Cerebral oxygenation after birth - a comparison of INVOS registered and FORE-SIGHT(TM) near-infrared spectroscopy oximeters

To compare absolute values of regional cerebral tissue oxygenation (cStO2) during haemodynamic transition after birth and repeatability during steady state for two commercial near-infrared spectroscopy (NIRS) devices. In a prospective observational study, the INVOS 5100C and FORE-SIGHT were compared...

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Bibliographic Details
Published in:Acta Paediatrica 2014-05, Vol.103 (5), p.488-493
Main Authors: Hessel, Trine W, Hyttel-Sorensen, Simon, Greisen, Gorm
Format: Article
Language:English
Online Access:Get full text
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Summary:To compare absolute values of regional cerebral tissue oxygenation (cStO2) during haemodynamic transition after birth and repeatability during steady state for two commercial near-infrared spectroscopy (NIRS) devices. In a prospective observational study, the INVOS 5100C and FORE-SIGHT were compared on 12 term newborns delivered by elective caesarean section. During the 10 min following umbilical cord clamping, cStO2 was measured simultaneously with the neonatal sensors from each device. Repeated measurements were taken the following day. Three and 8 min after clamping, the mean cStO2 value increased from 53.4% (CI 36.8-69.9%) to 86.0% (CI 80.2-91.7%) for INVOS and from 61.6% (CI 55.4-67.8%) to 82.2% (CI 77.7-86.7%) for FORE-SIGHT. The Bland-Altman plot revealed decreasing difference (INVOS minus FORE-SIGHT) (D) in absolute values (A) with increasing cStO2 (D = 0.5A - 38.19 p =
ISSN:0803-5253
1651-2227
DOI:10.1111/apa.12567