Low Renal Oxygen Saturation at Near-Infrared Spectroscopy on the First Day of Life Is Associated with Developing Acute Kidney Injury in Very Preterm Infants

Neonatology ◽  
2019 ◽  
Vol 115 (3) ◽  
pp. 198-204 ◽  
Author(s):  
Francesco Bonsante ◽  
Duksha Ramful ◽  
Christine Binquet ◽  
Sylvain Samperiz ◽  
Sandrine Daniel ◽  
...  

2020 ◽  
Vol 20 (6) ◽  
pp. 495-498
Author(s):  
Ylva Thernström Blomqvist ◽  
Victoria Karlsson ◽  
Feven Dawit ◽  
Richard Sindelar ◽  
Johan Ågren


Author(s):  
Simon Hyttel-Sorensen ◽  
Lina Støy Saem ◽  
Gorm Greisen ◽  
Bodil Als-Nielsen ◽  
Christian Gluud


2019 ◽  
Vol 8 (12) ◽  
pp. 2208 ◽  
Author(s):  
Christian Ortega-Loubon ◽  
Francisco Herrera-Gómez ◽  
Coralina Bernuy-Guevara ◽  
Pablo Jorge-Monjas ◽  
Carlos Ochoa-Sangrador ◽  
...  

Goal-directed therapy based on brain-oxygen saturation (bSo2) is controversial and hotly debated. While meta-analyses of aggregated data have shown no clinical benefit for brain near-infrared spectroscopy (NIRS)-based interventions after cardiac surgery, no network meta-analyses involving both major cardiac and noncardiac procedures have yet been undertaken. Randomized controlled trials involving NIRS monitoring in both major cardiac and noncardiac surgery were included. Aggregate-level data summary estimates of critical outcomes (postoperative cognitive decline (POCD)/postoperative delirium (POD), acute kidney injury, cardiovascular events, bleeding/need for transfusion, and postoperative mortality) were obtained. NIRS was only associated with protection against POCD/POD in cardiac surgery patients (pooled odds ratio (OR)/95% confidence interval (CI)/I2/number of studies (n): 0.34/0.14–0.85/75%/7), although a favorable effect was observed in the analysis, including both cardiac and noncardiac procedures. However, the benefit of the use of NIRS monitoring was undetectable in Bayesian network meta-analysis, although maintaining bSo2 > 80% of the baseline appeared to have the most pronounced impact. Evidence was imprecise regarding acute kidney injury, cardiovascular events, bleeding/need for transfusion, and postoperative mortality. There is evidence that brain NIRS-based algorithms are effective in preventing POCD/POD in cardiac surgery, but not in major noncardiac surgery. However, the specific target bSo2 threshold has yet to be determined.





2014 ◽  
Vol 90 (7) ◽  
pp. 371-375 ◽  
Author(s):  
Trijntje E. Schat ◽  
Michelle E. van der Laan ◽  
Maarten Schurink ◽  
Jan B.F. Hulscher ◽  
Christian V. Hulzebos ◽  
...  


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