NONINVASIVE MONITORING OF CRITICALLY ILL CHILD

nmcickapak

NEAR-INFRARED SPECTROSCOPY (NIRS) MONITORING INCRITICALLYILLCHILD

Anıl Er1
Aykut Çağlar2

1Dokuz Eylül University, Faculty of Medicine, Department of Pediatric Emergency, İzmir, Türkiye
2Adnan Menderes University, Faculty of Medicine, Department of Pediatric Emergency, Aydın, Türkiye

Er A, Çağlar A. Near-Infrared Spectroscopy (NIRS) Monitoring in Critically Ill Child. In: Bal A, editor. Noninvasive Monitoring of Critically Ill Child. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.43-50.

ABSTRACT

Near-infrared spectroscopy is a device provide noninvasive real time monitorization of regional ox- ygen saturation. Besides these characteristics, it can be easily applied in bedside and thus it has a potential role in critically ill children. The measurement principle of device is based on the fact that oxygenated hemoglobin and deoxygenated hemoglobin in tissues absorb different wavelengths of near-infrared light. Since, its invention in the 1970s, the number of studies in the literature on the NIRS device has increased in parallel with its increasing clinical use especially in neonates and con- genital heart diseases. Over time, studies have been published on its use in critical situations such as cardiac arrest, traumatic brain injury and septic shock, which are important in pediatric emergency admissions. In such critical situations, there is also evidence to suggest that it can be used not only to guide diagnosis and treatment but also to predict outcomes and prognosis. However, despite these ad- vances, there is regrettably a lack of precise information regarding threshold values of regional oxygen saturation in different clinical scenarios. While studies have shown promise, further research is needed to optimize the technology, refine reference ranges, and explore its combined use with other clinical indicators to improve the management and outcomes of critically ill pediatric patients. The potential for NIRS to enhance pediatric care in both intensive care and emergency settings continues to grow, but its full capabilities and limitations are still being explored.

Keywords: Child; Critically ill; Emergency department; Oxygen saturation; Near-infrared spectroscopy

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