A retrospective study about cerebral near-infrared spectroscopy monitoring during paediatric cardiac surgery and intra-operative patient blood management

Lejus, C.; Windt, Ariane De; LeBoeuf-Pouliquen, Delphine; Roux, C. Le; Berard, L.; Asehnoune, Karim

doi:10.1016/j.accpm.2015.01.007

Cited by 11 publications

(3 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…During surgery, cerebral NIRS can detect episodes of hypoxia more reliably than arterial SaO 2 monitoring (114, 119). Introduction of cerebral oxygenation monitoring during cardiac surgery has improved intraoperative transfusion management (120). Cerebral oxygenation monitoring can also reflect changes in vital parameters during cardio-pulmonary bypass (121).…”

Section: Clinical Applicationmentioning

confidence: 99%

Monitoring Cerebral Oxygenation in Neonates: An Update

2017

View full text Add to dashboard Cite

Cerebral oxygenation is not always reflected by systemic arterial oxygenation. Therefore, regional cerebral oxygen saturation (rScO2) monitoring with near-infrared spectroscopy (NIRS) is of added value in neonatal intensive care. rScO2 represents oxygen supply to the brain, while cerebral fractional tissue oxygen extraction, which is the ratio between rScO2 and systemic arterial oxygen saturation, reflects cerebral oxygen utilization. The balance between oxygen supply and utilization provides insight in neonatal cerebral (patho-)physiology. This review highlights the potential and limitations of cerebral oxygenation monitoring with NIRS in the neonatal intensive care unit.

show abstract

Section: Clinical Applicationmentioning

confidence: 99%

Monitoring Cerebral Oxygenation in Neonates: An Update

2017

View full text Add to dashboard Cite

show abstract

“…The literature review did not find any specific papers that examined PBM programmes or their implementation in neonates or infants. Two review articles were identified that addressed key aspects of paediatric PBM programmes (Goel et al, ; Wittenmeier et al, ) and four articles were identified that discussed specific PBM approaches in the setting of surgery for paediatric scoliosis or craniosynostosis (Haas et al, ; Lejus et al, ; Perez‐Ferrer et al, ; Stehrer et al, ). The results of two recent systematic reviews examining paediatric and neonatal transfusion practice and PBM were examined to provide the background for this paper (NBA, ; New et al, ) with reference to any new literature published subsequent to these guidelines.…”

Section: What Does the Term Patient Blood Management Mean In The Contmentioning

confidence: 99%

Patient blood management, what does this actually mean for neonates and infants?

Crighton

New

Liley

et al. 2018

Transfusion Medicine

View full text Add to dashboard Cite

Patient blood management (PBM) refers to an evidence-based package of care that aims to improve patient outcomes by optimal use of transfusion therapy, including managing anaemia, preventing blood loss and improving anaemia tolerance in surgical and other patients who may need transfusion. In adults, PBM programmes are well established, yet the definition and implementation of PBM in neonates and children lags behind. Neonates and infants are frequently transfused, yet they are often under-represented in transfusion trials. Adult PBM programmes may not be directly applicable to these populations. We review the literature in neonatal (and applicable paediatric) transfusion medicine and propose specific neonatal PBM definitions and elements.

show abstract

“…Since hemoglobin level is one of the factors affecting cerebral oxygen saturation, a group in France explored if the introduction of NIRS monitoring into their practice influenced their intraoperative red blood cell transfusion threshold and volumes, as well as the duration of ICU stay. 6 They found that NIRS monitoring changed their transfusion strategy with an earlier transfusion but a reduced red blood cell volume and this was associated with a decreased length of ICU stay. The second reported parameter is blood pressure from a different group in France.…”

Section: Neurological Outcomes and Cerebral Oximetrymentioning

confidence: 99%