Use of Near-Infrared Spectroscopy for Estimation of Renal Oxygenation in Children With Heart Disease

被引：62

作者：

Ortmann, Laura A. ^{[1
]}

Fontenot, Eudice E. ^{[2
]}

Seib, Paul M. ^{[2
]}

Eble, Brian K. ^{[2
]}

Brown, Ross ^{[1
]}

Bhutta, Adnan T. ^{[1
,2
]}

机构：

[1] Univ Arkansas Med Sci, Div Crit Care, Dept Pediat, Little Rock, AR 72205 USA

[2] Arkansas Childrens Hosp, Div Cardiol, Dept Pediat, Little Rock, AR 72202 USA

来源：

PEDIATRIC CARDIOLOGY | 2011年 / 32卷 / 06期

关键词：

Near-infrared spectroscopy; NIRS; Renal oxygenation; Renal failure; CARDIOPULMONARY BYPASS; TISSUE OXYGENATION; SATURATION; SURGERY; INFANTS; MORTALITY; FAILURE;

D O I：

10.1007/s00246-011-9960-5

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We evaluated whether near-infrared spectroscopy (NIRS) measurement from the flank correlates with renal vein saturation in children undergoing cardiac catheterization. Thirty-seven patients <18 years of age were studied. A NIRS sensor was placed on the flank, and venous oxygen saturations were measured from the renal vein and the inferior vena cava (IVC). There was a strong correlation between flank NIRS values (rSO(2)) and renal vein saturation (r = 0.821, p = 0.002) and IVC saturation (r = 0.638, p = 0.004) in children weighing <= 10 kg. In children weighing > 10 kg, there was no correlation between rSO(2) and renal vein saturation (r = 0.158, p = 0.57) or IVC saturation (r = -0.107, p = 0.67). Regional tissue oxygenation as measured by flank NIRS correlates well with both renal vein and IVC oxygen saturations in children weighing <10 kg undergoing cardiac catheterization, but not in larger children.

引用

页码：748 / 753

页数：6

共 23 条

[1] Renal blood flow velocity in acute renal failure following cardiopulmonary bypass surgery [J].

Alwaidh, MH ;

Cooke, RW ;

Judd, BA .

ACTA PAEDIATRICA, 1998, 87 (06) :644-649

[2]

BALAGURU D, 2008, PED CARD INT CAR M M

[3] Acute renal failure and mortality after open-heart surgery in infants [J].

Baskin, E ;

Saygili, A ;

Harmanci, K ;

Agras, PI ;

Özdemir, FN ;

Mercan, S ;

Tokel, K ;

Saatci, U .

RENAL FAILURE, 2005, 27 (05) :557-560

[4] Near infrared spectroscopy monitoring during pediatric aortic coarctation repair [J].

Berens, Richard J. ;

Stuth, Eckehard A. ;

Robertson, Frederick A. ;

Jaquiss, Robert D. ;

Hoffman, George M. ;

Troshynski, Todd J. ;

Staudt, Susan R. ;

Cava, Joseph R. ;

Tweddell, James S. ;

Litwin, S. Bert .

PEDIATRIC ANESTHESIA, 2006, 16 (07) :777-781

[5] Noninvasive cerebral oximeter as a surrogate for mixed venous saturation in children [J].

Bhutta, Adnan T. ;

Ford, Jesse W. ;

Parker, James G. ;

Prodhan, Parthak ;

Fontenot, Eudice E. ;

Seib, Paul M. ;

Stroope, Brittany I. ;

Frazier, Elizabeth A. ;

Schmitz, Michael L. ;

Drummond-Webb, Jonathan J. ;

Morrow, William R. .

PEDIATRIC CARDIOLOGY, 2007, 28 (01) :34-41

[6] Predictors of mortality at initiation of peritoneal dialysis in children after cardiac surgery [J].

Boigner, H ;

Brannath, W ;

Hermon, M ;

Stoll, E ;

Burda, G ;

Trittenwein, G ;

Golej, J .

ANNALS OF THORACIC SURGERY, 2004, 77 (01) :61-65

[7] Intrarenal oxygenation: unique challenges and the biophysical basis of homeostasis [J].

Evans, Roger G. ;

Gardiner, Bruce S. ;

Smith, David W. ;

O'Connor, Paul M. .

AMERICAN JOURNAL OF PHYSIOLOGY-RENAL PHYSIOLOGY, 2008, 295 (05) :F1259-F1270

[8] Cerebro-splanchnic oxygenation ratio (CSOR) using near infrared spectroscopy may be able to predict splanchnic ischaemia in neonates [J].

Fortune, PM ;

Wagstaff, M ;

Petros, AJ .

INTENSIVE CARE MEDICINE, 2001, 27 (08) :1401-1407

[9] Effect of Volume Resuscitation on Regional Perfusion in Dehydrated Pediatric Patients as Measured by Two-Site Near-Infrared Spectroscopy [J].

Hanson, Sheila J. ;

Berens, Richard J. ;

Havens, Peter L. ;

Kim, Michael K. ;

Hoffman, George M. .

PEDIATRIC EMERGENCY CARE, 2009, 25 (03) :150-153

[10]

Hoffman GM., 2008, ANESTHESIOLOGY, V109, pA272

← 1 2 3 →