Normal regional tissue oxygen saturation in neonates: a systematic qualitative review.

Autor: Bruckner M; Research Unit for Neonatal Micro- and Macrocirculation, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.; Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.; Centre for the Studies of Asphyxia and Resuscitation, Royal Alexandra Hospital, Edmonton, AB, Canada.; Department of Pediatrics, University of Alberta, Edmonton, AB, Canada., Wolfsberger CH; Research Unit for Neonatal Micro- and Macrocirculation, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.; Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria., Dempsey EM; Infant Centre and Department of Paediatrics and Child Health, University College Cork, College Road, Cork, Ireland., Liem KD; Department of Neonatology, Radboud University Medical Center, Radboud Institute for Health Sciences, Amalia Children's Hospital, Nijmegen, the Netherlands., Lemmers P; Department of Neonatology, Wilhelmina Children's Hospital University Medical Center, Utrecht, the Netherlands., Alderliesten T; Department of Neonatology, Wilhelmina Children's Hospital University Medical Center, Utrecht, the Netherlands., Alarcon A; Department of Neonatology, Hospital Universitari Sant Joan de Deu, Sant Joan de Deu Research Institute, Barcelona, Spain., Mintzer J; Division of Newborn Medicine, Department of Pediatrics, Mountainside Medical Center, Montclair, NJ, USA., de Boode WP; Department of Neonatology, Radboud University Medical Center, Radboud Institute for Health Sciences, Amalia Children's Hospital, Nijmegen, the Netherlands., Schmölzer GM; Centre for the Studies of Asphyxia and Resuscitation, Royal Alexandra Hospital, Edmonton, AB, Canada.; Department of Pediatrics, University of Alberta, Edmonton, AB, Canada., Pichler G; Research Unit for Neonatal Micro- and Macrocirculation, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria. gerhard.pichler@medunigraz.at.; Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria. gerhard.pichler@medunigraz.at.
Jazyk: angličtina
Zdroj: Pediatric research [Pediatr Res] 2024 Sep; Vol. 96 (4), pp. 844-855. Date of Electronic Publication: 2021 Oct 20.
DOI: 10.1038/s41390-021-01786-y
Abstrakt: Background: The aim of this systematic qualitative review was to give an overview of reference ranges defined as normal values or centile charts of regional tissue oxygen saturation measured by near-infrared spectroscopy (NIRS) in term and preterm neonates.
Methods: A systematic search of MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials was performed. Additional articles were identified by manual search of cited references. Only human studies in neonates were included.
Results: Nineteen studies were identified. Eight described regional tissue oxygen saturation during fetal-to-neonatal transition, six during the first 3 days after birth, four during the first 7 days after birth, and one during the first 8 weeks after birth. Nine described regional tissue oxygen saturation in term, nine in preterm neonates, and one in both. Eight studies published centile charts for cerebral regional tissue oxygen saturation, and only five included large cohorts of infants. Eleven studies described normal values for cerebral, muscle, renal, and abdominal regional tissue oxygen saturation, the majority with small sample sizes. Four studies of good methodological quality were identified describing centile charts of cerebral regional tissue oxygen saturation.
Conclusions: In clinical settings, quality centile charts are available and should be the preferred method when using NIRS monitoring.
Impact: Near-infrared spectroscopy (NIRS) enables a bed-side non-invasive continuous monitoring of tissue oxygenation. When using NIRS monitoring in a clinical setting, centile charts with good quality are available and should be preferred to normal values. High-quality reference ranges of regional tissue oxygenation in term and preterm born neonates are an important step toward routine clinical application of NIRS.
(© 2021. The Author(s), under exclusive licence to the International Pediatric Research Foundation, Inc.)
Databáze: MEDLINE
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