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Published in: Journal of Clinical Monitoring and Computing 4/2012

Open Access 01-08-2012

Monitoring tissue oxygenation by near infrared spectroscopy (NIRS): background and current applications

Authors: T. W. L. Scheeren, P. Schober, L. A. Schwarte

Published in: Journal of Clinical Monitoring and Computing | Issue 4/2012

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Abstract

Conventional cardiovascular monitoring may not detect tissue hypoxia, and conventional cardiovascular support aiming at global hemodynamics may not restore tissue oxygenation. NIRS offers non-invasive online monitoring of tissue oxygenation in a wide range of clinical scenarios. NIRS monitoring is commonly used to measure cerebral oxygenation (rSO2), e.g. during cardiac surgery. In this review, we will show that tissue hypoxia occurs frequently in the perioperative setting, particularly in cardiac surgery. Therefore, measuring and obtaining adequate tissue oxygenation may prevent (postoperative) complications and may thus be cost-effective. NIRS monitoring may also be used to detect tissue hypoxia in (prehospital) emergency settings, where it has prognostic significance and enables monitoring of therapeutic interventions, particularly in patients with trauma. However, optimal therapeutic agents and strategies for augmenting tissue oxygenation have yet to be determined.
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Metadata
Title
Monitoring tissue oxygenation by near infrared spectroscopy (NIRS): background and current applications
Authors
T. W. L. Scheeren
P. Schober
L. A. Schwarte
Publication date
01-08-2012
Publisher
Springer Netherlands
Published in
Journal of Clinical Monitoring and Computing / Issue 4/2012
Print ISSN: 1387-1307
Electronic ISSN: 1573-2614
DOI
https://doi.org/10.1007/s10877-012-9348-y

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