The Association Between Renal Desaturation Measured Using Near-Infrared Spectroscopy and Postoperative Acute Kidney Injury: A Systematic Review

IF 2.3 4区医学 Q2 ANESTHESIOLOGY

Journal of cardiothoracic and vascular anesthesia Pub Date : 2024-08-06 DOI:10.1053/j.jvca.2024.08.004

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引用次数: 0

Abstract

Objectives

The objective of this systematic review was to clarify the status of near-infrared spectroscopy (NIRS) in monitoring perioperative renal regional tissue oxygen saturation (rSO₂) and determine whether there is evidence supporting its use in predicting postoperative acute kidney injury (AKI).

Design

A systematic search of electronic databases was conducted to identify all clinical studies that utilized NIRS to monitor renal rSO₂ during the perioperative period to observe postoperative AKI.

Setting

Studies published online as of May 31, 2024, were included in the review.

Participants

Studies involving human participants undergoing surgery with a predefined outcome of AKI were included.

Interventions

Regional tissue oxygen saturation was measured using NIRS.

Measurements and Main Results

A total of 144 records were identified in the primary search after removing duplicates. After screening, 18 studies were included in the analysis, consisting of 3 case-control studies and 15 prospective cohort studies. Thirteen reports focused on pediatric surgery, whereas five reports focused on adult surgery. Sixteen studies involved cardiovascular surgery with cardiopulmonary bypass, and two studies focused on liver surgery. All studies received a quality score of 7 or above. Significant heterogeneity and mostly short follow up periods were noted.

Conclusion

Renal desaturation may indicate AKI in patients; however, further studies are required to substantiate this relationship. Additional clinical trials are necessary to evaluate normal values and establish the exact threshold of renal rSO₂ that signifies a meaningful decline in renal function.

查看原文本刊更多论文

使用近红外光谱仪测量的肾脏饱和度降低与术后急性肾损伤之间的关系：系统回顾。

目的：本系统性综述旨在阐明近红外光谱（NIRS）在监测围手术期肾脏区域组织血氧饱和度（rSO2）方面的应用现状，并确定是否有证据支持其在预测术后急性肾损伤（AKI）方面的应用：设计：对电子数据库进行了系统性检索，以确定所有利用近红外成像技术监测围手术期肾脏rSO2以观察术后AKI的临床研究：纳入截至2024年5月31日在线发表的研究：干预措施：干预措施：使用近红外系统测量区域组织氧饱和度：在去除重复内容后，初选搜索共发现 144 条记录。经过筛选，18 项研究被纳入分析，其中包括 3 项病例对照研究和 15 项前瞻性队列研究。其中 13 篇报告侧重于儿科手术，5 篇报告侧重于成人手术。16项研究涉及心血管手术和心肺旁路手术，2项研究涉及肝脏手术。所有研究的质量得分均在 7 分或以上。结论：肾功能不饱和可能预示着急性肾功能衰竭：结论：肾功能不饱和可能预示着患者的 AKI，但还需要进一步的研究来证实这种关系。有必要进行更多的临床试验，以评估正常值并确定肾脏 rSO2 的确切阈值，该阈值标志着肾功能的显著下降。

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

Journal of cardiothoracic and vascular anesthesia 医学-呼吸系统

CiteScore

4.80

自引率

17.90%

发文量

606

审稿时长

37 days

期刊介绍： The Journal of Cardiothoracic and Vascular Anesthesia is primarily aimed at anesthesiologists who deal with patients undergoing cardiac, thoracic or vascular surgical procedures. JCVA features a multidisciplinary approach, with contributions from cardiac, vascular and thoracic surgeons, cardiologists, and other related specialists. Emphasis is placed on rapid publication of clinically relevant material.