Near-infrared spectroscopy Technique, development, current use and perspectives

被引:0
作者
Bolkenius, D. [1 ]
Dumps, C. [1 ]
Rupprecht, B. [1 ]
机构
[1] Univ Klinikum Augsburg, Klin Anasthesiol & Operat Intens Med, Stenglinstr 2, D-86156 Augsburg, Germany
来源
ANAESTHESIST | 2021年 / 70卷 / 03期
关键词
Cerebral perfusion; Oxygenation; Cardiac surgical procedures; Vascular surgery; Infant; CEREBRAL OXYGEN-SATURATION; SPINAL-CORD ISCHEMIA; CARDIAC-SURGERY; TISSUE OXYGENATION; SEVOFLURANE ANESTHESIA; THORACOSCOPIC REPAIR; REGIONAL ANESTHESIA; GENERAL-ANESTHESIA; BRAIN OXYGENATION; PRETERM INFANTS;
D O I
10.1007/s00101-020-00837-z
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Near-infrared spectroscopy (NIRS) has been available in research and clinical practice for more than four decades. Recently, there have been numerous publications and substantial developments in the field. This article describes the clinical application of NIRS in relation to current guidelines, with a focus on pediatric and cardiac anesthesia. It discusses technical and physiological principles, pitfalls in clinical use and presents (patho)physiological influencing factors and derived variables, such as fractional oxygen extraction (FOE) and the cerebral oxygen index (COx). Recommendations for the interpretation of NIRS values in connection with influencing factors, such as oxygen transport capacity, gas exchange and circulation as well as an algorithm for cardiac anesthesia are presented. Limitations of the method and the lack of comparability of values from different devices as well as generally accepted standard values are explained. Technical differences and advantages compared to pulse oxymetry and transcranial Doppler sonography are illuminated. Finally, the prognostic significance and requirements for future clinical studies are discussed.
引用
收藏
页码:190 / 203
页数:14
相关论文
共 131 条
  • [1] Low Cerebral Oxygenation in Preterm Infants Is Associated with Adverse Neurodevelopmental Outcome
    Alderliesten, Thomas
    van Bel, Frank
    van der Aa, Niek E.
    Steendijk, Paul
    van Haastert, Ingrid C.
    de Vries, Linda S.
    Groenendaal, Floris
    Lemmers, Petra
    [J]. JOURNAL OF PEDIATRICS, 2019, 207 : 109 - 116
  • [2] The correlation between brain near-infrared spectroscopy and cerebral blood flow in piglets with intracranial hypertension
    Alosh, Humam
    Ramirez, Alma
    Mink, Richard
    [J]. JOURNAL OF APPLIED PHYSIOLOGY, 2016, 121 (01) : 255 - 260
  • [3] Cerebral tissue oxygenation index and lactate at 24 hours postoperative predict survival and neurodevelopmental outcome after neonatal cardiac surgery
    Aly, Safwat A.
    Zurakowski, David
    Glass, Penny
    Skurow-Todd, Kami
    Jonas, Richard A.
    Donofrio, Mary T.
    [J]. CONGENITAL HEART DISEASE, 2017, 12 (02) : 188 - 195
  • [4] Andersen Adam Vittrup, 2018, Neurophotonics, V5, P030901, DOI 10.1117/1.NPh.5.3.030901
  • [5] Spinal cord perfusion protection for thoraco-abdominal aortic aneurysm surgery
    Arora, Lovkesh
    Hosn, Maen Aboul
    [J]. CURRENT OPINION IN ANESTHESIOLOGY, 2019, 32 (01) : 72 - 79
  • [6] Use of Spinal Near-Infrared Spectroscopy for Monitoring Spinal Cord Perfusion During Endovascular Thoracic Aortic Repairs
    Badner, Neal H.
    Nicolaou, George
    Clarke, Colin F. M.
    Forbes, Thomas L.
    [J]. JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2011, 25 (02) : 316 - 319
  • [7] Packed Red Blood Cell Transfusion Increases Regional Cerebral and Splanchnic Tissue Oxygen Saturation in Anemic Symptomatic Preterm Infants
    Bailey, Sean M.
    Hendricks-Munoz, Karen D.
    Wells, John T.
    Mally, Pradeep
    [J]. AMERICAN JOURNAL OF PERINATOLOGY, 2010, 27 (06) : 445 - 453
  • [8] Becke K, 2013, ANAESTHESIST, V62, P101, DOI 10.1007/s00101-013-2143-4
  • [9] Tissue Oximetry and Clinical Outcomes
    Bickler, Philip
    Feiner, John
    Rollins, Mark
    Meng, Lingzhong
    [J]. ANESTHESIA AND ANALGESIA, 2017, 124 (01) : 72 - 82
  • [10] Hypercapnia and Acidosis During Open and Thoracoscopic Repair of Congenital Diaphragmatic Hernia and Esophageal Atresia Results of a Pilot Randomized Controlled Trial
    Bishay, Mark
    Giacomello, Luca
    Retrosi, Giuseppe
    Thyoka, Mandela
    Garriboli, Massimo
    Brierley, Joe
    Harding, Louise
    Scuplak, Stephen
    Cross, Kate M.
    Curry, Joe I.
    Kiely, Edward M.
    De Coppi, Paolo
    Eaton, Simon
    Pierro, Agostino
    [J]. ANNALS OF SURGERY, 2013, 258 (06) : 895 - 900