Monitoring Cerebral Oxygenation in Neonates: An Update
نویسندگان
چکیده
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.
منابع مشابه
Corrigendum: Monitoring Cerebral Oxygenation in Neonates: An Update
[This corrects the article on p. 46 in vol. 5, PMID: 28352624.].
متن کاملCerebral Tissue Oxygenation during Immediate Neonatal Transition and Resuscitation
This article provides a review of cerebral tissue oxygenation during immediate transition after birth in human neonates. Recommended routine monitoring, especially if resuscitation is needed, during this period includes arterial oxygen saturation and heart rate measured by pulse oximetry and electrocardiogram. However, there is increasing interest to monitor in addition with near-infrared spect...
متن کاملNear-infrared spectroscopy: applications in neonates.
Near-infrared spectroscopy (NIRS) offers non-invasive, in-vivo, real-time monitoring of tissue oxygenation. Changes in regional tissue oxygenation as detected by NIRS may reflect the delicate balance between oxygen delivery and consumption. Originally used predominantly to assess cerebral oxygenation and perfusion perioperatively during cardiac and neurosurgery, and following head trauma, NIRS ...
متن کاملHow to monitor the brain during immediate neonatal transition and resuscitation? A systematic qualitative review of the literature.
BACKGROUND The brain is vulnerable to injury and dysfunction during transition after birth in neonates. Clinical assessment of the neurological status immediately following birth is difficult, especially during resuscitation. OBJECTIVE Our aim was to review physiological monitoring of the brain during immediate postnatal transition - the first 15 min after birth. METHODS A systematic search...
متن کاملNoninvasive cerebral perfusion imaging in high-risk neonates.
Advances in medical and surgical care of the high-risk neonate have led to increased survival. A significant number of these neonates suffer from neurodevelopmental delays and failure in school. The focus of clinical research has shifted to understanding events contributing to neurological morbidity in these patients. Assessing changes in cerebral oxygenation and regulation of cerebral blood fl...
متن کامل