Near-infrared spectroscopy for perioperative assessment and neonatal interventions.

Autor: Levy PT; Department of Pediatrics, Harvard Medical School and Division of Newborn Medicine, Boston Children's Hospital, Boston, MA, USA. philip.levy@childrens.harvard.edu., Pellicer A; Department of Neonatology, La Paz University Hospital, Madrid, Spain., Schwarz CE; Department of Neonatology, University Children's Hospital, Tübingen, Germany.; Infant Research centre, University College Cork Ireland, Cork, Ireland., Neunhoeffer F; Department of Pediatric Cardiology, Pulmonology and Pediatric Intensive Care Medicine, University Children's Hospital Tübingen, Hoppe-Seyler-Str. 1, 72076, Tübingen, Germany., Schuhmann MU; Department of Neurosurgery, University Hospital Tübingen, 72076, Tübingen, Germany., Breindahl M; Department of Neonatology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark., Fumagelli M; NICU, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy.; Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milano, Italy., Mintzer J; Division of Newborn Medicine, Department of Pediatrics, Mountainside Medical Center, Montclair, NJ, USA., de Boode W; Department of Neonatology, Radboud University Medical Center, Radboud Institute for Health Sciences, Amalia Children's Hospital, Nijmegen, The Netherlands.
Jazyk: angličtina
Zdroj: Pediatric research [Pediatr Res] 2024 Sep; Vol. 96 (4), pp. 922-932. Date of Electronic Publication: 2021 Oct 29.
DOI: 10.1038/s41390-021-01791-1
Abstrakt: Perioperative applications of near-infrared spectroscopy (NIRS) to monitor regional tissue oxygenation and perfusion in cardiac and noncardiac surgery are of increasing interest in neonatal care. Complex neonatal surgery can impair adequate oxygen delivery and tissue oxygen consumption and increase the risk of neurodevelopmental delay. Coupled with conventional techniques, NIRS monitoring may enable targeted hemodynamic management of the circulation in both cardiac and noncardiac surgical procedures. In this narrative review, we discuss the application of perioperative NIRS in specific neonatal interventions, including surgical intervention for congenital heart defects, definitive closure of the patent ductus arteriosus, neurological and gastrointestinal disorders, and use of extracorporeal membrane oxygenation. We identified areas for future research within disease-specific indications and offer a roadmap to aid in developing evidence-based targeted diagnostic and management strategies in neonates. IMPACT: There is growing recognition that perioperative NIRS monitoring, used in conjunction with conventional monitoring, may provide critical hemodynamic information that either complements clinical impressions or delivers novel physiologic insight into the neonatal circulatory and perfusion pathways.
(© 2021. The Author(s), under exclusive licence to the International Pediatric Research Foundation, Inc.)
Databáze: MEDLINE
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