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Updated: Jun 2, 2026

How to Administer Near-Infrared Spectroscopy in Critically ill Neonates, Infants, and Children
Published on: August 19, 2020
Near-infrared spectroscopy in the critical setting
Patrick C Drayna1, Thomas J Abramo, Cristina Estrada
1Emergency Medicine and Pediatrics, Department of Pediatrics, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN, USA. patrick.c.drayna@vanderbilt.edu
Near-infrared spectroscopy (NIRS) offers a noninvasive method to monitor tissue oxygenation in critically ill children. This technology promises to improve resuscitation by identifying patients at risk for cerebral hypoxia.
Area of Science:
- Biomedical Engineering
- Critical Care Medicine
- Pediatric Health
Background:
- Hypoxic neurologic injuries have severe consequences and increase healthcare costs.
- Current cerebral function monitors are invasive, operator-dependent, or lack sensitivity.
- Advances in pediatric resuscitation are shifting focus to regional tissue monitoring.
Purpose of the Study:
- To highlight the potential of near-infrared spectroscopy (NIRS) as a noninvasive monitoring tool.
- To emphasize NIRS's role in assessing regional oxygen saturation in cerebral and somatic tissues.
- To advocate for NIRS as an adjunctive method in guiding resuscitation for critically ill children.
Main Methods:
- Utilizes near-infrared spectroscopy (NIRS) technology.
- Focuses on noninvasive, real-time measurement of regional oxygen saturation.
- Compares NIRS with existing invasive monitoring techniques for cerebral function.
Main Results:
- NIRS provides real-time, noninvasive assessment of tissue oxygenation.
- Identifies alterations in cerebral and somatic tissue oxygen levels.
- Offers a more sensitive and less invasive alternative to current methods.
Conclusions:
- NIRS is poised to become a standard tool for monitoring tissue oxygenation in pediatric critical care.
- NIRS, combined with global parameters, can guide effective resuscitation strategies.
- Improved monitoring through NIRS can lead to better outcomes for critically ill and injured children.
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