The Use of Cerebral Near-Infrared Spectroscopy in Neonatal Hypoxic-Ischemic Encephalopathy: A Systematic Review of the Literature.

IF 1.6 4区医学 Q2 NURSING

Advances in Neonatal Care Pub Date : 2023-12-01 DOI:10.1097/ANC.0000000000001114

Olivia Polise, Desi Newberry

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引用次数: 0

Abstract

Background: Cerebral near-infrared spectroscopy (cNIRS) is a noninvasive technology used to trend cerebral perfusion at the bedside. cNIRS has potential as a valuable tool in the evaluation of infants with suspected hypoxic-ischemic encephalopathy (HIE). Trending cerebral perfusion with cNIRS can provide information regarding cerebral metabolism as HIE is evolving, which may offer insight into the extent of brain injury.

Purpose: The purpose of this systematic review is to investigate the use of cNIRS as a neurocritical tool in the management of neonatal HIE by evaluating its ability to detect acute neurological compromise, including acute brain injury and seizure activity, as well as its potential to identify infants at high risk for long-term neurodevelopmental impairment.

Methods: A literature search was conducted using PubMed, CINAHL, and Web of Science databases to review articles investigating cNIRS technology in the acute management of HIE.

Results: Eight studies were identified and included in this systematic review. Correlations were observed between cNIRS trends and neurological outcomes as later detected by MRI. cNIRS has potential as a bedside neuromonitoring tool in the management of HIE to detect infants at high risk for brain injury.

Implications for practice: Existing research supports the value of trending cNIRS in HIE management. Documented normal cNIRS values for both term and preterm infants in the first few days of life is approximately 60% to 80%. A steadily increasing cNIRS reading above an infant's baseline and a value of more than 90% should prompt further evaluation and concern for significant neurological injury.

查看原文本刊更多论文

脑近红外光谱在新生儿缺氧缺血性脑病中的应用:文献系统综述。

背景:脑近红外光谱(cNIRS)是一种用于床边监测脑灌注的无创技术。cNIRS有潜力作为评估疑似缺氧缺血性脑病(HIE)婴儿的有价值的工具。cNIRS趋势脑灌注可以提供HIE发展过程中脑代谢的信息，这可能有助于了解脑损伤的程度。目的:本系统综述的目的是通过评估cNIRS检测急性神经损伤(包括急性脑损伤和癫痫发作活动)的能力，以及其识别长期神经发育障碍高风险婴儿的潜力，来研究cNIRS作为新生儿HIE管理中的神经critical工具的使用。方法:使用PubMed、CINAHL和Web of Science数据库进行文献检索，回顾研究cNIRS技术在HIE急性管理中的文章。结果:本系统综述确定并纳入了8项研究。随后通过MRI检测到cNIRS趋势与神经预后之间存在相关性。cNIRS有潜力作为床边神经监测工具，用于HIE的管理，以发现脑损伤高风险的婴儿。实践启示:现有研究支持趋势cNIRS在HIE管理中的价值。足月婴儿和早产儿出生后几天的cNIRS正常值约为60% - 80%。当cNIRS读数高于婴儿基线且高于90%时，应进一步评估并关注是否存在显著的神经损伤。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Neonatal Care NURSING-

CiteScore

2.60

自引率

5.90%

发文量

101

期刊介绍： Advances in Neonatal Care takes a unique and dynamic approach to the original research and clinical practice articles it publishes. Addressing the practice challenges faced every day—caring for the 40,000-plus low-birth-weight infants in Level II and Level III NICUs each year—the journal promotes evidence-based care and improved outcomes for the tiniest patients and their families. Peer-reviewed editorial includes unique and detailed visual and teaching aids, such as Family Teaching Toolbox, Research to Practice, Cultivating Clinical Expertise, and Online Features. Each issue offers Continuing Education (CE) articles in both print and online formats.