TY - JOUR
T1 - Near-infrared spectroscopy for perioperative assessment and neonatal interventions
AU - Levy, Philip T.
AU - Pellicer, Adelina
AU - Schwarz, Christoph E.
AU - Neunhoeffer, Felix
AU - Schuhmann, Martin U.
AU - Breindahl, Morten
AU - Fumagelli, Monica
AU - Mintzer, Jonathan
AU - de Boode, Willem P.
AU - Wong, Flora
AU - Wolf, Martin
AU - Urlesberger, Berndt
AU - Szczapa, Tomasz
AU - da Costa, Cristine Sortica
AU - Roll, Claudia
AU - Roehr, Charles Christoph
AU - Rhee, Christopher
AU - Pichler, Gerhard
AU - Naulaers, Gunnar
AU - Martini, Silvia
AU - Hansen, Mathias Luhr
AU - Liem, Kian D.
AU - Lemmers, Petra
AU - Lee-Summers, Jennifer
AU - Kooi, Elisabeth
AU - Kalish, Brian T.
AU - Hahn, Gitte Holst
AU - Gucuyener, Kivilcim
AU - Greisen, Gorm
AU - Fumagalli, Monica
AU - Ergenekon, Ebru
AU - Dempsey, Gene
AU - de Boode, Willem P.
AU - Bruckner, Marlies
AU - Austin, Topun
AU - Alderliesten, Thomas
AU - Alarcon, Ana
N1 - Publisher Copyright:
© The Author(s), under exclusive licence to the International Pediatric Research Foundation, Inc 2021.
PY - 2024/9
Y1 - 2024/9
N2 - Abstract: 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.
AB - Abstract: 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.
UR - http://www.scopus.com/inward/record.url?scp=85118353559&partnerID=8YFLogxK
U2 - 10.1038/s41390-021-01791-1
DO - 10.1038/s41390-021-01791-1
M3 - Article
C2 - 34716423
AN - SCOPUS:85118353559
SN - 0031-3998
VL - 96
SP - 922
EP - 932
JO - Pediatric Research
JF - Pediatric Research
IS - 4
ER -