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Cardiopulmonary interaction plays an essential role in critically ill pediatric patients. Accurate assessment of cardiac output and myocardial function has been considered vital in the successful treatment of any such patients. There are several techniques for monitoring cardiac output in seriously ill patients. The use of transpulmonary thermodilution technique for cardiac output measurements via in-dwelling pulmonary arterial catheter is considered one of the most reliable methods of hemodynamic monitoring in paediatric patients.

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