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Review

Interpretation of Cerebral Oxygenation Changes in the Preterm Infant

1
Department of Paediatrics and Child Health, Neonatal Intensive Care Unit, University College Cork, T12 YE02 Cork, Ireland
2
INFANT, Irish Centre for Fetal and Neonatal Translational research, University College Cork, T12 YE02 Cork, Ireland
3
Division of Neonatology, Beatrix Children’s Hospital, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands
*
Author to whom correspondence should be addressed.
Children 2018, 5(7), 94; https://doi.org/10.3390/children5070094
Received: 15 May 2018 / Revised: 28 June 2018 / Accepted: 6 July 2018 / Published: 9 July 2018
(This article belongs to the Special Issue 5th Anniversary Issue)
Near-infrared spectroscopy (NIRS) allows for continuous, non-invasive monitoring of end-organ tissue oxygenation. The use of NIRS, cerebral NIRS (cNIRS) in particular, in neonatal care has increased significantly over the last few years. This dynamic monitoring technique provides real-time information on the cerebral and haemodynamic status of the neonate and has the potential to serve as an important adjunct to patient care with some centres routinely utilising cNIRS to aid decision-making at the bedside. cNIRS values may be influenced by many variables, including cardiac, respiratory and metabolic parameters, and therefore it is essential to understand the pathophysiology behind alterations in cNIRS values. Correct interpretation is required to direct appropriate patient-specific interventions. This article aims to assist clinicians in deciphering cNIRS values by providing an overview of potential causes of fluctuations in cNIRS values, illustrated by common clinical scenarios, with particular emphasis on the preterm infant. View Full-Text
Keywords: near-infrared spectroscopy; NIRS; cerebral oxygenation; end-organ tissue oxygenation; neonate; preterm; individualised patient care near-infrared spectroscopy; NIRS; cerebral oxygenation; end-organ tissue oxygenation; neonate; preterm; individualised patient care
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MDPI and ACS Style

Garvey, A.A.; Kooi, E.M.W.; Smith, A.; Dempsey, E.M. Interpretation of Cerebral Oxygenation Changes in the Preterm Infant. Children 2018, 5, 94. https://doi.org/10.3390/children5070094

AMA Style

Garvey AA, Kooi EMW, Smith A, Dempsey EM. Interpretation of Cerebral Oxygenation Changes in the Preterm Infant. Children. 2018; 5(7):94. https://doi.org/10.3390/children5070094

Chicago/Turabian Style

Garvey, Aisling A., Elisabeth M.W. Kooi, Aisling Smith, and Eugene M. Dempsey 2018. "Interpretation of Cerebral Oxygenation Changes in the Preterm Infant" Children 5, no. 7: 94. https://doi.org/10.3390/children5070094

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