NIRS improves hemodynamic monitoring and detection of risk for cerebral injury: cases in the neonatal intensive care nursery

J Matern Fetal Neonatal Med. 2020 May;33(10):1802-1810. doi: 10.1080/14767058.2018.1528223. Epub 2018 Oct 29.

Abstract

Near-infrared spectroscopy (NIRS) monitoring provides a noninvasive, bedside measure of cerebral and somatic oxygenation in neonates at risk for hemodynamic instability and brain injury. This technology has been increasingly utilized in the neonatal intensive care unit, however, clinicians perceive a lack of evidence for the added value of NIRS monitoring. We present six clinical scenarios illustrating the value of NIRS monitoring for the diagnosis and management of critically ill newborns.

Keywords: Near-infrared spectroscopy; neonate; neuromonitoring; tissue saturation.

Publication types

  • Case Reports

MeSH terms

  • Brain Injuries / diagnostic imaging*
  • Cerebrovascular Circulation*
  • Female
  • Hemodynamic Monitoring / methods*
  • Humans
  • Infant, Newborn
  • Intensive Care Units, Neonatal
  • Pregnancy
  • Spectroscopy, Near-Infrared / methods*