Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Levy, PT; Pellicer, A; Schwarz, CE; Neunhoeffer, F; Schuhmann, MU; Breindahl, M; Fumagelli, M; Mintzer, J; de Boode, W; ESPR Special Interest Group “Near InfraRed Spectroscopy” (NIRS).
Near-infrared spectroscopy for perioperative assessment and neonatal interventions.
Pediatr Res. 2021;
Doi: 10.1038/s41390-021-01791-1
Web of Science
PubMed
FullText
FullText_MUG
- Study Group Members Med Uni Graz:
- Krainer Marlies
- Pichler Gerhard
- Urlesberger Berndt
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- Perioperative applications of near-infrared spectroscopy (NIRS) to monitor regional tissue oxygenation and perfusion in cardiac and noncardiac surgery are of increasing interest in neonatal care. Complex neonatal surgery can impair adequate oxygen delivery and tissue oxygen consumption and increase the risk of neurodevelopmental delay. Coupled with conventional techniques, NIRS monitoring may enable targeted hemodynamic management of the circulation in both cardiac and noncardiac surgical procedures. In this narrative review, we discuss the application of perioperative NIRS in specific neonatal interventions, including surgical intervention for congenital heart defects, definitive closure of the patent ductus arteriosus, neurological and gastrointestinal disorders, and use of extracorporeal membrane oxygenation. We identified areas for future research within disease-specific indications and offer a roadmap to aid in developing evidence-based targeted diagnostic and management strategies in neonates. IMPACT: There is growing recognition that perioperative NIRS monitoring, used in conjunction with conventional monitoring, may provide critical hemodynamic information that either complements clinical impressions or delivers novel physiologic insight into the neonatal circulatory and perfusion pathways.