Renal Tissue Oxygenation Monitoring-An Opportunity to Improve Kidney Outcomes in the Vulnerable Neonatal Population

Frontiers in Pediatrics
Matthew W Harer, Valerie Y Chock

Abstract

Adequate oxygenation of the kidney is of critical importance in the neonate. Non-invasive monitoring of renal tissue oxygenation using near-infrared spectroscopy (NIRS) is a promising bedside strategy for early detection of circulatory impairment as well as recognition of specific renal injury. As a diagnostic tool, renal NIRS monitoring may allow for earlier interventions to prevent or reduce injury in various clinical scenarios in the neonatal intensive care unit. Multiple studies utilizing NIRS monitoring in preterm and term infants have provided renal tissue oxygenation values at different time points during neonatal hospitalization, and have correlated measures with ultrasound and Doppler flow data. With the establishment of normal values, studies have utilized renal tissue oxygenation monitoring in preterm neonates to predict a hemodynamically significant patent ductus arteriosus, to assess response to potentially nephrotoxic medications, to identify infants with sepsis, and to describe changes after red blood cell transfusions. Other neonatal populations being investigated with renal NIRS monitoring include growth restricted infants, those requiring delivery room resuscitation, infants with congenital heart disease, and ...Continue Reading

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Citations

Jan 4, 2021·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Matthew W HarerRyan M McAdams
Feb 9, 2021·Frontiers in Pediatrics·Leeann R PavlekOmid Fathi
May 20, 2021·Pediatric Research·Matthew W HarerRyan M McAdams
Oct 3, 2021·Pediatrics·Michelle C StarrUNKNOWN Neonatal Kidney Collaborative Board

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Methods Mentioned

BETA
infrared spectroscopy

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