Simultaneous measurement of cerebral hemoglobin oxygen saturation and blood volume in asphyxiated neonates by near-infrared time-resolved spectroscopy

2015 ◽  
Vol 37 (10) ◽  
pp. 925-932 ◽  
Author(s):  
Shinji Nakamura ◽  
Kosuke Koyano ◽  
Wataru Jinnai ◽  
Satoshi Hamano ◽  
Saneyuki Yasuda ◽  
...  
2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Tsutomu Mitsuie ◽  
Shinji Nakamura ◽  
Yinmon Htun ◽  
Yasuhiro Nakao ◽  
Makoto Arioka ◽  
...  

AbstractNeonatal hypoxic–ischemic encephalopathy is a notable cause of neonatal death and developmental disabilities. To achieve better outcomes, it is important in treatment strategy selection to categorize the degree of hypoxia ischemia and evaluate dose response. In an asphyxia piglet model with histopathological brain injuries that we previously developed, animals survived 5 days after insult and showed changes in cerebral blood volume (CBV) that reflected the severity of injuries. However, little is known about the relationship between changes in CBV during and after insult. In this study, an HI event was induced by varying the amount and timing of inspired oxygen in 20 anesthetized piglets. CBV was measured using near-infrared time-resolved spectroscopy before, during, and 6 h after insult. Change in CBV was calculated as the difference between the peak CBV value during insult and the value at the end of insult. The decrease in CBV during insult was found to correlate with the increase in CBV within 6 h after insult. Heart rate exhibited a similar tendency to CBV, but blood pressure did not. Because the decrement in CBV was larger in severe HI, the CBV increment immediately after insult is considered useful for assessing degree of HI insult.


2019 ◽  
Vol 9 (10) ◽  
pp. 2172 ◽  
Author(s):  
Aya Morimoto ◽  
Shinji Nakamura ◽  
Masashiro Sugino ◽  
Kosuke Koyano ◽  
Yinmon Htun ◽  
...  

The aim of this study was to use near-infrared time-resolved spectroscopy (TRS) to determine the absolute values of cerebral blood volume (CBV) and cerebral hemoglobin oxygen saturation (ScO2) during the immediate transition period in term neonates and the changes in optical properties such as the differential pathlength factor (DPF) and reduced scattering coefficient (μs’). CBV and ScO2 were measured using TRS during the first 15 min after birth by vaginal delivery in term neonates who did not need resuscitation. Within 2–3 min after birth, CBV showed various changes such as increases or decreases, followed by a gradual decrease until 15 min and then stability (mean (SD) mL/100 g brain: 2 min, 3.09 (0.74); 3 min, 3.01 (0.77); 5 min, 2.69 (0.77); 10 min, 2.40 (0.61), 15 min, 2.08 (0.47)). ScO2 showed a gradual increase, then kept increasing or became a stable reading. The DPF and μs’ values (mean (SD) at 762, 800, and 836 nm) were stable during the first 15 min after birth (DPF: 4.47 (0.38), 4.41 (0.32), and 4.06 (0.28)/cm; μs’: 6.54 (0.67), 5.82 (0.84), and 5.43 (0.95)/cm). Accordingly, we proved that TRS can stably measure cerebral hemodynamics, despite the dramatic physiological changes occurring at this time in the labor room.


2018 ◽  
Vol 23 (06) ◽  
pp. 1 ◽  
Author(s):  
Sayuri Fuse ◽  
Shinsuke Nirengi ◽  
Shiho Amagasa ◽  
Toshiyuki Homma ◽  
Ryotaro Kime ◽  
...  

Surgery Today ◽  
2004 ◽  
Vol 34 (5) ◽  
pp. 424-428 ◽  
Author(s):  
Toshiyuki Kitai ◽  
Toshihiro Nishio ◽  
Mitsuharu Miwa ◽  
Yoshio Yamaoka

1991 ◽  
Vol 370 ◽  
pp. 370 ◽  
Author(s):  
Mario Mateo ◽  
Paula Szkody ◽  
Peter Garnavich

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