Monitoring Cerebral Oxygenation in Neonates: An Update

Laura Marie Louise Dix; Frank van Bel; Petra Maria Anna Lemmers

doi:10.3389/fped.2017.00046

Monitoring Cerebral Oxygenation in Neonates: An Update

Laura Marie Louise Dix, Frank van Bel, Petra Maria Anna Lemmers

Research output: Contribution to journal › Review article › peer-review

Abstract

Cerebral oxygenation is not always reflected by systemic arterial oxygenation. Therefore, regional cerebral oxygen saturation (rScO2) monitoring with near-infrared spectroscopy (NIRS) is of added value in neonatal intensive care. rScO2 represents oxygen supply to the brain, while cerebral fractional tissue oxygen extraction, which is the ratio between rScO2 and systemic arterial oxygen saturation, reflects cerebral oxygen utilization. The balance between oxygen supply and utilization provides insight in neonatal cerebral (patho-)physiology. This review highlights the potential and limitations of cerebral oxygenation monitoring with NIRS in the neonatal intensive care unit.

Original language	English
Article number	46
Journal	Frontiers in Pediatrics
Volume	5
Issue number	march
DOIs	https://doi.org/10.3389/fped.2017.00046
Publication status	Published - 2017

Keywords

cerebral oxygenation
neonatal intensive care
neonatalneurology
neonates
near-infrared spectroscopy

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fped-05-00046Final published version, 697 KB

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title = "Monitoring Cerebral Oxygenation in Neonates: An Update",

abstract = "Cerebral oxygenation is not always reflected by systemic arterial oxygenation. Therefore, regional cerebral oxygen saturation (rScO2) monitoring with near-infrared spectroscopy (NIRS) is of added value in neonatal intensive care. rScO2 represents oxygen supply to the brain, while cerebral fractional tissue oxygen extraction, which is the ratio between rScO2 and systemic arterial oxygen saturation, reflects cerebral oxygen utilization. The balance between oxygen supply and utilization provides insight in neonatal cerebral (patho-)physiology. This review highlights the potential and limitations of cerebral oxygenation monitoring with NIRS in the neonatal intensive care unit.",

keywords = " cerebral oxygenation, neonatal intensive care, neonatalneurology, neonates, near-infrared spectroscopy",

author = "Dix, {Laura Marie Louise} and {van Bel}, Frank and Lemmers, {Petra Maria Anna}",

note = "Publisher Copyright: {\textcopyright} 2017 Dix, van Bel and Lemmers.",

year = "2017",

doi = "10.3389/fped.2017.00046",

language = "English",

volume = "5",

journal = "Frontiers in Pediatrics",

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publisher = "Frontiers Media S. A.",

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TY - JOUR

T1 - Monitoring Cerebral Oxygenation in Neonates

T2 - An Update

AU - Dix, Laura Marie Louise

AU - van Bel, Frank

AU - Lemmers, Petra Maria Anna

PY - 2017

Y1 - 2017

N2 - Cerebral oxygenation is not always reflected by systemic arterial oxygenation. Therefore, regional cerebral oxygen saturation (rScO2) monitoring with near-infrared spectroscopy (NIRS) is of added value in neonatal intensive care. rScO2 represents oxygen supply to the brain, while cerebral fractional tissue oxygen extraction, which is the ratio between rScO2 and systemic arterial oxygen saturation, reflects cerebral oxygen utilization. The balance between oxygen supply and utilization provides insight in neonatal cerebral (patho-)physiology. This review highlights the potential and limitations of cerebral oxygenation monitoring with NIRS in the neonatal intensive care unit.

AB - Cerebral oxygenation is not always reflected by systemic arterial oxygenation. Therefore, regional cerebral oxygen saturation (rScO2) monitoring with near-infrared spectroscopy (NIRS) is of added value in neonatal intensive care. rScO2 represents oxygen supply to the brain, while cerebral fractional tissue oxygen extraction, which is the ratio between rScO2 and systemic arterial oxygen saturation, reflects cerebral oxygen utilization. The balance between oxygen supply and utilization provides insight in neonatal cerebral (patho-)physiology. This review highlights the potential and limitations of cerebral oxygenation monitoring with NIRS in the neonatal intensive care unit.

KW - cerebral oxygenation

KW - neonatal intensive care

KW - neonatalneurology

KW - neonates

KW - near-infrared spectroscopy

U2 - 10.3389/fped.2017.00046

DO - 10.3389/fped.2017.00046

M3 - Review article

C2 - 28352624

SN - 2296-2360

VL - 5

JO - Frontiers in Pediatrics

JF - Frontiers in Pediatrics

IS - march

M1 - 46

ER -

Monitoring Cerebral Oxygenation in Neonates: An Update

Abstract

Keywords

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