Cerebral oximetry with cerebral blood volume index in detecting pediatric stroke in a pediatric ED

Hemispheric Cerebral Oximetry Monitoring During Pediatric Seizure Activity in a Pediatric Emergency Department

“… 2 – 9 , 16 – 22 Cerebral oximetry (r c SO 2 ) detects and reflects regional dynamic cerebral physiologic changes (tissue perfusion, oxygenation metabolism, and oxygen extraction). 12 – 15 , 23 – 25 Normal pediatric hemispheric (left and right) r c SO 2 is 60% to 80%. A low r c SO 2 reading less than 60% or a high r c SO 2 reading greater than 80% or an interhemispheric discordance r c SO 2 reading greater than 10 represents abnormal hemispheric cerebral physiology and pathology and an increased hypoxic brain injury risk.…”

“… 3 – 14 With a rapid objective cerebral physiology assessment tool's correlation with the patient's corresponding clinical neurological activity, this seizure misperceptions could be significantly decreased and augment the provider's critical thinking and decision making, which ED or EMS monitoring systems currently lack. 7 – 15 …”

“…A low r c SO 2 reading less than 60% or a high r c SO 2 reading greater than 80% or an interhemispheric discordance r c SO 2 reading greater than 10 represents abnormal hemispheric cerebral physiology and pathology and an increased hypoxic brain injury risk. 12 – 15 , 23 – 26 In pediatric and adult neurological emergencies, cerebral oximetry has been validated for identifying altered hemispheric cerebral physiology and changes, neurological insults, and cerebral pathology detection. 12 – 15 , 23 – 26 Adult cerebral oximetry seizure studies suggest that cerebral r c SO 2 differences exist between generalized seizure and nonseizure r c SO 2 readings but have never been investigated in pediatric patients.…”

“… 12 – 15 , 23 – 26 In pediatric and adult neurological emergencies, cerebral oximetry has been validated for identifying altered hemispheric cerebral physiology and changes, neurological insults, and cerebral pathology detection. 12 – 15 , 23 – 26 Adult cerebral oximetry seizure studies suggest that cerebral r c SO 2 differences exist between generalized seizure and nonseizure r c SO 2 readings but have never been investigated in pediatric patients. 15 , 16 , 23 – 27 …”

“… 12 – 15 , 23 – 26 Adult cerebral oximetry seizure studies suggest that cerebral r c SO 2 differences exist between generalized seizure and nonseizure r c SO 2 readings but have never been investigated in pediatric patients. 15 , 16 , 23 – 27 …”