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Near-infrared spectroscopy: exposing the dark (venous) side of the circulation. Paediatr Anaesth 2014 Jan;24(1):74-88

Date

11/26/2013

Pubmed ID

24267637

DOI

10.1111/pan.12301

Scopus ID

2-s2.0-84890735183 (requires institutional sign-in at Scopus site)   98 Citations

Abstract

The safety of anesthesia has improved greatly in the past three decades. Standard perioperative monitoring, including pulse oximetry, has practically eliminated unrecognized arterial hypoxia as a cause for perioperative injury. However, most anesthesia-related cardiac arrests in children are now cardiovascular in origin, and standard monitoring is unable to detect many circulatory abnormalities. Near-infrared spectroscopy provides noninvasive continuous access to the venous side of regional circulations that can approximate organ-specific and global measures to facilitate the detection of circulatory abnormalities and drive goal-directed interventions to reduce end-organ ischemic injury.

Author List

Scott JP, Hoffman GM

Authors

George M. Hoffman MD Chief, Professor in the Anesthesiology department at Medical College of Wisconsin
John P. Scott MD Professor in the Anesthesiology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Acute Kidney Injury
Anesthesia
Blood Circulation
Brain Chemistry
Diagnostic Imaging
Heart Defects, Congenital
Hemodynamics
Humans
Hypoxia
Hypoxia-Ischemia, Brain
Infant, Newborn
Infant, Newborn, Diseases
Medical Errors
Oximetry
Reference Values
Sepsis
Shock
Spectroscopy, Near-Infrared
Veins