Peripheral Muscle Near-Infrared Spectroscopy in Neonates: Ready for Clinical Use? A Systematic Qualitative Review of the Literature

Neonatology ◽  
2015 ◽  
Vol 108 (4) ◽  
pp. 233-245 ◽  
Author(s):  
Nina Höller ◽  
Berndt Urlesberger ◽  
Lukas Mileder ◽  
Nariae Baik ◽  
Bernhard Schwaberger ◽  
...  
2021 ◽  
Vol 9 ◽  
Author(s):  
Ena Pritišanac ◽  
Berndt Urlesberger ◽  
Bernhard Schwaberger ◽  
Gerhard Pichler

Fetal hemoglobin (HbF) is a principal oxygen carrier in the blood of preterm and term neonates. Compared to adult hemoglobin, it has a significantly higher affinity for oxygen and its oxyhemoglobin dissociation curve (ODC) is left-shifted accordingly. Tissue oxygenation measured with near-infrared spectroscopy (NIRS) during neonatal intensive care is directly affected by hemoglobin concentration. We performed a systematic qualitative review regarding the impact of HbF on tissue oxygenation monitoring by NIRS. The PubMed/Medline, EMBASE, Cochrane library and CINAHL databases were searched from inception to May 2021 for studies relating to HbF and NIRS in preterm and term neonates in the first days and weeks after birth. Out of 1,429 eligible records, four observational studies were included. Three studies found no effect of HbF on cerebral tissue oxygenation. One peripheral NIRS study found a positive correlation between HbF and peripheral fractional oxygen extraction (FOE). Currently available limited data suggest that FHbF could affect peripheral muscle FOE, but seems not to affect cerebral oxygenation in preterm neonates. More studies are needed to draw a final conclusion on this matter, especially concerning the oxygenation changes driven by adult RBC transfusions.


2000 ◽  
Vol 54 (2) ◽  
pp. 300-304 ◽  
Author(s):  
Denis Lafrance ◽  
Larry C. Lands ◽  
Laura Hornby ◽  
David H. Burns

A method based on near-infrared spectroscopy (NIRS) is presented, which provides a rapid analysis of lactate in plasma. In order to test the technique, NIRS analysis and enzymatic measurements were made on plasma samples taken from exercising humans. A correlation coefficient of 0.995 and a standard error of 0.51 mmol/L were found between the enzymatic and the NIR results. This standard error is within the range needed for real-time monitoring of lactate in plasma for exercising studies. In the future, this technique may provide a valuable tool to assess physiological status for research and clinical use.


Shock ◽  
2018 ◽  
Vol 50 (1) ◽  
pp. 87-95 ◽  
Author(s):  
Diego Orbegozo ◽  
Fuhong Su ◽  
Keliang Xie ◽  
Lokmane Rahmania ◽  
Fabio Silvio Taccone ◽  
...  

PeerJ ◽  
2018 ◽  
Vol 6 ◽  
pp. e4393 ◽  
Author(s):  
Ben Jones ◽  
Dave Parry ◽  
Chris E. Cooper

The development of an underwater near-infrared spectroscopy (uNIRS) device has enabled previously unattainable measurements of peripheral muscle hemodynamics and oxygenation to be taken within the natural aquatic environment. The purposes of this study were (i) to trial the use of uNIRS, in a real world training study, and (ii) to monitor the effects of a swim training program upon muscle oxygenation status in short distance swimming. A total of 14 junior club level swimmers completed a repeated swim sprint test before and after an eight week endurance training program. A waterproof, portable Near-Infrared Spectroscopy device was attached to the vastus lateralis. uNIRS successfully measured changes in muscle oxygenation and blood volume in all individuals; rapid sub-second time resolution of the device was able to demonstrate muscle oxygenation changes during the characteristic swim movements. Post training heart rate recovery and swim performance time were significantly improved. uNIRS data also showed significant changes. A larger rise in deoxyhemoglobin during individual sprints suggested training induced an increase in muscle oxygen extraction; a faster recovery time for muscle oxygenation suggested positive training induced changes and significant changes in muscle blood flow also occur. As a strong correlation was seen between an increased reoxygenation rate and an improved swim performance time, these findings support the use of uNIRS as a new performance analysis tool in swimming.


2010 ◽  
Vol 56 (4) ◽  
pp. 314 ◽  
Author(s):  
Carl J. Schultz ◽  
Patrick W. Serruys ◽  
Martin van der Ent ◽  
Jurgen Ligthart ◽  
Frits Mastik ◽  
...  

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