A Critical Appraisal of the Role of Near Infrared Spectroscopy (NIRS) in the Pediatric Intensive Care Unit (PICU)

Akron Children's Hospital

Status: Completed

Conditions: Pediatric Intensive Care Unit

Study type: Observational

Funder types: Other

Identifiers

NCT01282099

100603

Details and patient eligibility

About

While near infrared spectroscopy is an exciting technology, scientific rigor is required in order to optimize its appropriate use in the clinical arena. This study will explore the feasibility and clinical applicability of data obtained from the NIRS device. The ability to noninvasively monitor peripheral perfusion remains an area of intense research. The most widely used method is pulse oximetry. The international mandate of its use in operating rooms in the early 1990s after the publication of the Harvard minimum standards for monitoring speaks to its unquestionable utility. Its pervasive application notwithstanding, pulse oximetry merely provides a calibrated ratio of arterial and venous hemoglobin saturation. While this data is valuable, time-tested, and even may hold the promise of accurately noninvasively trending cardiac output, cellular dysmetabolism -- hallmarks of vulnerable, yet viable tissue beds -- are beyond the predictive values of currently available devices.

Enrollment: 22 patients

Sex: All

Ages: Under 15 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• neonates to 16 year olds
• requiring stay in the PICU greater than 24 hours

Exclusion criteria

• anticipated PICU stay less than 24 hours
• children with ALLOW NATURAL DEATH orders

Trial design

22 participants in 2 patient groups

Cardiac patients

Description:

Postoperative congenital heart disease patients requiring stay in the PICU

non-cardiac patients

Description:

non-cardiac patients requiring stay in the PICU