Clinical and Technical Limitations of Cerebral and Somatic Near-Infrared Spectroscopy as an Oxygenation Monitor

Shaaban-Ali, Mohamed; Momeni, Mona; Denault, André

doi:10.1053/j.jvca.2020.04.054

Cited by 22 publications

(16 citation statements)

References 139 publications

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“…It has shown promising results and is even the subject of clinical trials for this purpose. There are still technical limitations, not many NIRS devices are FDA approved, the current devices have shown limited reliability, and there are substantial differences in the obtained data across different NIRS devices ( Shaaban-Ali et al, 2021 ). However, as NIRS has been extensively studied in the last years, it can be expected to become more standardized and available for clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Extremity compartment syndrome: A review with a focus on non-invasive methods of diagnosis

Novák

Penhaker

Raška

et al. 2022

Front. Bioeng. Biotechnol.

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The article deals with an overview of acute extremity compartment syndrome with a focus on the option of non-invasive detection of the syndrome. Acute extremity compartment syndrome (ECS) is an urgent complication that occurs most often in fractures or high-energy injuries. There is still no reliable method for detecting ECS. The only objective measurement method used in clinical practice is an invasive measurement of intramuscular pressure (IMP). The purpose of this paper is to summarize the current state of research into non-invasive measurement methods that could allow simple and reliable continuous monitoring of patients at risk of developing ECS. Clinical trials are currently underway to verify the suitability of the most studied method, near-infrared spectroscopy (NIRS), which is a method for measuring the local oxygenation of muscle compartments. Less explored methods include the use of ultrasound, ultrasound elastography, bioimpedance measurements, and quantitative tissue hardness measurements. Finding a suitable method for continuous non-invasive monitoring of the syndrome would greatly improve the quality of care for patients at risk. ECS must be diagnosed quickly and accurately to prevent irreversible tissue damage that can occur within hours of syndrome onset and may even warrant amputation if neglected.

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Section: Discussionmentioning

confidence: 99%

Extremity compartment syndrome: A review with a focus on non-invasive methods of diagnosis

Novák

Penhaker

Raška

et al. 2022

Front. Bioeng. Biotechnol.

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“…Compared with NIRS and processed electroencephalography, monitoring with TCD is reusable as with any ultrasound machine. Newer NIRS modalities that can identify oxy and deoxy hemoglobin could represent an alternative to TCD in identifying the mechanism of brain desaturation 20 (Fig. 4).…”

Section: Discussionmentioning

confidence: 99%

A proposed algorithm for combining transcranial Doppler ultrasound monitoring with cerebral and somatic oximetry: a case report

Azzam

Couture

Beaubien‐Souligny

et al. 2020

Can J Anesth/J Can Anesth

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Purpose Transcranial Doppler (TCD) ultrasound is a non-invasive monitor of cerebral blood velocity that can be used intraoperatively. The purpose of this report is to describe how different patterns seen on TCD can help identify the cause of cerebral desaturation when nearinfrared spectroscopy (NIRS) oximetry is used concomitantly. Clinical features A 69-yr-old male patient undergoing coronary revascularisation and aortic valve replacement developed perioperative complications that were detected using a combination of transtemporal TCD of the middle cerebral artery along with cerebral and somatic NIRS.Initial brain desaturation was secondary to hypocapnia during which TCD-derived blood velocity and somatic NIRS values remained unchanged. After the procedure, a second episode of brain desaturation occurred secondary to a technical issue with the aortic valve prosthesis requiring a return to cardiopulmonary bypass (CPB); there were no high-intensity transient signals (HITS) on TCD. Brain desaturation occurred a third time following the second attempt to separate from CPB at which time TCD detected a significant amount of HITS suggesting air emboli that were associated with acute right ventricular dysfunction; there was also a reduction in somatic NIRS.

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“…NIRS is a new optical technique measuring blood oxygenation of the brain and detecting brain activities that emerged at the end of the last century. NIRS is a promising and reliable method for understanding human activities and is generally applied to the diagnosis and examination of brain diseases [ 54 , 55 ]. In 1977, Jobsis published his research findings in Science, proposing the utilization of the tissue permeability property of near-infrared light for the first time.…”

Section: Cerebral Blood Oxygen Saturation Monitoring Methodsmentioning

confidence: 99%

“…Along with the research progress in NIRS-based rSO 2 monitoring, many new types of monitoring equipment emerged, most of which are based on the above-mentioned principles. Although each has its own special technical features, NIRS-based rSO 2 monitoring equipment mainly utilizes three types of method: continuous wave spectroscopy (CWS), time-resolved spectroscopy (TRS), and frequency domain photon migration (FDPM) [ 10 , 55 ]. CWS is the most simple and reliable in terms of system function realization.…”

Section: Cerebral Blood Oxygen Saturation Monitoring Methodsmentioning

confidence: 99%

A Review of Monitoring Methods for Cerebral Blood Oxygen Saturation

Zhong

Sun

2021

Healthcare

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In recent years, cerebral blood oxygen saturation has become a key indicator during the perioperative period. Cerebral blood oxygen saturation monitoring is conducive to the early diagnosis and treatment of cerebral ischemia and hypoxia. The present study discusses the three most extensively used clinical methods for cerebral blood oxygen saturation monitoring from different aspects: working principles, relevant parameters, current situations of research, commonly used equipment, and relative advantages of different methods. Furthermore, through comprehensive comparisons of the methods, we find that near-infrared spectroscopy (NIRS) technology has significant potentials and broad applications prospects in terms of cerebral oxygen saturation monitoring. Despite the current NIRS technology, the only bedside non-invasive cerebral oxygen saturation monitoring technology, still has many defects, it is more in line with the future development trend in the field of medical and health, and will become the main method gradually.

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Clinical and Technical Limitations of Cerebral and Somatic Near-Infrared Spectroscopy as an Oxygenation Monitor

Cited by 22 publications

References 139 publications

Extremity compartment syndrome: A review with a focus on non-invasive methods of diagnosis

Extremity compartment syndrome: A review with a focus on non-invasive methods of diagnosis

A proposed algorithm for combining transcranial Doppler ultrasound monitoring with cerebral and somatic oximetry: a case report

A Review of Monitoring Methods for Cerebral Blood Oxygen Saturation

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