Utility of NICaS Non-Invasive Hemodynamic Monitoring in Critically Ill Patients with COVID-19

(1) : COVID-19 presented many challenges to effective treatments, such as managing cardiovascular insufficiency while mitigating risks to healthcare providers. This study utilized NICaS, a non-invasive hemodynamic monitor that provides advanced data via whole-body impedance analysis. We investigated...

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Bibliographic Details
Published in:Journal of clinical medicine 2024-04, Vol.13 (7), p.2072
Main Authors: Zabeeda, Wisam, Cohen, Jonah Benjamin, Reiner Benaim, Anat, Zarour, Shiri, Lichter, Yael, Matot, Idit, Goren, Or
Format: Article
Language:English
Subjects:
Care and treatment
Coronaviruses
COVID-19
Critically ill
Equipment and supplies
Hemodynamic monitoring
Hemodynamics
Hospitalization
Hospitals
Medical personnel
Mortality
Pandemics
Patients
Software
Trends
Variables
Ventilators
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Summary:(1) : COVID-19 presented many challenges to effective treatments, such as managing cardiovascular insufficiency while mitigating risks to healthcare providers. This study utilized NICaS, a non-invasive hemodynamic monitor that provides advanced data via whole-body impedance analysis. We investigated the associated trends in hemodynamic parameters obtained by the NICaS device and their correlation with in-hospital all-cause mortality during COVID-19 hospitalization in the intensive care unit. (2) Data from 29 patients with COVID-19 admitted to the intensive care unit and monitored with NICaS between April 2020 and February 2021 were analyzed retrospectively. (3) Decreasing cardiac output and cardiac power were significantly associated with death. Total peripheral resistance was significantly increasing in non-survivors as was total body water percentage. Those admitted with a heart rate above 90 beats per minute had a significantly reduced survival. (4) Non-invasive hemodynamic monitoring via the NICaS device is simple and effective in evaluating critically ill patients with COVID-19 and may help guide clinical management via remote monitoring. Controlling tachycardia may help ensure adequate oxygen supply-demand ratio. A hint toward a beneficiary effect of a restrictive fluid balance may be observed.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm13072072