Santa Maria della Misericordia di UdineFrederico Schena - Fondazione IRCCS Ca' Granda Ospedale Maggiore PoliclinicoArvind Sehgal - Monash Children’s HospitalChristoph E Schwarz - Heidelberg UniversityUlrich Thome - Leipzig UniversityDavid van Laere - Ziekenhuisnetwerk Antwerpen StuivenbergGabriela C Zaharie - Iuliu Hațieganu University of Medicine and PharmacySamir Gupta - Durham UniversityESPR Special Interest Group on Non-Invasive Cardiac Output Monitoring
- Resource Type
- Journal article
- Publication Details
- Pediatric research, Vol.97(2), pp.510-523
- DOI
- 10.1038/s41390-024-03369-z
- PMID
- 38977797
- PMCID
- PMC12015118
- NLM abbreviation
- Pediatr Res
- ISSN
- 1530-0447
- eISSN
- 1530-0447
- Language
- English
- Electronic publication date
- 07/08/2024
- Date published
- 02/2025
- Academic Unit
- Stead Family Department of Pediatrics; Neonatology; Internal Medicine
- Record Identifier
- 9984656559002771
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