The role of noninvasive brain oximetry in adult critically ill patients without primary non-anoxic brain injury.

Details

Serval ID
serval:BIB_1A0A2A59B555
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
The role of noninvasive brain oximetry in adult critically ill patients without primary non-anoxic brain injury.
Journal
Minerva anestesiologica
Author(s)
Badenes R., Gouvea Bogossian E., Chisbert V., Robba C., Oddo M., Taccone F.S., Matta B.F.
ISSN
1827-1596 (Electronic)
ISSN-L
0375-9393
Publication state
Published
Issued date
11/2021
Peer-reviewed
Oui
Volume
87
Number
11
Pages
1226-1238
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
A primary objective in intensive care and perioperative settings is to promote an adequate supply and delivery of oxygen to tissues and organs, particularly to the brain. Cerebral near infrared spectroscopy (NIRS) is a noninvasive, continuous monitoring technique, that can be used to assess cerebral oxygenation. Using NIRS to monitor cerebral oximetry is not new and has been in widespread use in neonates and cardiac surgery for decades. In addition, it has become common to see NIRS being used in adult and pediatric cardiac surgery, acute neurological diseases, neurosurgical procedures, vascular surgery, severe trauma and other acute medical diseases. Furthermore, recent evidence suggests a role for NIRS in the perioperative settings; detecting and preventing episodes of cerebral desaturation aiming to reduce the development of postoperative delirium. NIRS is not without its limitations; these include the risk of extra-cranial contamination, spatial limitations and skin blood flow/volume changes, as well being a measure of localized blood oxygenation underneath the sensor. However, NIRS is a noninvasive technique and can be used in those patients without indications or justification for invasive brain monitoring; non-neurosurgical procedures such as liver transplantation, major orthopedic surgery and critically illness where the brain is at risk. The aim of this manuscript was to discuss the physical principles of NIRS and to report the current evidence regarding its use in critically ill patients without primary non-anoxic brain injury.
Keywords
Adult, Brain, Brain Injuries, Cerebrovascular Circulation, Child, Critical Illness, Humans, Infant, Newborn, Oximetry, Oxygen
Pubmed
Web of science
Create date
19/05/2021 12:14
Last modification date
07/12/2021 6:37
Usage data