Journal ArticleDOI
Near-infrared spectroscopy: exposing the dark (venous) side of the circulation.
John P. Scott,George M. Hoffman +1 more
TLDR
Near‐infrared spectroscopy provides noninvasive continuous access to the venous side of regional circulations that can approximate organ‐specific and global measures to facilitate the detection of circulatory abnormalities and drive goal‐directed interventions to reduce end‐organ ischemic injury.Abstract:
The safety of anesthesia has improved greatly in the past three decades. Standard perioperative monitoring, including pulse oximetry, has practically eliminated unrecognized arterial hypoxia as a cause for perioperative injury. However, most anesthesia-related cardiac arrests in children are now cardiovascular in origin, and standard monitoring is unable to detect many circulatory abnormalities. Near-infrared spectroscopy provides noninvasive continuous access to the venous side of regional circulations that can approximate organ-specific and global measures to facilitate the detection of circulatory abnormalities and drive goal-directed interventions to reduce end-organ ischemic injury.read more
Citations
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Journal ArticleDOI
Renal Oxygen Saturation as an Early Indicator of Shock in Children
TL;DR: The rRSO2 value by NIRS can differentiate between shock and non-shock in critically ill patients accurately and is found to be sensitivity 90% and specificity 90% in critical ill children.
Journal ArticleDOI
Equipment and monitoring for paediatric anaesthesia
TL;DR: In this review, several new developments in airway and monitoring equipment have particular benefits for paediatric anaesthesia and the evidence for these developments is indicated and a range of distraction devices coupled with an overview of devices to help with venous cannulation are discussed.
Book ChapterDOI
Monitoring During Anaesthesia in the Newborn and Neonate
TL;DR: In this paper , the authors discuss in detail various systemic monitoring tools, their relevance to the anaesthesiologist, minimal monitoring criteria, and indications when to institute invasive monitoring in these very tiny highly vulnerable group of patients.
Journal ArticleDOI
Nurses' perceptions and use of near infrared spectroscopy in paediatric cardiac intensive care.
Karyn Pieciak,Kendall M. McGowan,Lori Grade,Diana Morrill,Zachary DiPasquale,Elizabeth Casto,Jean A. Connor,Amy Jo Lisanti +7 more
TL;DR: The use of near-infrared spectroscopy (NIRS) is a non-invasive technology that estimates regional oxygen saturation in the critical care environment as mentioned in this paper , however, little research has addressed the nursing care and management of NIRS in critical care environments.
References
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Early Goal-Directed Therapy in the Treatment of Severe Sepsis and Septic Shock
Emanuel P. Rivers,Bryant Nguyen,Suzanne Havstad,Julie Ressler,Alexandria Muzzin,Bernhard P. Knoblich,Edward L. Peterson,Michael C. Tomlanovich +7 more
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Noninvasive, infrared monitoring of cerebral and myocardial oxygen sufficiency and circulatory parameters
TL;DR: Observations by infrared transillumination in the exposed heart and in the brain in cephalo without surgical intervention show that oxygen sufficiency for cytochrome a,a3, function, changes in tissue blood volume, and the average hemoglobin-oxyhemoglobin equilibrium can be recorded effectively and in continuous fashion for research and clinical purposes.
Journal ArticleDOI
Part 8: Adult Advanced Cardiovascular Life Support 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
Robert W. Neumar,Charles W. Otto,Mark S. Link,Steven L. Kronick,Michael Shuster,Clifton W. Callaway,Peter J. Kudenchuk,Joseph P. Ornato,Bryan McNally,Scott M. Silvers,Rod S. Passman,Roger D. White,Erik P. Hess,Wanchun Tang,Daniel Davis,Elizabeth Sinz,Laurie J. Morrison +16 more
TL;DR: The goal of therapy for bradycardia or tachycardia is to rapidly identify and treat patients who are hemodynamically unstable or symptomatic due to the arrhythmia.
Journal ArticleDOI
Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems
Paul Barach,Stephen D. Small +1 more
TL;DR: Focusing on data for near misses may add noticeably more value to quality improvement than a sole focus on adverse events, and an environment fostering a rich reporting culture must be created to capture accurate and detailed data about nuances of care.
Journal ArticleDOI
Persistent microcirculatory alterations are associated with organ failure and death in patients with septic shock.
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