Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual
Volume 13, Issue 1 , Pages 51-54 , 2010

Near Infrared Spectroscopy (NIRS) Should Not Be Standard of Care for Postoperative Management

  • Jennifer C. Hirsch, MD, MS

      Affiliations

    • Department of Surgery, Section of Cardiac Surgery, Division of Pediatric Cardiovascular Surgery, University of Michigan Medical School, Ann Arbor, MI
    • Corresponding Author InformationAddress correspondence to Jennifer C. Hirsch, MD, MS, 5144 Cardiovascular Center, Ann Arbor, MI 48109-5864
  • ,
  • John R. Charpie, MD, PhD

      Affiliations

    • Department of Pediatrics, Section of Pediatric Cardiology, University of Michigan Medical School, Ann Arbor, MI
  • ,
  • Richard G. Ohye, MD

      Affiliations

    • Department of Surgery, Section of Cardiac Surgery, Division of Pediatric Cardiovascular Surgery, University of Michigan Medical School, Ann Arbor, MI
  • ,
  • James G. Gurney, PhD

      Affiliations

    • Department of Pediatrics, Child Health Evaluation and Research Unit, University of Michigan Medical School, Ann Arbor, MI

References 

  1. Menache CC, du Plessis AJ, Wessel DL, et al. Current incidence of acute neurologic complications after open-heart operations in children. Ann Thorac Surg. 2002;73:1752–1758
  2. Shillingford AJ, Wernovsky G. Academic performance and behavioral difficulties after neonatal and infant heart surgery. Pediatr Clin North Am. 2004;51:1625–1639
  3. Hirsch JC, Charpie JR, Ohye RG, et al. Near-infrared spectroscopy: what we know and what we need to know--a systematic review of the congenital heart disease literature. J Thorac Cardiovasc Surg. 2009;137:154–159159e1-12
  4. Austin EH, Edmonds HL, Auden SM, et al. Benefit of neurophysiologic monitoring for pediatric cardiac surgery. J Thorac Cardiovasc Surg. 1997;114:707–715717; discussion 715-716
  5. Dent CL, Spaeth JP, Jones BV, et al. Brain magnetic resonance imaging abnormalities after the Norwood procedure using regional cerebral perfusion. J Thorac Cardiovasc Surg. 2006;131:190–197
  6. Fenton KN, Freeman K, Glogowski K, et al. The significance of baseline cerebral oxygen saturation in children undergoing congenital heart surgery. Am J Surg. 2005;190:260–263
  7. McQuillen PS, Barkovich AJ, Hamrick SE, et al. Temporal and anatomic risk profile of brain injury with neonatal repair of congenital heart defects. Stroke. 2007;38(suppl 2):736–741
  8. Fenton KN, Lessman K, Glogowski K, et al. Cerebral oxygen saturation does not normalize until after stage 2 single ventricle palliation. Ann Thorac Surg. 2007;83:1431–1436
  9. Kurth CD, Steven JL, Montenegro LM, et al. Cerebral oxygen saturation before congenital heart surgery. Ann Thorac Surg. 2001;72:187–192
  10. Takami T, Yamamura H, Inai K, et al. Monitoring of cerebral oxygenation during hypoxic gas management in congenital heart disease with increased pulmonary blood flow. Pediatr Res. 2005;58:521–524
  11. Ramamoorthy C, Tabbutt S, Kurth CD, et al. Effects of inspired hypoxic and hypercapnic gas mixtures on cerebral oxygen saturation in neonates with univentricular heart defects. Anesthesiology. 2002;96:283–288
  12. McQuillen PS, Nishimoto MS, Bottrell CL, et al. Regional and central venous oxygen saturation monitoring following pediatric cardiac surgery: concordance and association with clinical variables. Pediatr Crit Care Med. 2007;8:154–160
  13. Li J, Van Arsdell GS, Zhang G, et al. Assessment of the relationship between cerebral and splanchnic oxygen saturations measured by near-infrared spectroscopy and direct measurements of systemic haemodynamic variables and oxygen transport after the Norwood procedure. Heart. 2006;92:1678–1685
  14. Mott AR, Alomrani A, Tortoriello TA, et al. Changes in cerebral saturation profile in response to mechanical ventilation alterations in infants with bidirectional superior cavopulmonary connection. Pediatr Crit Care Med. 2006;7:346–350
  15. Bassan H, Gauvreau K, Newburger JW, et al. Identification of pressure passive cerebral perfusion and its mediators after infant cardiac surgery. Pediatr Res. 2005;57:35–41
  16. Nagdyman N, Fleck T, Bitterling B, et al. Influence of intravenous sildenafil on cerebral oxygenation measured by near-infrared spectroscopy in infants after cardiac surgery. Pediatr Res. 2006;59:462–465
  17. Tortoriello TA, Stayer SA, Mott AR, et al. A noninvasive estimation of mixed venous oxygen saturation using near-infrared spectroscopy by cerebral oximetry in pediatric cardiac surgery patients. Paediatr Anaesth. 2005;15:495–503
  18. Nagdyman N, Fleck T, Barth S, et al. Relation of cerebral tissue oxygenation index to central venous oxygen saturation in children. Intensive Care Med. 2004;30:468–471
  19. Giacomuzzi C, Heller E, Mejak B, et al. Assessing the brain using near-infrared spectroscopy during postoperative ventricular circulatory support. Cardiol Young. 2005;15(suppl 1):154–158
  20. Kimatian SJ, Saliba KJ, Soler X, et al. The influence of neurophysiologic monitoring on the management of pediatric cardiopulmonary bypass. ASAIO J. 2008;54:467–469
  21. Phelps HM, Mahle WT, Kim D, et al. Postoperative cerebral oxygenation in hypoplastic left heart syndrome after the Norwood procedure. Ann Thorac Surg. 2009;87:1490–1494
  22. Kussman BD, Wypij D, DiNardo JA, et al. Cerebral oximetry during infant cardiac surgery: evaluation and relationship to early postoperative outcome. Anesth Analg. 2009;108:1122–1131
  23. Johnson BA, Hoffman GM, Tweddell JS, et al. Near-infrared spectroscopy in neonates before palliation of hypoplastic left heart syndrome. Ann Thorac Surg. 2009;87:571–577discussion 577-579
  24. Kaufman J, Almodovar MC, Zuk J, et al. Correlation of abdominal site near-infrared spectroscopy with gastric tonometry in infants following surgery for congenital heart disease. Pediatr Crit Care Med. 2008;9:62–68
  25. Echt DS, Liebson PR, Mitchell LB, et al. Mortality and morbidity in patients receiving encainide, flecainide, or placebo (The Cardiac Arrhythmia Suppression Trial). N Engl J Med. 1991;324:781–788
  26. Gerstein HC, Miller ME, Byington RP, et al. Effects of intensive glucose lowering in type 2 diabetes. N Engl J Med. 2008;358:2545–2559
  27. Andriole GL, Crawford ED, Grubb RL, et al. Mortality results from a randomized prostate-cancer screening trial. N Engl J Med. 2009;360:1310–1319
  28. Freeman JM. Beware: the misuse of technology and the law of unintended consequences. Neurotherapeutics. 2007;4:549–554

PII: S1092-9126(10)00006-2

doi: 10.1053/j.pcsu.2010.01.005

Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual
Volume 13, Issue 1 , Pages 51-54 , 2010