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

Wisam Zabeeda, Jonah Benjamin Cohen, Anat Reiner Benaim, Shiri Zarour, Yael Lichter, Idit Matot, Or Goren

Research output: Contribution to journalArticlepeer-review


(1) Background: 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) Methods: 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) Results: 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) Conclusions: 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.

Original languageEnglish
Article number2072
JournalJournal of Clinical Medicine
Issue number7
StatePublished - 1 Apr 2024


  • COVID-19
  • cardiac function
  • hemodynamic monitor

All Science Journal Classification (ASJC) codes

  • General Medicine


Dive into the research topics of 'Utility of NICaS Non-Invasive Hemodynamic Monitoring in Critically Ill Patients with COVID-19'. Together they form a unique fingerprint.

Cite this