Near infrared spectroscopy in the pediatric cardiac intensive care unit: accurately interpreting the data.

IF 2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Current Opinion in Cardiology Pub Date : 2025-07-01 Epub Date: 2025-02-12 DOI:10.1097/HCO.0000000000001204
Ilias Iliopoulos, Saul Flores, Rohit Loomba
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引用次数: 0

Abstract

Purpose of review: Near infrared spectroscopy (NIRS) has been increasingly adopted as standard monitoring in postoperative care of pediatric cardiac patients. Several reports have established its association with both markers of perfusion and adverse outcomes. The correlation with markers of perfusion is not strong and exhibits wide limit of agreement, making the determination of critical thresholds and its integration in treatment algorithms challenging.

Recent findings: A growing body of literature support the use of NIRS for hemodynamic monitoring in pediatric cardiac patients. Recent reports corroborate prior findings of weak to moderate correlation of NIRS with markers of global and regional perfusion and confirm its association with adverse outcomes. The challenge of lack of treatment thresholds remains, limiting clinical utility. Evidence of improvement of outcomes with the use of NIRS remains limited.

Summary: NIRS is a useful monitor of regional and global perfusion and can inform management decisions but cannot be used as the sole decision-making tool. Large, randomized studies are needed to define its use as decision making tool and facilitate its integration in treatment algorithms.

近红外光谱在儿童心脏重症监护病房:准确地解释数据。
综述目的:近红外光谱(NIRS)越来越多地被用作儿科心脏病患者术后护理的标准监测。一些报道已经证实了它与灌注和不良后果标志物的关联。与灌注标志物的相关性不强,且具有广泛的一致性,这使得临界阈值的确定及其在治疗算法中的整合具有挑战性。最近发现:越来越多的文献支持近红外光谱用于儿科心脏病患者的血流动力学监测。最近的报告证实了先前的研究结果,即NIRS与整体和局部灌注标志物之间存在弱至中度相关性,并证实了其与不良结局的关联。缺乏治疗阈值的挑战仍然存在,限制了临床应用。使用近红外光谱改善预后的证据仍然有限。摘要:近红外光谱是一种有用的区域和全球灌注监测,可以为管理决策提供信息,但不能作为唯一的决策工具。需要大规模的随机研究来确定其作为决策工具的用途,并促进其与治疗算法的整合。
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
Current Opinion in Cardiology
Current Opinion in Cardiology 医学-心血管系统
CiteScore
4.20
自引率
4.30%
发文量
78
审稿时长
6-12 weeks
期刊介绍: ​​​​​​Current Opinion in Cardiology is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With fourteen disciplines published across the year – including arrhythmias, molecular genetics, HDL cholesterol and clinical trials – every issue also contains annotated reference detailing the merits of the most important papers.
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