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Journal of Clinical Monitoring and Computing

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20.08.2015 | Original Research

Continuous-wave near-infrared spectroscopy is not related to brain tissue oxygen tension

verfasst von: Thomas Kerz, Christian Beyer, Alexandra Huthmann, Darius Kalasauskas, Amr Nimer Amr, Stephan Boor, Stefan Welschehold

Erschienen in: Journal of Clinical Monitoring and Computing | Ausgabe 5/2016

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Abstract

Near-infrared spectroscopy (NIRS) has gained acceptance for cerebral monitoring, especially during cardiac surgery, though there are few data showing its validity. We therefore aimed to correlate invasive brain tissue oxygen measurements (PtiO2) with the corresponding NIRS-values (regional oxygen saturation, rSO2). We also studied whether NIRS was able to detect ischemic events, defined as a PtiO2-value of <15 mmHg. Eleven patients were studied with invasive brain tissue oxygen monitoring and continuous-wave NIRS. PtiO2-correlation with corresponding NIRS-values was calculated. We found no correlation between PtiO2- and NIRS-readings. Measurement of rSO2 was no better than flipping a coin in the detection of cerebral ischemia when a commonly agreed ischemic PtiO2 cut-off value of <15 mmHg was chosen. Continuous-wave-NIRS was unable to reliably detect ischemic cerebral episodes, defined as a PtiO2 value <15 mmHg. Displayed NIRS-values did not correlate with invasively measured PtiO2-values. CW-NIRS should not be used for the detection of cerebral ischemia.

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Titel: Continuous-wave near-infrared spectroscopy is not related to brain tissue oxygen tension
verfasst von: Thomas Kerz
Christian Beyer
Alexandra Huthmann
Darius Kalasauskas
Amr Nimer Amr
Stephan Boor
Stefan Welschehold
Publikationsdatum: 20.08.2015
Verlag: Springer Netherlands
Erschienen in: Journal of Clinical Monitoring and Computing / Ausgabe 5/2016
Print ISSN: 1387-1307
Elektronische ISSN: 1573-2614
DOI: https://doi.org/10.1007/s10877-015-9755-y

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