The Role of Regional Oxygen Saturation Using Near-Infrared Spectroscopy and Blood Lactate Levels as Early Predictors of Outcome After Pediatric Cardiac Surgery

2016 ◽  
Vol 32 (8) ◽  
pp. 970-977 ◽  
Author(s):  
Vladimiro L. Vida ◽  
Chiara Tessari ◽  
Alessia Cristante ◽  
Roberta Nori ◽  
Demetrio Pittarello ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Infrared Spectroscopy ◽  
Oxygen Saturation ◽  
Near Infrared Spectroscopy ◽  
Near Infrared ◽  
Predictors Of Outcome ◽  
Early Predictors ◽  
Lactate Levels ◽  
Blood Lactate Levels

scholarly journals Near-infrared spectroscopy monitoring tissue oxygen saturation after cardiac surgery

Critical Care ◽  
2009 ◽  
Vol 13 (Suppl 1) ◽  
pp. P239
Author(s):  
R Kopp ◽  
S Rex ◽  
K Dommann ◽  
G Schälte ◽  
G Dohmen ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Infrared Spectroscopy ◽  
Oxygen Saturation ◽  
Near Infrared Spectroscopy ◽  
Near Infrared ◽  
Tissue Oxygen Saturation ◽  
Tissue Oxygen

The Role of Cerebral Oxygen Saturation Measured by Near-Infrared Spectroscopy (NIRS) in Evaluating Pediatric Shock Resuscitation Outcome

2021 ◽  
Vol 71 (4) ◽  
pp. 158-160
Author(s):  
Arifah Nur Shadrina ◽  
Irene Yuniar
Keyword(s):  
Infrared Spectroscopy ◽  
Oxygen Saturation ◽  
Near Infrared Spectroscopy ◽  
Near Infrared ◽  
Anaerobic Metabolism ◽  
Primary Objective ◽  
Cerebral Oxygen Saturation ◽  
Cerebral Oxygen ◽  
Public Health Importance

Shock in children remains public health importance and causes significant morbidity and mortality worldwide. Hypoperfusion in shock results in decreased oxygen delivery to the tissues, causing a shift from more efficient aerobic pathways to anaerobic metabolism, which results in lactate as the end product. Unlike blood lactate measurement, near-infrared spectroscopy (NIRS) monitoring system is safe and easy to use in measuring tissue oxygenation non-invasively. However, NIRS monitoring has yet to be validated against a standard measure of regional oxygenation. The primary objective of this article is to review the role of cerebral oxygen saturation (rSO2) measured by NIRS in evaluating the outcome of pediatric shock resuscitation.

Role of near infrared spectroscopy in pediatric cardiac surgery

2010 ◽  
Vol 29 (2) ◽  
pp. 93-96 ◽  
Author(s):  
Jennifer C. Hirsch ◽  
John R. Charpie ◽  
James G. Gurney ◽  
Richard G. Ohye
Keyword(s):  
Cardiac Surgery ◽  
Infrared Spectroscopy ◽  
Near Infrared Spectroscopy ◽  
Near Infrared ◽  
Pediatric Cardiac Surgery

scholarly journals Mesenteric near-infrared spectroscopy and risk of gastrointestinal complications in infants undergoing surgery for congenital heart disease

2015 ◽  
Vol 26 (4) ◽  
pp. 772-780 ◽  
Author(s):  
Ilias Iliopoulos ◽  
Ricardo G. Branco ◽  
Nadine Brinkhuis ◽  
Anke Furck ◽  
Joan LaRovere ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Infrared Spectroscopy ◽  
Oxygen Saturation ◽  
Near Infrared Spectroscopy ◽  
Enteral Feeding ◽  
Near Infrared ◽  
Characteristic Curve ◽  
Blood Gases ◽  
Gastrointestinal Complications ◽  
Arterial Blood

AbstractWe hypothesised that lower mesenteric near-infrared spectroscopy values would be associated with a greater incidence of gastrointestinal complications in children weighing <10 kg who were recovering from cardiac surgery. We evaluated mesenteric near-infrared spectroscopy, central venous oxygen saturation, and arterial blood gases for 48 hours post-operatively. Enteral feeding intake, gastrointestinal complications, and markers of organ dysfunction were monitored for 7 days. A total of 50 children, with median age of 16.7 (3.2–31.6) weeks, were studied. On admission, the average mesenteric near-infrared spectroscopy value was 71±18%, and the systemic oxygen saturation was 93±7.5%. Lower admission mesenteric near-infrared spectroscopy correlated with longer time to establish enteral feeds (r=−0.58, p<0.01) and shorter duration of feeds at 7 days (r=0.48, p<0.01). Children with gastrointestinal complications had significantly lower admission mesenteric near-infrared spectroscopy (58±18% versus 73±17%, p=0.01) and higher mesenteric arteriovenous difference of oxygen at admission [39 (23–47) % versus 19 (4–27) %, p=0.02]. Based on multiple logistic regression, admission mesenteric near-infrared spectroscopy was independently associated with gastrointestinal complications (Odds ratio, 0.95; 95% confidence interval, 0.93–0.97; p=0.03). Admission mesenteric near-infrared spectroscopy showed an area under the receiver operating characteristic curve of 0.76 to identify children who developed gastrointestinal complications, with a suggested cut-off value of 72% (78% sensitivity, 68% specificity). In this pilot study, we conclude that admission mesenteric near-infrared spectroscopy is associated with gastrointestinal complications and enteral feeding tolerance in children after cardiac surgery.

Sign in / Sign up

Export Citation Format

Share Document