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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Bruckner, M; Pichler, G; Urlesberger, B.
NIRS in the fetal to neonatal transition and immediate postnatal period.
Semin Fetal Neonatal Med. 2020; 25(2):101079-101079
Doi: 10.1016/j.siny.2020.101079
Web of Science
PubMed
FullText
FullText_MUG
- Leading authors Med Uni Graz
- Krainer Marlies
- Urlesberger Berndt
- Co-authors Med Uni Graz
- Pichler Gerhard
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- Abstract:
- Near-infrared spectroscopy (NIRS) offers the non-invasive continuous monitoring of cerebral oxygenation and perfusion. Cerebral regional oxygen (crSO2) measured via NIRS represents a mixed tissue saturation value, thus enabling information on the balance of cerebral oxygen delivery and oxygen consumption. Cerebral oxygenation is influenced by pulse oximeter saturation (SpO2), hemoglobin content, and cerebral blood flow. Furthermore, cerebral oxygenation is dependent on metabolic parameters, cardio circulatory parameters, perinatal- and postnatal interventions. Reference ranges for healthy term born and late preterm infants have already been published. It is feasible to increase crSO2 values above the 10th percentile by guiding medical support during neonatal to fetal transition. Guiding oxygen supply based on NIRS monitoring in addition to SpO2 monitoring showed that a reduction of the burden of cerebral hypoxia was possible. A currently ongoing study will give further information whether additional NIRS monitoring guiding medical support during neonatal to fetal transition is effective in improving neonatal outcome. © 2020 Published by Elsevier Ltd.