NONINVASIVE MONITORING OF CRITICALLY ILL CHILD

nmcickapak

NONINVASIVE HEMOGLOBIN MONITORING IN CRITICALLY ILL CHILD

Yüksel Bıcılıoğlu
İzmir Kâtip Çelebi University, Faculty of Medicine, Department of Pediatric Emergency, İzmir, Türkiye

Bıcılıoğlu Y. Noninvasive Hemoglobin Monitoring in Critically Ill Child. In: Bal A, editor. Noninvasive Monitoring of Critically Ill Child. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.1-11.

ABSTRACT

Noninvasive hemoglobin monitoring is an innovative technology that enables painless, rapid, and repeatable tracking of hemoglobin levels. Particularly in pediatric critical care, it addresses challenges such as anemia caused by repeated blood draws, venous access difficulties, and decreased patient cooperation with invasive procedures. This technology aims to reduce dependence on laboratory tests, prevent unnecessary transfusions, detect hemodynamic changes early, and enhance patient safety.

Noninvasive devices operate on the principles of multi-wavelength light absorption. However, their accuracy and clinical effectiveness are influenced by several factors. Conditions such as hemodynamic instability, low perfusion, skin pigmentation, body mass index, hyperbilirubinemia, and extreme he- moglobin levels significantly impact noninvasive hemoglobin measurements. These limitations restrict the standalone use of these devices for diagnostic and therapeutic decision-making, especially in pedi- atric intensive care units and emergency departments.

Nevertheless, noninvasive hemoglobin monitoring is recognized as a valuable tool for trend tracking and clinical decision support systems. In scenarios requiring rapid clinical interventions, noninvasive hemoglobin measurements, validated by laboratory tests, can improve patient management. Advances in artificial intelligence-driven data analysis and enhanced sensor technologies promise to overcome existing limitations and improve device performance. In conclusion, noninvasive hemoglobin moni- toring holds great potential when integrated with traditional methods in pediatric critical care. Future large-scale studies will help better understand the accuracy, compatibility, and impact of this technol- ogy on patient outcomes.

This method offers an effective alternative to invasive techniques in pediatric care and stands as an exemplary innovation in modern healthcare solutions.

Keywords: Hemoglobins; Physiologic monitoring; Pediatrics; Critical ıllness; Pulse oximetry; Pediatric emergency medicine; Pediatric ıntensive care units; Anemia

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