Biomedical papers, 2017 (vol. 161), issue 2

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2017, 161(2):128-133 | 10.5507/bp.2017.012

Use of near-infrared spectroscopy (NIRS) in cerebral tissue oxygenation monitoring in neonates

Rene Gumulak, Lucia Casnocha Lucanova, Mirko Zibolen
Department of Neonatology, Jessenius Medical Faculty in Martin, Comenius University in Bratislava and University Hospital in Martin, Slovak Republic

Near-infrared spectroscopy (NIRS) is a technology capable of non-invasive, continuous measuring of regional tissue oxygen saturation (StO2). StO2 represents a state of hemodynamic stability, which is influenced by many factors. Extensive research has been done in the field of measuring StO2 of various organs. The current clinical availability of several NIRS-based devices reflects an important development in prevention, detection and correction of discrepancy in oxygen delivery to the brain and vital organs. Managing cerebral ischemia remains a significant issue in the neonatal intensive care units (NICU). Cerebral tissue oxygenation (cStO2) and cerebral fractional tissue extraction (cFTOE) are reported in a large number of clinical studies. This review provides a summary of the concept of function, current variability of NIRS-based devices used in neonatology, clinical applications in continuous cStO2 monitoring, limitations, disadvantages, and the potential of current technology.

Keywords: cerebral monitoring, cerebral tissue oxygenation, near-infrared spectroscopy, neonate

Received: October 10, 2016; Accepted: March 20, 2017; Prepublished online: March 30, 2017; Published: June 14, 2017


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