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Updated: Nov 18, 2025

How to Administer Near-Infrared Spectroscopy in Critically ill Neonates, Infants, and Children
Published on: August 19, 2020
Near-Infrared Spectroscopy in Extremely Preterm Infants
Leeann R Pavlek1, Clifford Mueller1, Maria R Jebbia1
1Division of Neonatology, Nationwide Children's Hospital, Columbus, OH, United States.
Near-infrared spectroscopy (NIRS) offers a non-invasive method to monitor oxygenation in extremely preterm infants. This technique aids in assessing tissue oxygen consumption for better hemodynamic management in neonatal intensive care units.
Area of Science:
- Neonatal Medicine
- Biomedical Engineering
- Physiology
Background:
- Advances in neonatal care improve survival rates for premature infants at the limits of viability.
- Infants born at 22-24 weeks gestation face high risks of prematurity-related morbidities, often linked to impaired tissue oxygenation and perfusion.
- Near-infrared spectroscopy (NIRS) leverages the distinct absorption of oxyhemoglobin and deoxyhemoglobin.
Purpose of the Study:
- To provide an overview of NIRS technology and its application in extremely preterm infants.
- To summarize NIRS physiology, practical uses, and potential applications in the neonatal intensive care unit (NICU).
- To review NIRS application sites, disease-specific indications, and existing literature for extremely preterm infants.
Main Methods:
- Utilizes the principles of near-infrared spectroscopy (NIRS).
- Assesses regional tissue oxygen saturation (StO2) by measuring light absorption by hemoglobin.
- Calculates fractional tissue oxygen extraction (FTOE) to evaluate tissue oxygen consumption.
Main Results:
- NIRS provides a non-invasive method for monitoring tissue oxygenation and perfusion in neonates.
- Enables targeted hemodynamic management by assessing tissue oxygen consumption.
- Offers insights into disease-specific indications and application sites for NIRS in extremely preterm infants.
Conclusions:
- NIRS is a valuable tool for non-invasive monitoring in extremely preterm infants.
- It facilitates targeted hemodynamic management and assessment of tissue oxygenation.
- Further research and application in NICUs can improve outcomes for vulnerable premature infants.
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