Precision of measurement of cerebral tissue oxygenation index using near-infrared spectroscopy in preterm neonates

2006 ◽  
Vol 11 (5) ◽  
pp. 054005 ◽  
Author(s):  
Line C. Sorensen ◽  
Gorm Greisen
Keyword(s):  
Infrared Spectroscopy ◽  
Near Infrared Spectroscopy ◽  
Near Infrared ◽  
Tissue Oxygenation ◽  
Oxygenation Index ◽  
Preterm Neonates ◽  
Cerebral Tissue ◽  
Tissue Oxygenation Index ◽  
Cerebral Tissue Oxygenation

scholarly journals Near-infrared spectroscopy monitoring during immediate transition after birth: time to obtain cerebral tissue oxygenation

2017 ◽  
Vol 32 (3) ◽  
pp. 465-469 ◽  
Author(s):  
Evelyn Ziehenberger ◽  
Berndt Urlesberger ◽  
Corinna Binder-Heschl ◽  
Bernhard Schwaberger ◽  
Nariae Baik-Schneditz ◽  
...  
Keyword(s):  
Infrared Spectroscopy ◽  
Near Infrared Spectroscopy ◽  
Near Infrared ◽  
Tissue Oxygenation ◽  
Cerebral Tissue ◽  
Cerebral Tissue Oxygenation ◽  
Immediate Transition ◽  
Birth Time

Near-infrared spectroscopy monitoring during out-of-hospital cardiac arrest: can the initial cerebral tissue oxygenation index predict ROSC?

2018 ◽  
pp. emermed-2018-207533
Author(s):  
Jumpei Tsukuda ◽  
Shigeki Fujitani ◽  
Kenichiro Morisawa ◽  
Nobuhiko Shimozawa ◽  
Brandon D Lohman ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Infrared Spectroscopy ◽  
Near Infrared Spectroscopy ◽  
Near Infrared ◽  
Tissue Oxygenation ◽  
Oxygenation Index ◽  
Patient Death ◽  
Clinical Factor ◽  
Tissue Oxygenation Index ◽  
Hospital Cardiac Arrest

Study objectivesNear-infrared spectroscopy is a modality that can monitor tissue oxygenation index (TOI) and has potential to evaluate return of spontaneous circulation (ROSC) during cardiopulmonary resuscitation (CPR). This study’s objectives were to evaluate whether TOI could be associated with ROSC and used to help guide the decision to either terminate CPR or proceed to extracorporeal CPR (ECPR).MethodsIn this observational study, we assessed the patients with out-of-hospital cardiac arrest with non-traumatic cause receiving CPR on arrival at our ED between 2013 and 2016. TOI monitoring was discontinued either on CPR termination after ROSC was reached or on patient death. Patients were classified into two groups: ROSC and non-ROSC group.ResultsOut of 141 patients, 24 were excluded and the remaining 117 were classified as follows: ROSC group (n=44) and non-ROSC group (n=73). ROSC group was significantly younger and more likely to have their event witnessed and bystander CPR. ROSC group showed a higher initial TOI than non-ROSC group (60.5%±17.0% vs 37.9%±13.7%: p<0.01). Area under the curve analysis was more accurate with the initial TOI than without it for predicting ROSC (0.88, 95% CI 0.82 to 0.95 vs 0.79, 95% CI 0.70 to 0.87: p<0.01). TOI cut-off value ≥59% appeared to favour survival to hospital discharge whereas TOI ≤24% was associated with non-ROSC.ConclusionsThis study demonstrated an association between higher initial TOI and ROSC. Initial TOI could increase the accuracy of ROSC prognosis and may be a clinical factor in the decision to terminate CPR and select patients who are to proceed to ECPR.

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