TY - JOUR
T1 - Monitoring tissue oxygenation by near infrared spectroscopy (NIRS)
T2 - Background and current applications
AU - Scheeren, T. W. L.
AU - Schober, P.
AU - Schwarte, L. A.
PY - 2012/8
Y1 - 2012/8
N2 - Conventional cardiovascular monitoring may not detect tissue hypoxia, and conventional cardiovascular support aiming at global hemodynamics may not restore tissue oxygenation. NIRS offers non-invasive online monitoring of tissue oxygenation in a wide range of clinical scenarios. NIRS monitoring is commonly used to measure cerebral oxygenation (rSO2), e.g. during cardiac surgery. In this review, we will show that tissue hypoxia occurs frequently in the perioperative setting, particularly in cardiac surgery. Therefore, measuring and obtaining adequate tissue oxygenation may prevent (postoperative) complications and may thus be cost-effective. NIRS monitoring may also be used to detect tissue hypoxia in (prehospital) emergency settings, where it has prognostic significance and enables monitoring of therapeutic interventions, particularly in patients with trauma. However, optimal therapeutic agents and strategies for augmenting tissue oxygenation have yet to be determined. © 2012 The Author(s).
AB - Conventional cardiovascular monitoring may not detect tissue hypoxia, and conventional cardiovascular support aiming at global hemodynamics may not restore tissue oxygenation. NIRS offers non-invasive online monitoring of tissue oxygenation in a wide range of clinical scenarios. NIRS monitoring is commonly used to measure cerebral oxygenation (rSO2), e.g. during cardiac surgery. In this review, we will show that tissue hypoxia occurs frequently in the perioperative setting, particularly in cardiac surgery. Therefore, measuring and obtaining adequate tissue oxygenation may prevent (postoperative) complications and may thus be cost-effective. NIRS monitoring may also be used to detect tissue hypoxia in (prehospital) emergency settings, where it has prognostic significance and enables monitoring of therapeutic interventions, particularly in patients with trauma. However, optimal therapeutic agents and strategies for augmenting tissue oxygenation have yet to be determined. © 2012 The Author(s).
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84865138808&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/22467064
U2 - https://doi.org/10.1007/s10877-012-9348-y
DO - https://doi.org/10.1007/s10877-012-9348-y
M3 - Article
C2 - 22467064
SN - 1387-1307
VL - 26
SP - 279
EP - 287
JO - Journal of clinical monitoring and computing
JF - Journal of clinical monitoring and computing
IS - 4
ER -