Splanchnic NIRS monitoring in neonatal care: rationale, current applications and future perspectives

Journal of Perinatology : Official Journal of the California Perinatal Association
Silvia Martini, Luigi Corvaglia

Abstract

Near infrared spectroscopy (NIRS) provides a non-invasive, continuous monitoring of regional tissue oxygenation. NIRS assessment of neonatal splanchnic oxygenation (SrSO2) has gained increasing interest over the last decade, as local hypoxia and ischemia underlie the most feared gut complications in neonates. Current literature provides encouraging evidence in support of SrSO2 reliability in detecting mesenteric hemodynamic changes related to various physiological and pathological conditions in-term and preterm infants. Even so, while splanchnic NIRS monitoring looks promising for investigating gut physiopathology in research settings, further studies are needed to evaluate its feasibility as a routine monitoring tool in neonatal care and to investigate its potential role in clinical decision making. After a brief introduction to NIRS technical principles, this review aims to provide a complete overview of current neonatal applications for splanchnic NIRS monitoring, to discuss its possible limitations and to suggest future directions for research and clinical applications.

Associated Clinical Trials

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Citations

Jun 19, 2019·Journal of Pediatric Gastroenterology and Nutrition·Silvia MartiniSilvia Galletti
Jul 29, 2020·Frontiers in Pediatrics·Baukje M DotingaElisabeth M W Kooi
Feb 19, 2020·Annual Review of Animal Biosciences·Douglas BurrinRobert J Shulman
Jan 29, 2021·Pediatric Research·Martin van der HeideElisabeth M W Kooi
Jan 19, 2021·Journal of Neonatal-perinatal Medicine·T M TraubK Rais-Bahrami
Feb 19, 2020·American Journal of Perinatology·Ozkan Ilhan, Meltem Bor
Aug 20, 2021·Early Human Development·Kiloran H M MetcalfeMerrill McHoney
Sep 9, 2021·Pediatric Research·Brynne A Sullivan, Karen D Fairchild
Nov 3, 2021·Pediatric Research·Baukje M DotingaElisabeth M W Kooi
Nov 9, 2021·European Journal of Pediatrics·Yasser Elsayed, Muzafar Gani Abdul Wahab

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Methods Mentioned

BETA
infrared spectroscopy
imaging technique
SMA

Software Mentioned

INVOS
NIRO
InSpectra

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