Near-infrared spectroscopy: exposing the dark (venous) side of the circulation. Paediatr Anaesth 2014 Jan;24(1):74-88
Date
11/26/2013Pubmed ID
24267637DOI
10.1111/pan.12301Scopus ID
2-s2.0-84890735183 (requires institutional sign-in at Scopus site) 98 CitationsAbstract
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 GMAuthors
George M. Hoffman MD Chief, Professor in the Anesthesiology department at Medical College of WisconsinJohn 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 InjuryAnesthesia
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