Cerebral and somatic rSO2 in sick preterm infants

Near infrared spectroscopy (NIRS) measures the regional tissue oxygen saturation (rSO2) of various organs and provides a reflection of the balance between tissue oxygen supply and demand. Oxymetry assessed via NIRS has been proposed as a ‘standard of care’ and today it is already widely used in the NICU. This approach allows detection of any acute change in cerebral haemodynamics and continuous monitoring of cerebral and somatic oxygenation. This work describes three clinical cases of preterm VLBW infants which showed special points of interest during both cerebral and somatic NIRS monitoring.

[1]  B. Sood,et al.  Noninvasive evaluation of splanchnic tissue oxygenation using near-infrared spectroscopy in preterm neonates , 2011, The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians.

[2]  A. Mittnacht,et al.  Near infrared spectroscopy in children at high risk of low perfusion , 2010, Current opinion in anaesthesiology.

[3]  Y. Durandy,et al.  Near Infrared Spectroscopy during pediatric cardiac surgery: errors and pitfalls , 2011, Perfusion.

[4]  J. Tweddell,et al.  Noninvasive assessment of cardiac output. , 2005, Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual.

[5]  J. Ausman,et al.  Cerebral and somatic venous oximetry in adults and infants , 2010, Surgical neurology international.

[6]  C. Roll,et al.  Cerebral blood volume changes during closure by surgery of patent ductus arteriosus , 2007, Archives of Disease in Childhood Fetal and Neonatal Edition.

[7]  A. Oestreich.  Neonatal colour Doppler ultrasound study: normal values of abdominal blood flow velocities in the neonate during the first month of life , 2010 .

[8]  Gorm Greisen,et al.  Monitoring of cerebral haemodynamics in newborn infants. , 2010, Early human development.

[9]  Turgut Durduran,et al.  Noninvasive cerebral perfusion imaging in high-risk neonates. , 2010, Seminars in perinatology.

[10]  Martin Wolf,et al.  Has the time come to use near-infrared spectroscopy as a routine clinical tool in preterm infants undergoing intensive care? , 2011, Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences.

[11]  S. Chida,et al.  Cardiocirculatory effects of patent ductus arteriosus in extremely low‐birth‐weight infants with respiratory distress syndrome , 2003, Pediatrics international : official journal of the Japan Pediatric Society.

[12]  M. Ferrari,et al.  Surgical closure of patent ductus arteriosus reduces the cerebral tissue oxygenation index in preterm infants: a near‐infrared spectroscopy and Doppler study , 2006, Pediatrics international : official journal of the Japan Pediatric Society.