Interpretation of Cerebral Oxygenation Changes in the Preterm Infant
Near-infrared spectroscopy (NIRS) allows for continuous, non-invasive monitoring of end-organ tissue oxygenation. The use of NIRS, cerebral NIRS (cNIRS) in particular, in neonatal care has increased significantly over the last few years. This dynamic monitoring technique provides real-time informati...
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MDPI AG
2018-07-01
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Series: | Children |
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Online Access: | http://www.mdpi.com/2227-9067/5/7/94 |
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author | Aisling A. Garvey Elisabeth M. W. Kooi Aisling Smith Eugene M. Dempsey |
author_facet | Aisling A. Garvey Elisabeth M. W. Kooi Aisling Smith Eugene M. Dempsey |
author_sort | Aisling A. Garvey |
collection | DOAJ |
description | Near-infrared spectroscopy (NIRS) allows for continuous, non-invasive monitoring of end-organ tissue oxygenation. The use of NIRS, cerebral NIRS (cNIRS) in particular, in neonatal care has increased significantly over the last few years. This dynamic monitoring technique provides real-time information on the cerebral and haemodynamic status of the neonate and has the potential to serve as an important adjunct to patient care with some centres routinely utilising cNIRS to aid decision-making at the bedside. cNIRS values may be influenced by many variables, including cardiac, respiratory and metabolic parameters, and therefore it is essential to understand the pathophysiology behind alterations in cNIRS values. Correct interpretation is required to direct appropriate patient-specific interventions. This article aims to assist clinicians in deciphering cNIRS values by providing an overview of potential causes of fluctuations in cNIRS values, illustrated by common clinical scenarios, with particular emphasis on the preterm infant. |
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format | Article |
id | doaj.art-cf398cbbd1484e40ad15d8185e10607e |
institution | Directory Open Access Journal |
issn | 2227-9067 |
language | English |
last_indexed | 2024-12-16T06:39:45Z |
publishDate | 2018-07-01 |
publisher | MDPI AG |
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series | Children |
spelling | doaj.art-cf398cbbd1484e40ad15d8185e10607e2022-12-21T22:40:43ZengMDPI AGChildren2227-90672018-07-01579410.3390/children5070094children5070094Interpretation of Cerebral Oxygenation Changes in the Preterm InfantAisling A. Garvey0Elisabeth M. W. Kooi1Aisling Smith2Eugene M. Dempsey3Department of Paediatrics and Child Health, Neonatal Intensive Care Unit, University College Cork, T12 YE02 Cork, IrelandDepartment of Paediatrics and Child Health, Neonatal Intensive Care Unit, University College Cork, T12 YE02 Cork, IrelandDepartment of Paediatrics and Child Health, Neonatal Intensive Care Unit, University College Cork, T12 YE02 Cork, IrelandDepartment of Paediatrics and Child Health, Neonatal Intensive Care Unit, University College Cork, T12 YE02 Cork, IrelandNear-infrared spectroscopy (NIRS) allows for continuous, non-invasive monitoring of end-organ tissue oxygenation. The use of NIRS, cerebral NIRS (cNIRS) in particular, in neonatal care has increased significantly over the last few years. This dynamic monitoring technique provides real-time information on the cerebral and haemodynamic status of the neonate and has the potential to serve as an important adjunct to patient care with some centres routinely utilising cNIRS to aid decision-making at the bedside. cNIRS values may be influenced by many variables, including cardiac, respiratory and metabolic parameters, and therefore it is essential to understand the pathophysiology behind alterations in cNIRS values. Correct interpretation is required to direct appropriate patient-specific interventions. This article aims to assist clinicians in deciphering cNIRS values by providing an overview of potential causes of fluctuations in cNIRS values, illustrated by common clinical scenarios, with particular emphasis on the preterm infant.http://www.mdpi.com/2227-9067/5/7/94near-infrared spectroscopyNIRScerebral oxygenationend-organ tissue oxygenationneonatepretermindividualised patient care |
spellingShingle | Aisling A. Garvey Elisabeth M. W. Kooi Aisling Smith Eugene M. Dempsey Interpretation of Cerebral Oxygenation Changes in the Preterm Infant Children near-infrared spectroscopy NIRS cerebral oxygenation end-organ tissue oxygenation neonate preterm individualised patient care |
title | Interpretation of Cerebral Oxygenation Changes in the Preterm Infant |
title_full | Interpretation of Cerebral Oxygenation Changes in the Preterm Infant |
title_fullStr | Interpretation of Cerebral Oxygenation Changes in the Preterm Infant |
title_full_unstemmed | Interpretation of Cerebral Oxygenation Changes in the Preterm Infant |
title_short | Interpretation of Cerebral Oxygenation Changes in the Preterm Infant |
title_sort | interpretation of cerebral oxygenation changes in the preterm infant |
topic | near-infrared spectroscopy NIRS cerebral oxygenation end-organ tissue oxygenation neonate preterm individualised patient care |
url | http://www.mdpi.com/2227-9067/5/7/94 |
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