Dataset Information

Comparison of frequency-domain and continuous-wave near-infrared spectroscopy devices during the immediate transition.

ABSTRACT:

Background

Non-invasive monitoring of cerebral tissue oxygen saturation (rcSO₂) during transition is of growing interest. Different near-infrared spectroscopy (NIRS) techniques have been developed to measure rcSO₂. We compared rcSO₂ values during the immediate transition in preterm neonates measured with frequency-domain NIRS (FD-NIRS) with those measured with continuous-wave NIRS (CW-NIRS) devices in prospective observational studies.

Methods

We compared rcSO₂ values measured with an FD-NIRS device during the first 15 min after birth in neonates with a gestational age ≥ 30 weeks but < 37 weeks born at the Erasmus MC- Sophia Children's Hospital, Rotterdam, the Netherlands, with similar values measured with a CW-NIRS device in neonates born at the Medical University of Graz, Austria. Mixed models were used to adjust for repeated rcSO₂ measurements, with fixed effects for time (non-linear), device, respiratory support and the interaction of device and respiratory support with time. Additionally, parameters such as total haemoglobin concentration and oxygenated and deoxygenated haemoglobin concentrations measured by FD-NIRS were analysed.

Results

Thirty-eight FD-NIRS measurements were compared with 58 CW-NIRS measurements. The FD-NIRS rcSO₂ values were consistently higher than the CW-NIRS rcSO₂ values in the first 12 min, irrespective of respiratory support. After adjustment for respiratory support, the time-dependent trend in rcSO₂ differed significantly between techniques (p < 0.01).

Conclusion

As cerebral saturation measured with the FD-NIRS device differed significantly from that measured with the CW-NIRS device, differences in absolute values need to be interpreted with care. Although FD-NIRS devices have technical advantages over CW-NIRS devices, FD-NIRS devices may overestimate true cerebral oxygenation and their benefits might not outweigh the usability of the more clinically viable CW-NIRS devices.

SUBMITTER: van Essen T

PROVIDER: S-EPMC7047398 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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Publications

Comparison of frequency-domain and continuous-wave near-infrared spectroscopy devices during the immediate transition.

van Essen Tanja T Goos Tom G TG van Ballegooijen Liza L Pichler Gerhard G Urlesberger Berndt B Reiss Irwin K M IKM de Jonge Rogier C J RCJ

BMC pediatrics 20200228 1

<h4>Background</h4>Non-invasive monitoring of cerebral tissue oxygen saturation (rcSO<sub>2</sub>) during transition is of growing interest. Different near-infrared spectroscopy (NIRS) techniques have been developed to measure rcSO<sub>2</sub>. We compared rcSO<sub>2</sub> values during the immediate transition in preterm neonates measured with frequency-domain NIRS (FD-NIRS) with those measured with continuous-wave NIRS (CW-NIRS) devices in prospective observational studies.<h4>Methods</h4>We c ...[more]

PMID: 32111176

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Dataset Information

Comparison of frequency-domain and continuous-wave near-infrared spectroscopy devices during the immediate transition.

Background

Methods

Results

Conclusion

Publications

Comparison of frequency-domain and continuous-wave near-infrared spectroscopy devices during the immediate transition.

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