Neurological outcomes in children assessed with cerebral near-infrared spectroscopy: a mini review
Anderson José Gonçalves, Paulo Sérgio Mateus Marcelino Serzedo, Vinícius Caldeira Quintão
Abstract
Cerebral hypoxemia is associated with several clinical conditions, making the monitoring of brain oxygenation and perfusion essential. Cerebral near-infrared spectroscopy (NIRS) has emerged as a valuable tool for this purpose, particularly in neonatal and pediatric perioperative and intensive care settings. In recent years, the utilization of NIRS has increased significantly; however, existing literature points to uncertainties regarding its clinical advantages and disadvantages. We have conducted a systematic review encompassing various studies, excluding case reports and editorials. Our primary outcomes included moderate to severe persistent cognitive or neurological deficits. NIRS is particularly important for its ability to rapidly detect early hypoxemia, which can help prevent potential ischemic events and adverse outcomes in infants. Despite the variability in studies regarding the use of NIRS, the available data strongly support its integration into both clinical and surgical settings as a valuable medical tool.
Keywords
References
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Submitted date:
08/07/2024
Accepted date:
11/22/2024
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